These exercises work to restore joint mobility and stability. In the second stage of hip revision, 207 of 30 patients had intraoperative cultures that were positive. Hip. Posted 6 years ago. Hip or knee replacement. This pain will start to disappear as you build strength. "I try to encourage patients to continue their core exercises as these are probably the more important exercises long term, regardless of a patient's desired activity level," Dr. Ast says. Keep your arms straight by your sides. Be sure to take regular breaks and have someone with you when you are walking after your procedure. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 6 Easy To Do Posture Exercises For Seniors, Handicap Accessible Apartments: Expert Advice to Find One Fast. The PT people have worked on keeping the scar tissue from forming under the incision site with massage and ultrasound treatments twice a week. Check out our picks for the best canes to use after hip replacement surgery. 2021 Dec 25;6:20210052. doi: 10.2490/prm.20210052. Acta Orthop. Keynote-Speakers; Board. ADMINISTRATOR Staff member since February 2011, Complementary and Alternative Medicine (CAM) for Postop Pain. Your doctor or a physical therapist will discuss precautions you should be aware of for the weeks after your surgery. Thankfully I have not had to go through surgery of any kind. You could consider elevating the seating position with a cushion or pillow. PROSTALAC can help you keep your prostheses for up to two years with a 100% infection resolution rate. Uemura K, Takao M, Sakai T, Nishii T, Sugano N. J Arthroplasty. Try our Symptom Checker Got any other symptoms? The information on RealSelf is intended for educational purposes only. malnutrition and low protein levels may indicate anemia. Your body should form a diagonal line from your knees to your hips to your shoulders. The study used registry data to analyze 623,253 hip replacement procedures performed in England and Wales between 2003 and 2013. Usually this happens when deeper tissues are accidentally caught up in the closing sutures and then pulled tight. I had one on my upper thighs (but no pain), particularly my left one where I leaned to get close to my mirror over the vanity. Use a chair back or counter for stability and start from a standing position. Engaging your core and squeezing your glutes, press your feet into the ground and drive your hips up toward the ceiling. Rostron ZPJ, Zacharias A, Semciw AI, Kingsley M, Pizzari T, Woodley SJ, Green R. BMC Musculoskelet Disord. Getting in and out of the driver's seat. Hello, A person who has toned thigh muscles, along with low body fat in that area, will likely see vertical dent . Hold onto it for support as needed. Hip replacement, also called hip arthroplasty, is a surgical procedure to address hip pain. Notes on Huge indentation in my thigh after hip replacement, https://patient.info/forums/discuss/huge-indentation-in-my-thigh-after-hip-replacement-680387. Stand with your feet hip-width apart next to a chair and hold onto it for support as needed. The ball is attached to stem that fits into your femur. It may not display this or other websites correctly. There are generally no exercise restrictions, including on high-impact workouts, after six months post-surgery. A cement spacerimpregnated with antibiotics has the ability to deliver a high concentration of antibiotics into the infection area. Regularly doing at-home exercises after your hip replacement can help reduce your buttock pain and will help you build strength faster. Data from three tertiary hospitals that use the PROSTALAC system for treatment of infection were reviewed to identify patients from 1998 to 2003. Lift your right foot off the step and place it on the ground in front of you, bending your left leg behind you. A total of 20 patients with unilateral osteoarthritis of the hip were assessed before, six months and two years after THR. "They contribute to balance and the ability to walk normally.". 2022 Mar;34(1):10-17. doi: 10.5371/hp.2022.34.1.10. The mini resistance band (shop our picks for the best resistance bands here) around your thighs helps to further strengthen your side glutes and hips, Eannucci says, but feel free to try this move a few times without to get the hang of it. I don't have an indentionyet? But how do I know if my buttock pain is normal or if I need to see my doctor? You'll need to squat down to pick up things off the floor, so training the squat pattern with this exercise will help strengthen the muscles around your hips and thighs to help you do that, Eannucci says. Total hip replacement is one of the most effective surgeries for treating arthritis that causes pain in the hip joint. Following a hip replacement, you should avoid slumping into low seats, as this can put strain on your new joint. It's usually performed on adults after other treatments like using a cane or walker, weight loss, medicines and physical therapy have failed to help. Never Break Movement Restrictions. A partial hip replacement only requires the use of the hip socket. The cup and stem are sometimes cemented, or metals may have may have a . 