The picture shows almost complete obliteration of both hip joint spaces (more on the right side).
This patient had a reasonable range of motion in left hip, so we decided to go for conservative management.
The right hip was much worse.
We discussed the options with the patient. The choice of surgery in this case is a Total Hip Replacement (THR). The various bearing options are- Metal on metal/ Ceramic on ceramic/ metal on UHMWPE/ ceramic on UHMWPE.
The choice of bearing depends upon patient factors and age.
Pl read the blog on bearing options regarding further details.
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