Orthopedic Surgeon Installs Hip Implant That Requires Revision
Updated on
Case Overview
This case involves a fifty-two-year-old patient who sustained a sub-capital right hip fracture following a slip and fall. She was immediately taken to the local trauma center and underwent hip surgery by an orthopedic surgeon. The physician performed a bipolar endoprosthesis of the right hip using a ceramic Stryker Orthopaedics UHR Universal Head Bipolar Component. Following surgery, the patient complained of immediate pain, which remained during the months following the surgery. The patient’s surgeon, however, was sentenced to prison time on financial fraud charges during the course of her follow-up treatment and required the patient to seek treatment from another orthopedic surgeon. The diagnostic testing ordered by the second physician revealed that the source of the patient’s pain was the right hip bipolar prosthesis. Further investigation yielded evidence of a translucent line around the femoral prosthesis. The new surgeon suspected that loosening of the device was most likely the cause of discomfort and the patient was recommended for a total right hip revision surgery.
Questions to the Orthopedic Surgery expert and their responses
Can you determine if this patient actually needed the first surgery?
The treatment of femoral neck fractures, intertrochanteric hip fractures, and most tension femoral neck stress fractures requires surgical intervention. Tension fractures have a poor prognosis and tend to be unstable.
If not, what type of rehabilitation could this patient have benefited from?
Compression fractures may heal with conservative management. Furthermore, compression fractures are most commonly treated with several days of rest followed by protected, crutch-assisted weight bearing.
About the expert
This expert has been practicing for approximately 30 years, and is fellowship trained in pediatric orthopedic surgery. Throughout his medical career, he has been appointed to such high ranking medical positions as chief of surgery at an area healthcare center. His current practice includes general adult and pediatric orthopedic surgery, and he is affiliated faculty at thee regional hospitals.

E-000379
Specialties:
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