History An active 75-year-old woman underwent successful total hip replacement 11 years ago for osteoarthritis. Two years prior to this visit, she started having thigh and knee pain that has gotten progressively worse. Over the past 6 months, she has been unable to walk without external support. She has not noted any weight loss, fevers, chills, or other constitutional symptoms. Examination of the patient's hip reveals no erythema or induration.
The soft tissue overlying the trochanteric area is soft and normal in color. The extremity is shortened 1.5 cm compared with the opposite side. The hip range of motion is as follows: flexion 70° extension -15° internal and external rotation 5° abduction 20°, adduction 20° The patient's x-rays are shown below (Images 1-3). *This case is from Docplexus editorial team for educative purpose only Source: Femoral Revision - Medscape - Mar 01, 2001.
