Hip Fusion Conversion to THA


This is a 54 year old male who presented with bilateral hip autofusions due to an undiagnosed rheumatological condition. He had severe right sided pain, low back pain, and poor function. He was (incredibly) still ambulatory, working as a civil engineer, and married with children. He was unable to sit properly, use the bathroom, or climb stairs.


The patient underwent a staggered (different day, same hospitalization) bilateral hip fusion takedown and conversion to THA. The left side was approached using a trochanteric slide osteotomy for improved exposure. Both hips received dual mobility bearing surfaces.


The patient now can walk unassisted with minimal limitations and pain.