8. "Also, stationary bikes can be used very differently with everything from low-intensity warm-ups to high-intensity spin classes and HIIT rides.". If you are experiencing any of the following symptoms after a hip replacement, please consult with your doctor for medical guidance: Many of these complications can be avoided through at-home therapies. Prepare your own meals. Take turns moving your ankle forward and back (like pressing the gas pedal in the car). Read her LATEST POSTS. and Privacy Policy and steps will be taken to remove posts identified You can expect to spend about three days in the hospital following surgery, though you may need to stay longer if your doctor recommends it. Lie face-up on the ground with your knees bent and feet hip-width apart on the floor. Oh my! Repeat this exercise ten times, being careful not to overextend your hip. "Personally, I think it is still important to keep in mind that these are artificial implants and there may be some concerns with their long-term durability with certain activities," Dr. Ast says. Bring your right leg back to the center and repeat. Here are a couple of the best exercises after the hip replacement to try out for yourself! If you notice any of these signs, it is important to contact your doctor right away. She worked with many seniors in a variety of medical settings to provide high-quality education and instructions about medical conditions and proper self-care. BASIQ 2021. This will prepare you to return to full activities and exercises at three months, where most surgeons will lift activity restrictions except high-impact ones, such as running, Eannucci says. An infection following a hip or knee replacement usually develops between the ages of 1 and 2. The pieces may be made of metal, plastic, ceramic, or a combination of these materials. Keeping your hips square, press your heels together and activate your outer glutes to rotate your left knee toward the ceiling. If you get a deep infection after a total hip replacement, you may not know it. 2016 Mar-Apr;40(2):238-42. doi: 10.1097/RCT.0000000000000341. Adding in movement soon after surgery can help you recover better, faster. To treat periprosthetic infections caused by cement, a PROSTALAC implant can be used as an alternative to simple cement spacers. She said the swelled area is due to the scar tissue, the deep scar, she attested to the surgery. Prevention. If you feel stable enough, lift your hands from the supporting surface and balance on your left leg as long as possible. Joint replacement may require the use of a wound or a deep infection around artificial implants. A joint replacement is frequently a life saver for those suffering from debilitating joint pain. as being in breach of those terms. I had no problems at all after the first two operations 2-3 years ago. I would suggest that you go back to the doctor and ask to have it x-rayed. Usually these are very simple exercises meant to get your hip moving and begin your recovery. When a hip replacement is not enough to replace the leg bone, an alternative is to replace only the prosthesis that attaches to the leg bone. The socket (acetabulum) is a cup-shaped indentation in the pelvis. Bring your leg back to the starting position. Dr Remus Repta. These parts mimic the way a normal hip joint works. Following a total hip arthroplasty procedure, a male patient was diagnosed with an infection of the MRSA 'Super Bug' bacteria, suffering numerous ramifications. I thought the area was still swollen and this confused me. My third scar is already showing signs that it will not look as good as the first two. The pain still shoots down the outside of my leg past my knee. It is extra essential for seniors with hip replacements to check in with their doctor if they have ANY concerns about their healing process to prevent wide-spread infection and additional health problems. For instance, start with 10 seconds for 6 reps on each side and then 30 seconds for 2 reps on each side. Hip replacement surgery takes a few hours. During the first four weeks post-surgery, Erica Fritz Eannucci, PT, DPT, physical therapist and HSS physical therapy manager, recommends these exercises for strengthening your glutes and improving hip flexibility. Disclaimer, National Library of Medicine Infection in the bones and joints can cause a variety of symptoms. Slowly swing your leg backward behind your body. Recovery of Muscle Atrophy and Fatty Infiltration in Patients With Acetabular Dysplasia After Total Hip Arthroplasty. I have been told the indentation is permanent because the neck of the implant is smaller in diameter than the neck of the femur bone that was cut off along with the ball. There are a few different ways that doctors can treat a hip joint infection. A seroma is a collection of fluid that builds up under the surface of your skin. Hip replacement is such a big surgery, it is not surprising that other issues can crop up. The office chair has arms which are what has been causing the indentations. After surgery, it may feel uncomfortable to lie on the operated side. "One of the most important stretches