Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Immediate admission to the hospital and emergent revision hip arthroplasty
3%
27/886
Reassurance and follow-up if symptoms worsen
1%
13/886
Repeat radiographs in 1 month
2%
22/886
Protected weight bearing with urgent revision hip arthroplasty when the patient is medically cleared
89%
786/886
A prescription for alendronate and reevaluation in 1 year
4%
33/886
Select Answer to see Preferred Response
The radiograph shows significant osteolysis with loosening of the femoral component. The patient is symptomatic and surgery is indicated because of the extent of osteolysis and the loose femoral component. Reassurance and follow-up if symptoms worsen places the patient at risk for further bone loss and periprosthetic fracture. Emergent surgery is not required because the symptoms have been present for more than a year; however, urgent revision hip arthroplasty is recommended when the patient is medically cleared. While there is data to suggest that bisphosphonates may slow the progression of osteolysis in animal modes, there is no clear evidence that bisphosphonate treatment prevents the progression of osteolysis in humans. Additionally, this patient has a loose symptomatic femoral component.
3.4
(15)
Please Login to add comment