His x-rays at the time of his initial clinic visit are shown below. There is a suggestion of incomplete seating of the hemicap, lucency around the central peg, and varus positioning.
Comment: While we do not use the resurfacing prosthesis in our practice, we have had the chance to revise a fair number of these procedures performed elsewhere. Those coming for revision have had problems of malposition, overstuffing, loosening, infection and stiffness.
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He desired revision arthroplasty. Specimens for culture were obtained before antibiotic administration. The resurfacing prosthesis was grossly loose and the bone beneath it very soft. A hemiarthroplasty was inserted using Vancomycin allograft. He is on the yellow protocol pending the results of culture.
Comment: While we do not use the resurfacing prosthesis in our practice, we have had the chance to revise a fair number of these procedures performed elsewhere. Those coming for revision have had problems of malposition, overstuffing, loosening, infection and stiffness.
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