Insights on Challenging Total Hip Arthroplasty Cases
Does performing a total hip arthroplasty (THA) on a morbidly obese patient change a surgeon’s typical approach and technique? How about a young patient with post-traumatic arthrosis from very serious injuries sustained in a motor vehicle accident? Or a patient with anatomic abnormalities causing leg length discrepancy?
Those are just some of the cases Thomas L. Bradbury, MD, presented for discussion during a session on challenging THA patients at the 6th Annual ICJR South Hip & Knee Course. Dr. Bradbury was the moderator for a panel that included Bryan D. Springer, MD; John L. Masonis, MD; James A. Browne, MD; and Michael J. Taunton, MD.
The cases Dr. Bradbury shared included:
- 47-year-old morbidly obese patient with a BMI of 47
- 38-year-old female patient with prior pediatric hip disease
- Young active male patient who requests simultaneous bilateral THA
- Patient with severe protrusio acetabuli
- Female patient with abnormal hip morphology from achondroplasia
- Female patient with hip dysplasia and poor bone quality
- 16-year-old male patient with juvenile rheumatoid arthritis
- 50-year-old male patient injured 30 years prior when hit by a dump truck while riding his motorcycle
- 22-year-old patient with post-traumatic arthrosis from femoral, acetabular, and pelvic fractures sustained in a motor vehicle accident
- Male patient who had sustained a femoral shaft fracture 4 years earlier
Click the image above to watch the presentation.
The panel members have no disclosures relevant to this presentation