Fig. 6.

Clinical case of a 73-year-old, male patient presenting with a type 2C defect caused by severe metallosis due to metal-on-metal particle debris. Primary arthroplasty took place 12 years prior to revision; (a) displays the preoperative native radiograph (pelvis ap standing) with osteolytic bone stock at the metaphysis; (b) postoperative native radiograph (pelvis ap standing) with a cementless, modular, femoral revision stem and additional wire cerclages to stabilize the remaining bone stock of the greater trochanter combined with impaction bone grafting; (c) native radiograph (pelvis ap standing) four years after revision arthroplasty displaying a consolidation of the augmented and stabilized femoral metaphysis; (d/e) displays the intraoperative finding of severe metallosis