Primary single stage Total Hip Arthroplasty in a patient 40 years post traumatic Hip dysplasia, a case report

• Published in: Trauma case reports 2019, Vol.23, p.100223-100223
• Main Authors: Phatama, Krisna Yuarno, Pradana, Ananto Satya, Mustamsir, Edi, Hidayat, Mohamad, Sakti, Satria Wira, Pandiangan, Ray Asaf Hexa, Muhammad, Surya Iman, Putera, Marvin Anthony
• Format: Report
• Language: English
• ISSN: 2352-6440
• DOI: 10.1016/j.tcr.2019.100223

INTRODUCTIONHip dysplasia refers to an abnormal development of size, shape, or organization of the femoral head, acetabulum, or both. Managing acetabular dysplasia is very challenging in arthroplasty especially in traumatic hip dysplasia case. Mostly, hip dysplasia cases need a special implant, procedure and techniques. CASE PRESENTATIONWe performed primary Total Hip Arthroplasty (THA) + partial tenotomy of hamstring, iliotibial band, hip abductor in a 73 year old male. His main complaint was that he was unable to sit due to an increasingly intense pain since 3 months ago and he has been unable to walk properly since 40 years ago when he had a major traffic accident and received inadequate treatment. The procedure had been successfully done using a well press-fit cementless acetabular cup and a cementless narrow stem application 1 cm on leg length discrepancy (LLD). CONCLUSIONPreoperative planning, surgical techniques and a post-surgery rehabilitation are the key to a successful management in this case.