Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report

Sümeyye Kuzucu; Mehmet Musa Emir; Sevil Güler; Durmus Ali Ocguder

doi:10.59124/guhes.1944287

Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report

Abstract

Complex revision arthroplasties are indicated particularly in cases of severe bone loss, aseptic loosening, periprosthetic infection, and recurrent instability. Revision total hip arthroplasty is associated with higher complication rates and greater functional limitations than primary surgery. This study aimed to evaluate the effects of a multidisciplinary approach on pain, mobilization, and pressure injury following revision hip arthroplasty in a high-risk patient. The case involved a 75-year-old patient with a history of multiple partial hip arthroplasties and revision procedures. Preoperative assessment revealed acetabular protrusion and femoral and pelvic bone defects. Pelvic reconstruction was performed using an ilioischial cage, a distally fixed femoral stem, and a constrained liner to address instability. Postoperative care was provided by a multidisciplinary team consisting of orthopedic surgeons, an orthopedic nurse, and a physiotherapist. Management included hemodynamic stabilization, pain control, thromboembolism prophylaxis, pressure injury monitoring, and early mobilization. The patient's Visual Analog Scale (VAS) pain score decreased from 7–9 during the first week to 1–3 by the fifth week. Mobilization progressed from complete bed dependence to short-distance ambulation. A pre-existing Stage 2 pressure injury progressed to Stage 3 postoperatively but improved to Stage 2 after appropriate wound care. Although complete independent ambulation was limited by neurological deficits and advanced age, functional improvement was achieved. This case highlights the importance of a multidisciplinary approach, close follow-up, and patient education in improving outcomes and facilitating early rehabilitation after complex revision hip arthroplasty.

Keywords

Supporting Institution

The authors declare that they have no conflicts of interest related to the authorship and/or publication of this case report and that they received no financial support.

Ethical Statement

ETHICAL STATEMENT This study presents a case report retrospectively describing the clinical course of a single patient who underwent revision hip arthroplasty. All diagnostic and therapeutic procedures performed on the patient were carried out within the scope of routine clinical practice. No experimental procedures were performed on the patient. Therefore, ethical committee approval is not required. Written informed consent was obtained from the patient for the anonymous use of their clinical data or, where necessary, images for scientific purposes, and the study was conducted in accordance with ethical principles.

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Details

Primary Language

English

Subjects

Primary Health Care

Journal Section

Case Report

Authors

Sümeyye Kuzucu ^*
0009-0001-9779-1464
Türkiye

Mehmet Musa Emir This is me
0009-0009-3241-4826
Türkiye

Sevil Güler
0000-0002-4312-560X
Türkiye

Durmus Ali Ocguder
0000-0003-3610-0938
Türkiye

Publication Date

August 30, 2026

Submission Date

May 25, 2026

Acceptance Date

July 1, 2026

Published in Issue

Year 2026 Volume: 8 Number: 2

DOI

https://doi.org/10.59124/guhes.1944287

IZ

https://izlik.org/JA96JX64KU

Cite

RIS / Bibtex

APA

Kuzucu, S., Emir, M. M., Güler, S., & Ocguder, D. A. (2026). Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report. Journal of Gazi University Health Sciences Institute, 8(2), 89-96. https://doi.org/10.59124/guhes.1944287

AMA

1.Kuzucu S, Emir MM, Güler S, Ocguder DA. Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report. GUHES. 2026;8(2):89-96. doi:10.59124/guhes.1944287

Chicago

Kuzucu, Sümeyye, Mehmet Musa Emir, Sevil Güler, and Durmus Ali Ocguder. 2026. “Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report”. Journal of Gazi University Health Sciences Institute 8 (2): 89-96. https://doi.org/10.59124/guhes.1944287.

EndNote

Kuzucu S, Emir MM, Güler S, Ocguder DA (August 1, 2026) Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report. Journal of Gazi University Health Sciences Institute 8 2 89–96.

IEEE

[1]S. Kuzucu, M. M. Emir, S. Güler, and D. A. Ocguder, “Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report”, GUHES, vol. 8, no. 2, pp. 89–96, Aug. 2026, doi: 10.59124/guhes.1944287.

ISNAD

Kuzucu, Sümeyye - Emir, Mehmet Musa - Güler, Sevil - Ocguder, Durmus Ali. “Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report”. Journal of Gazi University Health Sciences Institute 8/2 (August 1, 2026): 89-96. https://doi.org/10.59124/guhes.1944287.

JAMA

1.Kuzucu S, Emir MM, Güler S, Ocguder DA. Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report. GUHES. 2026;8:89–96.

MLA

Kuzucu, Sümeyye, et al. “Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report”. Journal of Gazi University Health Sciences Institute, vol. 8, no. 2, Aug. 2026, pp. 89-96, doi:10.59124/guhes.1944287.

Vancouver

1.Sümeyye Kuzucu, Mehmet Musa Emir, Sevil Güler, Durmus Ali Ocguder. Management of Pain, Mobilization, and Pressure Injuries in Complex Revision Arthroplasty: A Multidisciplinary Case Report. GUHES. 2026 Aug. 1;8(2):89-96. doi:10.59124/guhes.1944287