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[ 21 March 2010 ]

Revision hip with impaction grafting to socket and “in-cement” revision of femur

A 59 year old gentleman had developed symptoms of pain and feelings of instability in his right hip replacement that had been functioning well for the previous 14 years. The X-ray shows loosening of the acetabulum (socket). The femoral stem appears well fixed. At revision surgery the acetabulum was removed easily and recntruction was undertaken with impaction grafting of a femoral head bone graft followed by cementation of a new socket. After trial reduction the hip was found to be unstable so the stem was removed and a new stem with different offset and length was cemented into the old cement mantle, a technique called "in-cemet revision".

Pre-operative X-rays

Post-operative X-ray


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