26 years post conservatively treated acetabular fracture with pain and Limp

•  Used Patients femoral head with a reverse  L cut to fill the posterior wall defect and a uncemented THR was done in 2002. the xrays below are at 18 years with no symptoms but superior linear wer is an issue and has to be followed up closely. The AML stem metal head 22 mm head with standard poly was the only available solution in 2002 in india. one had to push hard on  JNJ to bring in larger ceramic bearings  those days

 CT and Xray taken 19 years later with no symptoms. shows  predictable superior wear  with no periprosthetic lysis. the older standard polyethylene and 22.5 modular head in a very active gentleman