not require much force. For some cases, it is less potentially damaging to the components to introduce the portals initially along the neck of the prosthesis. If fi-brotic tissue is present, this can be debrided, developing a space for visualization of the components.
A 38-year-old man was referred for evaluation of his left hip. He had undergone a previous press-fit total hip arthroplasty with an uneventful postoperative course (Figure 10.37A). He developed acute pain when he stepped awkwardly off a step, jarring his left leg. He subsequently presented with an 18-month history of pain with any weight-bearing activities, and an extensive workup was negative for evidence of fracture, loosening, or infection. An arthroscopic evaluation was performed, identifying dense adhesions partially entrapped within the joint (Figure 10.37B-D). Post-operatively, the patient experienced resolution of the pain that had been plaguing him for the previous year and a half.
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