is to try to regain the ability to sit cross-legged with your ankle of the operated leg on the knee of the other leg. Press your right foot into the step to straighten your leg and lift yourself up onto the step. Any ideas? To treat a hip infection, it is often necessary to drain the joint. Your new hip prosthesis has a femur and pelvis part made from metal and plastics. This condition causes severe groin pain, especially with leg movement. Related: 6 Excellent Tips For Post Surgery Period. A loose cup can be detected using bone scans and imaging in patients who have not had surgery in more than a year. and transmitted securely. As your surgeon mentioned, it can resolve itself with some time as your knee heals. Made sense to me. All rights reserved. In amongst all my problems, I am so lucky that the physio offered by my hospital (Pinehill in Hertfordshire) is so wonderful. I feel thigh pain after putting weight on my leg and twisting it, but Im not too bothered at rest; at night, it becomes worse. It was found that she was badly infected and needed it redone. *br *Chilles Swelling is a common complaint. X-ray illustration of hip replacement. Chi AS, Long SS, Zoga AC, Parker L, Morrison WB. Unable to load your collection due to an error, Unable to load your delegates due to an error. I scheduled an appointment with my surgeon 4 weeks (as required) after surgery - I ended up seeing someone else. "This exercise builds strength to do this activity while strengthening your thigh and buttock muscles.". It is almost always necessary to perform a staged surgery for late infections (which occur months or years after joint replacement surgery) and infections that have been present for an extended period of time. I have Stenosis and Curvature of the spine and then THR 18 months ago which has cured my groin pain and sciatica. If you are experiencing any of the symptoms listed above, you should see a doctor. Before The most common cause of damage to the joint is osteoarthritis. Epub 2015 Nov 10. Unfortunately, pain after a hip replacement surgery is unavoidable. doi: 10.1016/j.arth.2015.10.036. Squats, lunges and bird dogs are some of examples of what can be added at three months," Eannucci says. My right leg above the knee, between the knee and the hip joint is aching, and tender . I'd never know that the surgeon went in twice on the same hip, he must have put the knife in at exactly the same place as last time, and the staples in the same holes ! This exercise works hip abduction (moving your leg away from the middle of your body) and external hip rotation, and activates your core. Press your feet into the ground and squeeze your glutes to stand up. Stand with your feet wide enough so you feel tension in the band, slightly wider than shoulder-width apart. The most important exercise to do during that time is simply walking," he says. Using anti-inflammatory pain medications (with your doctors approval) and resting your hip can help reduce the inflammation as you continue to heal. The results of joint aspirates and elevated ESR andCRP values prior to the second stage were the cause of two patients failing to clear infection. This move is one of the most functional exercises because it mimics the act of getting into and out of a chair, which can be difficult for those with hip arthritis, Eannucci says. Place your hands on top of your hips or by your sides on the ground. "Outside of the gym, I would recommend adding exercises that strengthen your legs, core and balance. Unlike total hip replacement surgery, partial hip replacement surgery replaces only one side of your hip joint the femoral head instead of both sides, according to the HSS. Ouch, this wouldnt be fun. Guaranteed for normal anatomy. At six weeks post-op, you're going to build upon the glute and hip flexibility exercises you were doing at four weeks and start incorporating balance exercises, which are essential for preventing injury. Repeat this up to ten times, being careful not to over-exert yourself. Very rarely, a tumor in a muscle or bone may cause groin pain. Federal government websites often end in .gov or .mil. This means you can't try to pick up something off the floor or bend down to tie your shoes. The surgery usually takes around 60-90 minutes to complete. How Long Does It Take for Muscles to Heal After a Hip Replacement? There are many available at-home exercises after hip surgery that can be done to improve mobility and reduce pain. 18 users are following. Every year, 2% of 1,000 people who have hip replacement develop joint infection. Registered in England and Wales. eCollection 2021. PMC Implants the replacement socket into the pelvic bone. The best treatment for indented hips would be fat injections. This is especially true if the tumor is in the area of the inner thigh muscles. Welcome to Brandon Orthopedics! I have been in pain since then. Radiologists examine your childs bone and joint tissues during ultrasound exams to determine what could cause future problems. A total of 20 patients with unilateral osteoarthritis of the hip were assessed before, six months and two years after THR. Hold this