Patient 4 was a 73-year-old Caucasian woman operated on the right hip. The paired components in the initial surgery were ceramic-on-polyethylene, and the reason for revision was loosening of the cup. The patient received a titanium sleeve size L, and no additional screws were required. Her HHS increased from 54 before surgery to 100 at the 2-year follow-up examination. Her VAS score for pain improved from 5.0 to 0.0, and her VAS for satisfaction rose from 3.0 to 10.0. No heterotopic ossification was observed.
Patient 1 was a 59-year-old Caucasian man who had surgery on the right hip. The paired components in the initial surgery were ceramic-on-ceramic, and the reason for revision was a fracture of the inlay. He received a titanium sleeve size L, and no additional screws were required. His HHS increased from 31 before surgery to 90 at his 2-year follow-up visit. His VAS score for pain improved from 7.5 to 2.5, and his VAS score for satisfaction decreased from 9.5 to 3.5. The VAS satisfaction result of this patient should be treated with caution. Because of impaired mental status, he was not able to objectively report the outcome of the surgery. No heterotopic ossification was observed.