Total Hip Arthroplasty with a Cementless Acetabular Component and Impaction Bone Grafting for Dysplastic Osteoarthritis Complicated by Multiple Myeloma

Figure 1

Plain radiographs, (a) 13 years prior to surgery, (b) 2 years prior to surgery, and (c) 1 month prior to surgery, reveal progression of arthritic changes including loss of joint space and femoral head cyst. Acetabular dysplasia with a center-edge angle of 13 degrees and sharp angle of 47 degrees, osteoarthritis with loss of joint space and bone cysts in the femoral head, and multiple myeloma with punched-out lesions are depicted.

(a)

(b)

(c)