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Auditing and difficult endoprosthesis replacement of the coxofemoral joint

Illustration

A defect of the left thigh-bone head and it's neck a state after the fistula- necrotomy of the left hip joint and a spacer installation.
An operative measure: a disposal of the spacer, revision endoprosthesis replacement of the left thigh-bone. 

A bone alloplasty of the defects of the cavity and proximal section of the femur.

A defect of the left thigh-bone head and it's neck a state after the surgeon of the fistula- necrotomy, a removal of the left hip joint endoprosthesis components about PPI (prior to prosthetic infection), a spacer implantation.
An operative measure: a disposal of the spacer,revision total endoprosthesis of the left thigh-bone Zimmer/S&N without cement using the augment.

A defect of the left thigh-bone head and it's neck a state after the fistula- necrotomy of the left hip joint and a spacer installation.
An operative measure: a disposal of the spacer, TEP of the right hip joint ( a revision acetabular system Zimmer Burch-Schneider, Alloclassic stem (leg).

А Right-handed coxarthrosis of the IV (th) grade, it is a condition after TEP (a total arthroplasty) of the right hip joint (2002).Aseptic instability of the acetabular component of the endoprosthesis. 
The defects of the acetabulum II B according to Paprosky W. G were discovered.The Surgical intervention: revision arthroplasty of the right hip joint: replacement of the acetabular component with the bone alloplasty of the bottom of the cavity.


A left-sided dysplastic coxarthrosis of the IV th grade with a pain syndrome.

The surgical intervention: TEP (a total endoprothesis) of the left hip joint.