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.

    RELATED: Register for the 7th Annual ICJR South Hip & Knee Course

    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