PROBLEM

A 31 years old lady, suffering from chronic renal failure for the past 10 years and on haemodialysis for long, developed renal osteodystrophy. Subsequently, she developed secondary degenerative arthritis of both the hip joints and had been confined to bed for the past one year. She had also developed pathologic fractures in the pelvic bones due to which she was suffering from severe low back pain, especially on sitting for long.

Renal osteodystrophy, secondary arthritis both hips

Pathological fractures of pelvis

TREATMENT

She was treated with total hip replacement of the right hip which, was more painful. The acetabular component was cemented and the femoral component cementless.

RESULT

At present she is walking without any aid. The pain in the right hip has disappeared. The low back pain has also decreased considerably and she is able to sit for prolonged periods. She is coming for total hip replacement of the left hip in a few months time

Right total hip replacement

Right total hip replacement