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J Arthroplasty. 1998 Apr;13(3):356-60.

Total hip arthroplasty in an adult with proximal femoral focal deficiency.

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University Hospital and Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7774, USA.


A 40-year-old woman with isolated unilateral proximal femoral focal deficiency presented with 2 years of gradually increasing left hip pain that interfered with her activities of daily living. A total hip arthroplasty was performed through a posterior approach. At 12 months, she had minimal discomfort about the hip, a markedly increased level of activity, and improved gait, and she required no ambulatory aids. This procedure is cautiously recommended for use in selected patients with proximal femoral focal deficiency.

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