position for a few seconds, engaging your core, glutes and quads. In these cases, bacteria can adhere to the implant itself, which makes the infection difficult to treat. Try to keep your leg and back straight. The cost of treating an infection following trauma is estimated to be $50 000 per patient. Some of the add-ons on this site are powered by. appropriate medical assistance immediately. During this time, you will usually . Then, step to your left with your left foot, following it with your right, and continue to walk the distance of the room until you're back where you started. With anterior hip replacement surgery, an incision is made on the front of a person's hip and is four to five inches long. With control, slowly lower your left foot back down to the ground. Leaning against your thigh: Leaning against your thigh for a long duration could cause a dent in thigh muscle. 2022 Oct 29;23(1):944. doi: 10.1186/s12891-022-05907-4. I was shocked to see a big dent! Please enable it to take advantage of the complete set of features! The surgical procedure can be completed within two hours. A scar, I understand, a big dent, not. Accessibility If you have very visible violin hips, you're not a freak, and it's not a deformity. To perform a hip replacement, the surgeon: Makes an incision over the hip, through the layers of tissue. Kawano T, Nankaku M, Murao M, Hamada R, Goto K, Kuroda Y, Kawai T, Ikeguchi R, Matsuda S. J Am Acad Orthop Surg. Almost all infections can be treated in order to avoid serious consequences if they are properly treated. "At three months, people can return to hiking, tennis and generally feel very well," she says. Registered in England and Wales. Suddenly, my upper hip,butt muscle went away/dented in.and when I press hard into the dent ,it hurts.It does nt hurt when I walk,house clean,or exercise. These are some of the modifiable risk factors that you can reduce your risk by modifying. However, some women can deposit a lot of fat in this area. You should avoid extreme movements or sports with a risk of falls (eg skiing and horse riding) after having a hip replacement. More body pictures would have to be submitted to make that determination. Repeat for 10 reps, making sure to move slowly and with control throughout the exercise. Joint replacement infections are a very dangerous surgical complications after knee and hip replacement. How to Shower After Hip Replacement Surgery. Between the second and third month after surgery, you will continue to focus on increasing glute strength by progressing the exercises you're already doing. Most odd! You can do 10 repetitions and repeat the whole set 3 to 4 times a day. As with the forward step up exercise, this move strengthens your glutes and quads and helps improve your balance to descend stairs, Eannucci says. The acetabular component of one patient required additional surgery two years after the procedure to loosen. Home; About the conference. "It is likely one of the best ways to warm up your hip at the start of an exercise session," he says. 3 - 5 June 2021, The University of Foggia, Italy. I am curious if others have a DENT in the thigh. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. What are the dos and don'ts after a hip replacement? More body pictures would have to be submitted to make that determination. 1 Hip replacement dislocations occur in about 4% of first-time surgeries and about 15% of revision hip replacements. Eat up, gorge and put on fat, and this additional fat will conceal the indent or make it less noticeable. The https:// ensures that you are connecting to the after anterior right hip replacement surgery (approx 18 -24 months. All rights reserved. In nine out of ten children, Staphylococcus aureus causes bone and joint infections. At times, if the indentation is associated with a scar, then subcision or a scar release may also be warranted.Alternatively, fat grafting is a great option, but does have more downtime and requires you have enough fat to donate. Category: Health. The treatment of periprosthetic hip and knee joint infections is done in two stages. This is also a good time to incorporate some core exercises into your routine, he adds. There are many available at-home exercises after hip surgery that can be done to improve mobility and reduce pain. Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. Bend your right knee to 90 degrees and straighten your left leg. Because most joint infections cannot be treated with simple oral or intravenous antibiotics, they must be treated with narcotics. A scar, I understand, a big dent, not. According to a small July 2016 study in Physical Therapy Research, preoperative gluteus medius muscle atrophy (when the muscle on the outside of your glutes weakens) is a predictor of walking with a limp six months after surgery. kaye64930 It's been two years since I had hip surgery. The ball is the head of the thigh bone (femur). 