may be doing CT scan can give you better understanding of the proximal femur anatomy, and if there is any rotation and help you in planning your management! suggestion
How many cm of this hip shortening compare to the other side? and you can take also the straight pelvis xray (including 2 hips) to compare relatively
THR is suitable indication for this patient, but great concern about the leg lenth restoration, and sof tissue entensive releasing....
We did total hip replacement, using a dual mobility cup. There were several surgical challenges in preparing both acetabulum and femur. The initial shortening was 5 cms, which has now been reduced to 2 cm.
xrays look great. It must have been a difficult exposure. I do a trochanteric slide for such cases
A
Preoperative surgical studies can be carried out in modelling software such as Materialise mimics, which would able to give the exact portion of the femur head. Further the addition of screws should also be able to tested experimentally.@Raju Vaishya
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