Hip Arthroplasty Metal Socket: Uncemented Success

Key Medical Takeaway

Looking for accurate information on Achieving Success with Uncemented Hip Arthroplasty Metal Socket? Total hip arthroplasty addresses severe hip osteoarthritis, as demonstrated in a 69-year-old female’s case. The procedure replaces the hip joint with prosthetic components, often including an uncemented acetabular shell and stem, and a ceramic femoral head with a polyethylene liner. Consideration of hip arthroplasty metal components, like the porous-coated shell, is vital for fixation and long-term success in restoring mobility and reducing pain.

📖 Clinical Article

Demographics

Age: 69
Sex: Female

Relevant Past Medical History

Principal pathologies: None.
History of presenting complaint: Pain of the right hip worsen in the last months.

Preoperative Radiological

Assessment/Imaging (F ig. 3.4)

Illustration 1 for Achieving Success with Uncemented Hip Arthroplasty Metal Socket — Clinical Radiograph / Orthopedic Image

Illustration 2 for Achieving Success with Uncemented Hip Arthroplasty Metal Socket — Clinical Radiograph / Orthopedic Image

Fig. 3.4 Osteoarthritis of the right hip #### Preoperative Planning
Diagnosis : Osteoarthritis of the right hip (Fig. 3.4). Chosen treatment method : Uncemented acetabular shell Depuy PINNACLE POROCOAT
50 mm, polyethylene Depuy PINNACLE MARATHON 32 mm, uncemented hip stem Depuy, size 1, STD, 125 mm and ceramic femoral head Depuy 32 mm, + 9 mm.

Surgical Note

Patient’s position: Lateral decubitus Type of anaesthesia: General Surgical approach: Direct Superior

Postoperative Radiographs

(Figs. 3.5 and 3.6)

Illustration 3 for Achieving Success with Uncemented Hip Arthroplasty Metal Socket — Clinical Radiograph / Orthopedic Image

Illustration 4 for Achieving Success with Uncemented Hip Arthroplasty Metal Socket — Clinical Radiograph / Orthopedic Image

Fig. 3.5 AP of the right hip, first day

Illustration 5 for Achieving Success with Uncemented Hip Arthroplasty Metal Socket — Clinical Radiograph / Orthopedic Image

Illustration 6 for Achieving Success with Uncemented Hip Arthroplasty Metal Socket — Clinical Radiograph / Orthopedic Image

Fig. 3.6 AP of the right hip, first month

Postoperative Management

Chemoprophylaxis and anticoagulant treatment period: Vancomycin 500 mg 1 × 2 for two days, cefuroxime 750 mg 1 × 3 for two days, enoxaparin 1 × 1 for two days and then rivaroxaban 10 mg for thirty days.
Gait/limb loading until full loading: Partial weight-bearing for four weeks. At six weeks, full weight-bearing.