Total hip arthroplasty (THA), total knee arthroplasty TKA), and Periprosthetic fractures
Some cases of Total hip arthroplasty (THA), total knee arthroplasty TKA), and Periprosthetic fractures treated by Papasotiriou Antonios, MD
1. Osteoarthritis of both hips but is more severe on the right side.
Treatment: Total hip arthroplasty in a 73-year-old female
I. Anteroposterior x-ray of the pelvis and hips II. One-month post-surgery, anteroposterior x-ray pelvis shows the THA III. One-month post-surgery, lateral x-ray of the right hip showing the exact position of the stem in the femur
2. Intracapsular fracture of the right hip in a 74-year-old female.
Treatment: Total hip arthroplasty
I. Anteroposterior x-ray pelvis shows the fracture on the right hip II. Anteroposterior x-ray pelvis shows the total hip arthroplasty three months down the line from the operation III. Lateral view hip shows the total hip arthroplasty three months down the line from the surgery
3. Periprosthetic fracture of the left femur in a 78-year- old female with a total hip arthroplasty.
Treatment: Revision of THA
I. Anteroposterior x-ray pelvis-hips shows the periprosthetic fracture. The patient referred to Mr. Papasotiriou Antonios one year after the periprosthetic fracture because of pain. The reason of pain was the loosening of the stem. II. Four months post-surgery anteroposterior x-ray left hip shows the revision of the femur stem with a new longer specific stem
4. Severe osteoarthritis of the left knee in an 80-year-old male.
Treatment: Total knee arthroplasty
I. Before the surgery, anteroposterior x-ray left knee shows the severe osteoarthritis at the medial side II. One month down the line from the operation, lateral x-ray of the knee III. One month down the line from the operation, anteroposterior x-ray of both knees in a standing position
5. Periprosthetic fracture of the left femur in a 75-year-old male with a total knee arthroplasty.
Treatment: Open reduction internal fixation
I. Anteroposterior x-ray of the femur shows the periprosthetic fracture II. Post-surgery, x-ray shows the metal work and the reduction of the fracture. The arthroplasty was stable therefore there was no need in this stage for the replacement of the prothesis