PMC7476705_01
Post-operative radiographs of the patient's femoral implants, before any symptoms.
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F1
Radiographs at that time demonstrated 3 mm of osteolysis in the bilateral proximal femurs, Gruen zones 1, 2, 6, and 7 (Fig.1).
Radiographs demonstrating fracture of the right femoral stem.
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F2
Radiographs revealed a fracture through the femoral stem of her right THA prosthesis (Fig. 2).
Radiographs demonstrating revision right total hip arthroplasty.
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F3
She underwent laboratory testing and hip aspiration to rule out infection and subsequently underwent revision right THA using a restoration modular prosthesis with a ceramic on polyethylene articulation (Stryker, Mahwah, NJ) in December 2015, at 12.6 years postoperatively (Fig. 3).
PMC7476705_02
Initial radiographs after presentation for left thigh pain (read as negative). Cortical hypertrophy is evident at the level of the subtle fracture line through the stem.
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F4
Initial radiographs of her hip prosthesis demonstrated no obvious abnormalities and were read as normal (Fig. 4).
Radiographs demonstrating fracture of the left femoral stem.
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F5
She returned to the clinic in May 2017 with continued thigh pain with weight-bearing, and new radiographs demonstrated a fracture through the femoral stem of her left THA prosthesis (Fig. 5).
Radiographs demonstrating revision left total hip arthroplasty.
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F6
The patient underwent revision left THA using a restoration modular prosthesis with a ceramic on polyethylene articulation (Stryker, Mahwah, NJ) in May 2017, at 13.4 years postoperatively (Fig. 6). Fixation of the ETO was performed using cables (Fig. 6).
Radiographs at 1 year postoperatively from the left revision total hip arthroplasty. Both extended trochanteric osteotomies healed completely.
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F7
At 1 year follow-up from her most recent surgery, she continues to report complete pain relief and excellent function in both hips (Fig.7).