Dr. Firas Arnaout
Orthopedician and Traumatology
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Patient's Query
Hi doctor,
My mother is 83 years old. She had a right hip fracture before three years, and she was fitted with a DHS implant. She has pain, and her fracture is not healed. Her mobility got restricted, and she uses a walker to walk. Before two years, she had severe pain, and she was unable to stand. She used a walker to walk as the implant got loosened. Her two out of four cortical screws came out. Some doctors suggest a total hip replacement. Please review her X-ray and advise a partial hip replacement (fitting only the implant stock and ball whiteout acetabulum cup). If yes, should a mono or a bipolar ball be favored? I am sending her X-ray.
Hi,
Welcome to icliniq.com.
I have gone through the attachment (attachment removed to protect patient identity). Her fracture has not healed, and her fixation has got failed. I suggest seeing an experienced anesthetist to assess her fitness for having an extended operation. As her hip is painful, it is best to do a hip replacement. A monopolar hip replacement would be the best option. This operation supports her life, and the decision should be made with her.
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