# A Case of a Failed Hemiarthroplasty of the Hip Treated by an Extended Trochanteric Osteotomy

## TL;DR

This case report details the successful revision surgery of a failed hip replacement in a 58-year-old man using an extended trochanteric osteotomy.

## Contribution

The paper highlights the use of ETO in managing a complex revision case involving a broken stem and metallosis.

## Key findings

- ETO was necessary to address a broken stem and metallosis during revision surgery.
- Successful revision was achieved through implant removal and femoral shaft augmentation.
- The case emphasizes the need for surgical precision and multidisciplinary approaches in revision hip arthroplasty.

## Abstract

Hip bipolar hemiarthroplasty, a widely employed surgical intervention for managing hip fractures and degenerative hip diseases, can pose significant challenges when revisions become necessary due to complications such as implant loosening, instability, or breakage. This case report presents the intricate management of a 58-year-old male who presented with worsening left hip pain a decade after undergoing hip replacement surgery. Despite a thorough preoperative assessment ruling out infection, intraoperative complexities included the necessity for extended trochanteric osteotomy (ETO) to address a broken stem and associated metallosis. Successful revision surgery was meticulously executed, incorporating techniques for implant removal, femoral shaft augmentation, and postoperative rehabilitation. The ensuing discussion explores the multifaceted aspects of failed hemiarthroplasty, emphasizing the critical roles of surgical precision, judicious patient selection, and ongoing research endeavors aimed at refining surgical strategies to optimize patient outcomes. This case underscores the imperative of a multidisciplinary approach and the continued imperative for advancements in surgical methodologies for effectively managing revision hip arthroplasty cases, thus enhancing the quality of patient care in this intricate clinical domain.