Primary Hip Arthroplasty Case Title: Uncemented Primary Total Hip Arthroplasty Metal Back Socket

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 (Fig. 3.4)

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)

Fig. 3.5 AP of the right hip, first day

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.