Difficult primary total hip replacement for sequelae of pyogenic arthritis
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.