Treatment and rehabilitation of a case with hip arthroplasty on the background of bilateral neonatal osteomyelitis (right hip replaced)

Abstract

The aim of this article is to present the surgical treatment and rehabilitation progress of a young male patient who had suffered from bilateral neonatal osteomyelitis of the hip joints, with more severe damage on the right side. At the age of 26, the patient underwent total right hip arthroplasty, accompanied by a 3 cm femoral osteotomy and a 6 cm femoral lengthening procedure to address limb length discrepancy. Complications included sciatic nerve injury resulting in drop foot and knee joint stiffness, which persisted even after 9 months, with extension still limited to minus 15 degrees. This report documents the medical management, detailed physiotherapy plan, and progressive outcomes over a 9-month period.