Hip
          Complication
          Complication case - When everything goes wrong  Again and again
        Discover the challenging case of a 79-year-old woman with a Parker score of 2 and significant medical history including bilateral femoral neck fractures, osteonecrosis and secondary displacement.
Bilateral hip arthroplasty was planned, but the team encountered multiple difficulties, such as per operative fracture and secondary displacement. Discover how these complications were managed using advanced revision techniques.
            Part one
      
      
          
            Clinical presentation
      
      
Mrs R.
- 79 ans
- Medical background : high blood pressure, type 2 diabetes
- Parker score : 2
- Surgical history : 
- triple screwing on right femoral neck fracture (2022)
- DHS plate for left femoral neck fracture (2022)
- Osteonecrosis and secondary displacement (2023)
 
 
            Part two
      
      
          
            Final strategy decision
      
      
Hip planification
 
Per operative distal femur fracture requiring plate osteosynthesis
 
Hip planification of the right hip
 
Hip surgery
- Total hip arthroplasty
- Poor acetabular bone quality requiring the placement of a support ring (Kerboull cross)
 
Secondary displacement at one month
 
Surgical revision : Burch Schneider ring
- Follow up consultation (1 month)
- Good evolution
- No loosening
- Walk without pain
 
 
    