title: An unusual cause for a painful Birmingham hip resurfacing.
abstract: The painful total hip arthroplasty requires careful evaluation and investigation. This is usually focused on the prosthesis and adjacent anatomical structures. We present a case report of a 64-year-old man who had a Birmingham hip resurfacing procedure for primary osteoarthritis. His  hip pain worsened following the procedure and was under systematic investigation for this. Subsequent investigation for vascular disease revealed a total infrarenal aortic occlusion. An aortobifemoral bypass improved the hip pain and function dramatically, and the patient now has an excellent  quality of life.
authors: Department of Trauma and Orthopaedics, South Devon Healthcare NHS Foundation Trust, Torbay Hospital, Lawes Bridge, Torquay, Devon TQ2 7AA, UK. kethon@hotmail.com
authors: K A
authors: KA
authors: Islam
authors: S M
authors: SM
authors: Blake
mesh_terms: D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D010149:Postoperative Pain / Q000209:etiology* / Q000601:surgery