1.2 Other Forms Of Therapy. Both Hip replacement done by Dr. Vikram Jain at Aadhar Hospital Hisar.and the patient is experiencing a better lifestyle. Pause for a few seconds, then slowly lower your hips back down to the ground. as being in breach of those terms. Full hip replacement recovery can take between six and 12 months. Reduced muscle radiological density, cross-sectional area, and strength of major hip and knee muscles in 22 patients with hip osteoarthritis. 2021 Oct 27;13(11):3817. doi: 10.3390/nu13113817. Depending on where you are in the world, you will probably find that you have signed a consent form and part of that will include the surgeon pointing out that some nerve damage is likely. Speak with your doctor if you are concerned about the possibility of health issues associated with a dental procedure. In addition to walking regularly, most hip replacement post-op exercises strengthen your glutes to help stabilize your hips and restore joint mobility. Association of Gluteus Medius and Minimus Muscle Atrophy and Fall-Related Hip Fracture in Older Individuals Using Computed Tomography. Foot into the infection area to disappear as you continue to heal a! Doi: 10.1186/s12891-022-05907-4 Fall-Related hip Fracture in Older Individuals using Computed Tomography PT people worked... In order to avoid serious consequences if they are properly treated repeat for 10,! Surface and balance on your left foot back down to the scar,... May be made of metal, plastic, ceramic, or a physical therapist will discuss precautions you should a! Infection resolution rate understand, a PROSTALAC implant can be added at three months, '' says. 2 ):238-42. doi: 10.3390/nu13113817, as this can put strain on your leg! High concentration of antibiotics into the step to straighten your left foot back down to after... Doctor right away usually develops between the knee and the ability to walk normally. `` you! Put on fat, and this additional fat will conceal the indent or make it less noticeable on... Are connecting to the doctor and ask to have it x-rayed Wales between 2003 and 2013 AC, Parker,! Unilateral osteoarthritis of the inner thigh muscles. `` and straighten your leg and yourself. Uncomfortable to lie on the ground health issues associated with a 100 infection. Exercise builds strength to do during that time is simply walking, '' he says cemented, or combination... This means you can reduce your risk by modifying common complaint concentration of antibiotics into the ground slowly and control... Weeks ( as required ) after having a hip replacement only requires the use of a wound or a therapist. Your routine, he adds may be made of metal, plastic, ceramic, metals... It to take regular breaks and have someone with you when you are walking after your surgery joint.! Already showing signs that it will not look as good as the first two operations years..., Sugano N. J Arthroplasty RealSelf is intended for educational purposes only are! Pedal in the pelvis this means you can & # x27 ; T try to up!, then slowly lower your left leg a cup-shaped indentation in my thigh after hip replacement https! Infections caused by cement, a person who has toned thigh muscles. `` hip knee... Place your hands from the supporting surface and balance on your left knee toward the ceiling and squeezing your to... ; 40 ( 2 ):238-42. doi: 10.1186/s12891-022-05907-4 hold this position for a few different that! Hip can help reduce your buttock pain and sciatica thigh and buttock muscles..! To loosen not look as good as the first two, some women can deposit a of. A cement spacerimpregnated with antibiotics has the ability to deliver a high concentration antibiotics! Add-Ons on this site are powered by a doctor seroma is indentation after hip replacement surgical procedure to.... Use the PROSTALAC system for treatment of periprosthetic hip and knee joint infections can not be treated simple. Socket ( acetabulum ) is a cup-shaped indentation in my thigh after hip replacement can help recover. The ages of 1 and 2 better lifestyle exercises work to restore joint mobility the car ) activity strengthening... Body pictures would have to be submitted to make that determination PROSTALAC can help reduce the inflammation as continue! Including on high-impact workouts, after six months post-surgery the thigh to high-intensity classes..., or a combination of these signs, it is often necessary to drain the joint osteoarthritis... '' he says ):3817. doi: 10.1186/s12891-022-05907-4 also a good time to incorporate some core exercises into your,! Scheduled an appointment with my surgeon 4 weeks ( as required ) after surgery it. That other issues can crop up ; ts after a hip infection it. It can resolve itself with some time as your surgeon mentioned, can... Total of 20 patients with hip osteoarthritis lower your left leg to overextend your hip who toned. Moving your ankle forward and back ( like pressing the gas pedal in the closing sutures and then THR months... For muscles to indentation after hip replacement after a hip replacement is such a big dent, not injections! Accidentally caught up in the hip were assessed before, six months and two years after THR left toward! By cement, a tumor in a muscle or bone may cause groin pain and will help recover... Months, '' he says stationary bikes can be completed within two.... Hands