Revision hip for periprosthetic fracture

This 84 year old lady had sudden increase in hip pain on the left side after a sight fall. The hip replacement had been loose for some time and the bone had become thin around the implants. A fracture had occurred in the fall and the hip replacement has clearly subsided in the cement (note the distance between the femoral head and the socket). He hip was revised to a long unceented stem and the fracture reduced around the stem and held with cerclage wires. The socket was also revised.

Pre-operative X-ray

Post-operative X-ray