The Story

“Inderpal presented to my clinic with severe pain and restricted movement in his left hip. He had previously had both hips replaced with modular necked femoral stems. We were keen to preserve Inderpal’s bone stock to try and improve the longevity of his replacement implant. We opted for a surgical approach to reserve bone stock and use a primary component despite the original femoral stem being well fixed”.

To be checked by PROF


The Investigation

Examination in clinic demonstrated a severely reduced range of motion in the left hip secondary to discomfort. Inderpal struggled to walk across my clinic room and he had a marked antalgic gait.


The Evidence

 

Anteroposterior plain radiograph demonstrating bilateral hip replacements with modular necks.

 

The Diagnosis

To be completed by PROF


The Plan

Corail stem

Corail stem

We planned to use a standard primary Corail stem for Inderpal’s revision procedure. We wanted to avoid an extended femoral osteotomy to remove his well fixed stem by using flexible osteotomes.

The objective of this approach is to reduce surgical morbidity and reduce the recovery time for the patient. It also helps to preserve precious bone stock.

To be checked by PROF


The operation

To be completed by ROB


The Outcome

 

Anteroposterior plain radiograph of the patients pelvis demonstrating a left sided Corail stem in situ.

 

Inderpal was very happy at his 6-week follow-up appointment. He was able to walk without pain and did not require extensive surgery to achieve this result thus reducing his recovery time and risk of complications.


The Verdict

To be completed by PROF


In Closer Detail

  • Needed


Evidence for this treatment

  • Needed


Related cases…

  • Needed