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THA Revision
Posted: Mar 22 2020 #(C101404)
B

Post-Traumatic Hip OA in 51M

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HPI

Motor vehicle accident 5 years prior with resultant right acetabular fracture s/p ORIF. Progressive pain and stiffness of right hip, refractory to conservative measures. Can no longer sit in a chair or put socks on.

PMH

HLD, DM2, chronic pain/opioid use

PE

BMI 38. Antalgic gait, uses cane. Well-healed posterolateral hip incision. Pelvic obliquity. Minimal hip ROM, very stiff. Neurovascularly intact distally. No foot drop.

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What additional imaging studies would you obtain?
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P: 110140
After ruling out infection, what would you next recommend?
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P: 110141
If converting to THA, would you stage the procedure?
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P: 110142
If converting to THA, how would you address the existing hardware?
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P: 110143
If converting to THA, how would you address acetabular reconstruction?
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P: 110144
If converting to THA, what would you recommend for prophylaxis against heterotopic ossification?
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P: 110145
PROCEDURE #1

CT Scan with 3D Reconstructions

Intra-procedure P1
PROCEDURE #2

Conversion THA

Intra-procedure P2
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OUTCOMES
Post-procedure P2
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