Reconstructive total hip arthroplasty in a female patient with posttraumatic acetabulum (case study)

Abstract

We present a clinical case of total hip arthroplasty in a 32-year-old female patient with posttraumatic acetabulum. Radiographs on admission showed postoperative condition, dislocated head of the left femur, misshaped pelvic ring, deformity and nonunion of the acetabular roof. Shortening of the left lower limb was 5cm. Range of motion in the left hip joint was sharply limited. The first phase of treatment included correcting osteotomy at the nonunion site, bone reduction, anterior column stabilization with pre-curved plate fixed with 5 screws. Pelvic bones consolidated. Cementless total hip replacement was performed at the second stage. Finally, lower limb length was equalized with the range of motion improved in the hip joint.