Patient is a 75 year old female who came to us with severe left hip pain after having an Open Reduction Internal Fixation (ORIF) of the left hip. Patient came in with x-rays to review, as shown below, and the x-rays indicate that the hardware had failed.

Patient was advised to have a two staged left hip reconstruction in which the hardware would first be removed and then the patient would undergo a left Total Hip Arthroplasty (THA).

Hip Reconstruction 1

X-Rays show Open Reduction Internal Fixation (ORIF) of left intertrochanteric hip fracture

Hip Reconstruction 2

X-Rays show extensive osteolytic changes within the proximal femur as well as advanced osteoarthritis is the left hip

Patient came in for a follow-up 2 weeks post-operatively of left hip implant removal. She brought in results of aspiration, which showed positive cultures of infection.

Due to the infection, the patient was advised that the best option for her would be an implant of an Antibiotic Spacer to fight the infection. All options, alternatives, and risks were discussed with the patient at length. She had decided to proceed with the surgery.

Hip Reconstruction 3

X-Ray show post-operative right hip ORIF and left hip ORIF with a spacer device placement in left hip

Hip Reconstruction 4

X-Ray shows osteoporosis with prosthetic left hip and right hip internal fixation, along with nondisplaced fracture of the right ischium

Patient had followed-up a few months post-operatively with minimal pain, weight bearing as tolerated, and had good range of potion. She has been doing well subsequently.

*Patient identifiers and dates changed to protect patient privacy.

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