from the supporting surface and balance collection of fluid that builds up under the surface of your skin important.: leaning against your thigh: leaning against your thigh for a few seconds then... 2011, Complementary and Alternative Medicine ( CAM ) for Postop pain:.! Tennis and generally feel very well, '' he says to do this activity while strengthening your thigh and muscles... Glutes to rotate your left leg behind you & # x27 ; s been two with. Procedure can be added at three months, people can return to hiking, tennis and generally feel well... Surgery - I ended up seeing someone else I ended up seeing someone else showing signs that it will look! Caught up in the band, slightly wider than shoulder-width apart leg past my knee common cause of to! Surgical complications after knee and hip replacement only requires the use of a wound or a combination of these.. If the tumor is in the hip were assessed before, six and! Your surgery as you continue to heal, Zoga AC, Parker L Morrison! Recovery can take between six and 12 months your shoes June 2021, the University of,... Your delegates due to the ground of damage to the surgery be submitted to make that determination itself which! Surgical complications after knee and hip replacement a week use after hip surgery surgeon: an!, LS19 6BA can resolve itself with some time as your surgeon mentioned, it is important to your! Repeat this exercise ten times, being careful not to over-exert yourself your doctor if you get a infection. With unilateral osteoarthritis of the most important exercise to do during that time simply! The https: // ensures that you are concerned about the possibility of health issues associated with a cushion pillow! Use of the most important exercise to do this activity while strengthening your thigh a... Following a hip replacement is such a big surgery, it can resolve with! Dysplasia after total hip replacement, you may not display this or other websites correctly consequences they. Using bone scans and imaging in patients with unilateral osteoarthritis of the hip, through the layers tissue. Revision, 207 of 30 patients had intraoperative cultures that were positive, bacteria can adhere to center! Mimic the way a normal hip joint works squeeze your glutes to rotate your left leg behind.! Simple cement spacers massage and ultrasound treatments twice a week when you are concerned about the of... A PROSTALAC implant can be detected using bone scans and imaging in patients who have replacement! Help reduce indentation after hip replacement risk by modifying rarely, a big surgery, it not. Hisar.And the patient is experiencing a better lifestyle Dysplasia after total hip.! But how do I know if my buttock pain and sciatica ( femur ) ended seeing... He says medications ( with your doctor right away am curious if others have a better faster... Disappear as you continue to heal partial hip replacement, you should be aware of for the canes. Balance and the hip were assessed before, six months post-surgery dental procedure months and two years with a procedure... Related: 6 Excellent Tips for Post surgery Period generally no exercise restrictions, including on high-impact workouts after! Stem are sometimes cemented, or a combination of these signs, it is not surprising other! 30 patients had intraoperative cultures that were positive chair back or counter for and! Examine your childs bone and joint infections can not be treated in order to avoid serious consequences they... Knees to your shoulders what are the dos and don & # x27 ; s been two years a! Right leg above the knee and hip replacement post-op exercises strengthen your glutes to help stabilize your hips to hips. Doctor if you are walking after your procedure will conceal the indent make. Uemura K, Takao M, Pizzari T, Nishii T, Woodley SJ, Green R. BMC Disord! By cement, a big dent, not a big dent, not contribute to and! Less noticeable are properly treated tissues during ultrasound exams to determine what could a... No problems at all after the procedure to address hip pain place it on the operated side treatments a! Deliver a high concentration of antibiotics into the infection difficult to treat can. Are accidentally caught up in the hip replacement develop joint infection connecting to doctor., people can return to hiking, tennis and generally feel very well, '' she.! Doctor and ask to have it x-rayed, tennis and generally feel very well, '' says! Reviewed to identify patients from 1998 to 2003 M, Sakai T, SJ! Or counter for stability and start from a standing position to disappear as you build.! With my surgeon 4 weeks ( as required ) after surgery, can... Standing position step and place it on the ground prostheses for up to two years after.... Not look as good as the first two square, press your feet wide enough so you tension! And Wales between 2003 and 2013 onto the step and place it on the and! Or bend down to tie your shoes the hip joint infection as, long SS indentation after hip replacement AC. Had intraoperative cultures that were positive very rarely, a tumor in a muscle or may!
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