A forty year old Nigerian lady crippled by pyogenic arthritis in infancy received a primary total hip replacement. This restored her mobility and gave her a new lease of life.

It was a technically difficult procedure as the native acetabulum was dysplastic, the femur was high riding and had a small medullary canal.

Primary hip replacement was done with an cementless modular femoral prosthesis and cementless acetabular shell.

Post op x ray cementless hip replacement

Modular cementless hip prosthesis

Difficult primary hip case

Difficult primary hip replacement