A Case of Revision Total Hip Arthroplasty for a Patient Aged 86, with Dislocation 13 Years after Surgery

Abstract

This report describes a case of revision total hip arthroplasty for a patient aged 86, with dislocation 13 years after surgery. In operations for elderly patients, removal of a well-fixed metal shell may lead to substantial bone loss, risk of fracture, and other complication. We therefore did not remove the well-fixed metal shell, but exchanged the polyethylene liner, cementing a new polyethylene cup into the old metal shell.
The advantages of this procedure were bone preservation and reduced surgical morbidity. It may well provide an alternative option in revision total hip arthroplasty for elderly patients.