Hip
Complication
Complication case - When everything goes wrong Again and again
Discover the challenging case of a 79-year-old woman with a Parker score of 2 and significant medical history including bilateral femoral neck fractures, osteonecrosis and secondary displacement.
Bilateral hip arthroplasty was planned, but the team encountered multiple difficulties, such as per operative fracture and secondary displacement. Discover how these complications were managed using advanced revision techniques.
Part one
Clinical presentation
Mrs R.
- 79 ans
- Medical background : high blood pressure, type 2 diabetes
- Parker score : 2
- Surgical history :
- triple screwing on right femoral neck fracture (2022)
- DHS plate for left femoral neck fracture (2022)
- Osteonecrosis and secondary displacement (2023)

Part two
Final strategy decision
Hip planification

Per operative distal femur fracture requiring plate osteosynthesis

Hip planification of the right hip

Hip surgery
- Total hip arthroplasty
- Poor acetabular bone quality requiring the placement of a support ring (Kerboull cross)

Secondary displacement at one month

Surgical revision : Burch Schneider ring
- Follow up consultation (1 month)
- Good evolution
- No loosening
- Walk without pain
