Challenge of the Week / Hip / 06.17.2021

A patient presents with a history of a right acetabular fracture treated with extensive plate fixation 3 years ago and now has severe posttraumatic hip arthritis. Which of the following would be a contraindication for an anterior approach to total hip arthroplasty?
    • Large posterior column defect/nonunion

 

    • Extensive scar tissue enveloping the sciatic nerve

 

    • Posterior wall fixation screws penetrating the joint

 

    • Protrusio and likely incarceration of the femoral head

     

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Challenge of the Week / Knee / 06.25.2021

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