Rehabilitation of a patient after total endoprosthesis of the hip joint removal so-called “hanging hip. Case report

The aim of our study is to present the problem of rehabilitation of a patient after endoprosthesis surgery and an attempt to revise the endoprosthesis and then leave the hip hanging. This case study describes an 80-year-old woman who underwent left hip replacement due to primary severe arthrosis. The patient had undergone an unsuccessful attempt at endoprosthesis revision after multiple dislocation of the prosthesis, which ended in an infection of the surgical wound. The operating team decided to remove the revision endoprosthesis, leaving the hip hanging. The challenge for the treatment team was to rehabilitate the patient, aiming to adapt her to her new situation and make her as independent as possible. The final treatment outcome according to the treatment team was satisfactory. The patient achieved relative independence of movement. At discharge home, she had no symptoms of infection of the infected hip and did not report pain related to the operated hip joint. Radical hip replacement surgery is a method that provides the patient with a pain-free life and a relative return to independence and function in daily life.