The professional translation for this 2026 medical case is a complex case of uncemented total hip arthroplasty for a young patient.
Complex Case of Cementless Total Hip Arthroplasty (THA) in a Young Patient By Dr. Ali Abbas Al-Hassoun
Sometimes fractures heal, but they leave lifelong sequelae, pain, and significant functional disability. This is where the surgeon’s role becomes vital—to intervene, eliminate pain, improve quality of life, and restore the hope and mobility of youth.
Case Presentation:
A 36-year-old male patient presented with chronic mechanical right hip pain persisting for several years, accompanied by restricted range of motion and leg length discrepancy. The patient's medical history revealed a right acetabular posterior column fracture sustained ten years ago, which was managed with open reduction and internal fixation (ORIF) using a plate and screws.
Radiological Findings:
Radiographs showed avascular necrosis (AVN) of the femoral head, secondary osteoarthritis of the hip joint, and encroachment of the previous fixation hardware into the joint space. Significant osteophyte formation was also noted, leading to severe restricted mobility.
Surgical Intervention:
A decision was made to perform a Complex Cementless Total Hip Arthroplasty (THA) via a posterior approach.
The enlarged femoral head (size 62) was resected.
The previous screws located in the acetabulum were successfully removed.
A size 56 cementless acetabular cup was implanted and secured with three screws.
Bone grafting was performed for the remaining acetabular defects.
A young-active cementless prosthesis was utilized, featuring a 36mm ceramic head to ensure maximum stability and a wider range of motion.
Vitamin E-infused highly cross-linked polyethylene was used to minimize wear and extend the implant’s longevity.
Postoperative Outcome:
The patient was discharged the following day. Following this precise surgical procedure, the pain from the previous surgery was eliminated, and the patient's right lower limb length was restored. With high morale and strong willpower, the patient has commenced physical therapy to achieve the best functional outcome from the new joint.
"Success is only by the help of Allah, the Lord of the Worlds."
By Dr. Ali Abbas Al-Hassoun Orthopedic and Spinal Surgery Specialist
