MOM M ETASUL 23 YEARS POSTOP RT

 

 23 YEARS POST RT HIP REPLACEMENT WITH MOM HIP ANDS 10 YEARS POST LT HIP COC , NOW CAME WITH PAIN LT HIP.  NO SYMPTOMS WITH 28 MM METASUL HIP MOM WITH POLYETHLENE SANDWICH IN 23 YEARS. THE IMPLANT WAS WITHDRAWN WHEN SULZER ORTHOPEDICS CLOSED DOWN. AWAITING CO AND CR LEVELS MRI IS NORMAL. 

 DISTAL TIP OF LT HIP WAS HOT OF BONE SCAN

Atypical femoral fracture Lt femur

Sudden onset thigh pain? Fall reported as intermedius tear. 

20 days later comes with Atypical sub trochanteric fracture, not on bisphosphonates. 

Intraop biopsies were normal.