History and Evaluation: A 23 year old female with history of benign pelvic tumor as a child presented with right hip pain. The surgical removal of the tumor (during childhood) left her with a deformed hip socket and a dislocated hip (femur head not seated in the hip socket). At age 5, surgery was attempted at an outside hospital to reposition the hip socket and femur. This surgery was unsuccessful and the patient was left with a permanent hip dislocation. At the time of her hip replacement, she was in severe pain and used a walker.
Preoperative x-rays show a dislocated right hip with severe deformity of the acetabulum (socket) and femur. The other hip appears normal.
Treatment: The patient was treated with a complex right total hip replacement. The prosthetic socket was placed in near normal position, the femur straightened and shortened and the legs lengths corrected.
Outcomes: At one year after surgery she is able to walk 2 to 3 blocks unassisted and is pain free. She is extremely pleased with the result of her surgery.