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Sudden Failure of a Revision Total Hip Arthroplasty

A sixty-seven-year-old man who weighed ninety-two kilograms and had osteoarthrosis was managed with a right total hip arthroplasty. The patient did well clinically for five years when pain developed in the right side of the groin and he noticed a squeak when rising from a seated position.
 


What is the diagnosis?



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Approximately one year after the revision, the patient heard a pop in the hip, which was followed by the onset of a mild ache. There was no history of trauma to the hip.

What is the diagnosis?




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Copyright © 2001 by the The Journal of Bone and Joint Surgery, Inc.