Complex Revision Hip Arthroplasty

Presentation

Pain and start-up limp years after primary hip replacement. Imaging showed acetabular osteolysis and a loose cup without acute infection markers.

Reconstructive plan

• • Metal-reduction CT for Paprosky grading and implant inventory
• • Aspiration protocol to exclude periprosthetic infection
• • Trabecular titanium reconstruction of the acetabulum
• • Modular femoral revision as required for stability and offset

Anonymised educational overview. Individual plans are confirmed in clinic after examination and imaging.