case_images: PMC7476705_01
case_images: Post-operative radiographs of the patient's femoral implants, before any symptoms.
case_images: JOCR-10-46-g001.jpg
case_images: PMC7476705_01_JOCR-10-46-g001.jpg
case_images: F1
case_images: Radiographs at that time demonstrated 3 mm of osteolysis in the bilateral proximal femurs, Gruen zones 1, 2, 6, and 7 (Fig.1).
case_images: Radiographs demonstrating fracture of the right femoral stem.
case_images: JOCR-10-46-g002.jpg
case_images: PMC7476705_01_JOCR-10-46-g002.jpg
case_images: F2
case_images: Radiographs revealed a fracture through the femoral stem of her right THA prosthesis (Fig. 2).
case_images: Radiographs demonstrating revision right total hip arthroplasty.
case_images: JOCR-10-46-g003.jpg
case_images: PMC7476705_01_JOCR-10-46-g003.jpg
case_images: F3
case_images: She underwent laboratory testing and hip aspiration to rule out infection and subsequently underwent revision right THA using a restoration modular prosthesis with a ceramic on polyethylene articulation (Stryker, Mahwah, NJ) in December 2015, at 12.6 years postoperatively (Fig. 3).
case_images: PMC7476705_02
case_images: Initial radiographs after presentation for left thigh pain (read as negative). Cortical hypertrophy is evident at the level of the subtle fracture line through the stem.
case_images: JOCR-10-46-g004.jpg
case_images: PMC7476705_02_JOCR-10-46-g004.jpg
case_images: F4
case_images: Initial radiographs of her hip prosthesis demonstrated no obvious abnormalities and were read as normal (Fig. 4).
case_images: Radiographs demonstrating fracture of the left femoral stem.
case_images: JOCR-10-46-g005.jpg
case_images: PMC7476705_02_JOCR-10-46-g005.jpg
case_images: F5
case_images: She returned to the clinic in May 2017 with continued thigh pain with weight-bearing, and new radiographs demonstrated a fracture through the femoral stem of her left THA prosthesis (Fig. 5).
case_images: Radiographs demonstrating revision left total hip arthroplasty.
case_images: JOCR-10-46-g006.jpg
case_images: PMC7476705_02_JOCR-10-46-g006.jpg
case_images: F6
case_images: The patient underwent revision left THA using a restoration modular prosthesis with a ceramic on polyethylene articulation (Stryker, Mahwah, NJ) in May 2017, at 13.4 years postoperatively (Fig. 6). Fixation of the ETO was performed using cables (Fig. 6).
case_images: Radiographs at 1 year postoperatively from the left revision total hip arthroplasty. Both extended trochanteric osteotomies healed completely.
case_images: JOCR-10-46-g007.jpg
case_images: PMC7476705_02_JOCR-10-46-g007.jpg
case_images: F7
case_images: At 1 year follow-up from her most recent surgery, she continues to report complete pain relief and excellent function in both hips (Fig.7).