Asr medical records received.
After review of medical records, the patient was revised to address a failed right total hip arthroplasty due to metallosis, elevated metal ions with sepsis.
Intraoperatively, approximately 100 ml of abundant cloudy fluid poured out from the capsule.
The capsule was consistent with adverse reaction to metal debris.
The femoral component was stable but there was a necrotic, osteolytic lesion.
The patient was noted to be about 4mm short preoperatively.
The cup was noted to have 59 degrees of inclination with significant anteversion.
However, the surgeon did not consider the cup to be malpositioned given the patient's severe spinopelvic mal-alignment.
The surgeon elected to retain the asr xl cup and the stem.
Doi: (b)(6) 2009.
Dor: (b)(6) 2018.
(right hip).
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