22 years after bil revision hip in a spondyloepiphyseal dysplasia

Painful lt hip( groin )

 negative  bone scan

 stress shielding. metal head starting to impinge in this  reg poly over 28 MOP bearing

Plan.A Cementing a new poly liner and change of COCR  head in short supply as implant being discontinued

 Plan B  is full revision






 








rheumatoid elbow post elbow replacement



 
 ROM  30 to 100@ 4 weeks active flexion and passive extension to protect triceps repair till 6 weeks