Hip arthroplasty

Abstract

A 68- year old gentleman presented to outpatients clinic complaining of pain in his right hip, 10 years after undergoing a total hip replacement. Following a thorough history, physical, lab and radiographic investigations, aseptic loosening of the hip prosthesis was diagnosed. One-stage revision surgery was carried out and the patient is currently undergoing rehabilitation and being followed up. Aim: This report will review the history, examination, investigations and management of a case of aseptic loosening of a total hip arthroplasty (both acetabular and femoral components). It will also serve as an excellent illustration of the various examination techniques and other investigations which are made use of for the diagnosis of hip (and other orthopaedic) conditions. Apart from describing the main surgical therapy required in this case i.e. revision arthroplasty, the case report will also deal with the complex yet equally essential perioperative drug management which complements the surgical treatment. Moreover, this case highlights the holistic approach to patient care, requiring a multidisciplinary team (including proper nursing, physiotherapy etc.).