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Hip Osteonecrosis
Posted: Mar 21 2020 #(C101400)
B

AVN after CRPP in 62F

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HPI

5 years s/p L hip closed reduction and percutaneous pinning (CRPP) for a femoral neck fracture resulting from a mechanical fall. Progressive hip pain over the last 2 years. Occasionally uses a cane. Full-time sales job mostly on her feet.

PMH

HLD, CKD 2, anxiety/depression

PE

BMI 29. Well-healed 3 cm lateral hip incision from prior CRPP surgery. Mildly antalgic gait. Hip flexion to 100, internal rotation to 15, external rotation to 40, abduction to 35. Groin pain at extremes of hip motion. Neurovascularly intact distally. 0.5 cm leg length discrepancy, left shorter than right.

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What additional imaging studies would you obtain?
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P: 109928
What would you recommend?
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P: 109929
If conversion to arthroplasty, what surgical approach would you utilize?
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P: 109930
If conversion to arthroplasty, how would you address femoral reconstruction?
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P: 109931
PROCEDURE #1

Conversion THA

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