Total Hip Replacement For Ankylosed Hip, A Case Report

Abstract

Abstract

Intoduction

Ankylosis of the hip is very difficult to treat surgically and should only be attempted by an experienced surgeon together with comprehensive pre-operative planning. It is important to inform the patient about the possible complications of this procedure.

Case Description

Male  patient  at the age of 68 years with severe left hip pain for the last 30 years. The pain was intermittent,mostly at night, The pain got worse during walk and subside when resting. No history of trauma, TB contact, fever, allergies, alcohol usage or smoking. There was also no history of surgery. X-Ray shows fusion of the left hip. Blood test shows no infection detected.

Discussion

Posterior approach  was used in this case, inability to internally rotate the hip due to bony fusion will made the osteotomy more difficult. Visualized Greater Trochanter and palpable Lesser trochanter as landmark for osteotomy

Conclusion

THA is an effective treatment for severe flexion ankylosed/fused hip deformity although there are high surgical complications than routine hip arthroplasties. Adequate preoperative planning will improve the clinical outcome of the  hips.