(OBQ18.127)
A 62-year-old patient that underwent a right hip resurfacing arthroplasty 3 years ago develops worsening right hip pain over the past 6 months. The pain is present at all times, including at night. The patient does not walk with a Trendelenburg gait and does not have reproducible pain on hip examination. Laboratory inflammatory markers from 1 week ago were erythrocyte sedimentation rate of 66 mm/hr (reference <20 mm/hr), C-reactive protein of 22 mg/dL (reference <2.5 mg/dL), cobalt 0.5 µg/L (reference <0.7 µg/L), and chromium of 0.4 µg/L (reference <0.4 µg/L). Figure A demonstrates an AP radiograph of the pelvis. What is the next best step in management?
QID:
213023