scholarly journals Catastrophic failure of cup revision hip arthroplasty due to undiagnosed Paget disease of bone: A case report

2020 ◽  
Vol 76 ◽  
pp. 5-10
Author(s):  
Kiyokazu Fukui ◽  
Ayumi Kaneuji ◽  
Katsutaka Yonezawa ◽  
Akihiro Shioya ◽  
Toru Ichiseki ◽  
...  
2005 ◽  
Vol 13 (2) ◽  
pp. 207-210 ◽  
Author(s):  
S Kamath ◽  
AC Campbell

Acetabular wedge augmentation is a useful technique and is recommended in situations where cup revision is likely to be excessively difficult. Numerous augmentation designs that improve the stability of the hip are now available in the market. Occasionally, however, these devices are not readily available, particularly if problems such as instability and dislocation are not anticipated preoperatively. We report our experience in treating such a case, using an augment cut from a second cup with a follow-up for 30 months. Though there is no substitute for proper preoperative planning, awareness of this procedure is helpful as unexpected problems do arise in revision acetabular surgery.


2018 ◽  
Vol 139 (1) ◽  
pp. 121-126 ◽  
Author(s):  
Marc Dominique Horsthemke ◽  
Christoph Koenig ◽  
Georg Gosheger ◽  
Jendrik Hardes ◽  
Steffen Hoell

Author(s):  
R. M. Tikhilov ◽  
I. I. Shubnyakov ◽  
A. N. Kovalenko ◽  
C. C. Bilyk ◽  
A. N. Tsybin ◽  
...  

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Allan R Sekeitto ◽  
Kaeriann van der Jagt ◽  
Nkhodiseni Sikhauli ◽  
Lipalo Mokete ◽  
Dick R van der Jagt

ABSTRACT BACKGROUND: The dual mobility cup (DMC) was initially design in 1974. It was designed to offer additional stability in total hip arthroplasty (THA) and to prevent dislocations. The dissociation of a DMC has been termed an intraprosthetic dislocation (IPD) and is a rare complication. It is defined as separation of the articulation between the polyethylene and head articulation in the DMC. As the utilisation of DMCs in orthopaedic surgery increases, we can expect an increase in this rare complication. We report a case of an IPD in the setting of revision hip arthroplasty in a 72-year-old female. CASE REPORT: The report is on a 72-year-old female patient who underwent revision hip arthroplasty. The articulation utilised was of the dual mobility type. Some eight months later she dislocated her hip. An attempted closed reduction under general anaesthesia with muscle relaxant was unsuccessful. Thereafter she was taken to surgery to perform an open reduction of the hip. Intra-operatively it was found that the dual mobility head had dissociated, with the polyethylene component remaining in the metal liner. A revision of the components was performed. DISCUSSION: We postulate on the mechanisms of dissociation of the dual mobility head. We review the current literature related to IPD and discuss the risk factors associated with this rare complication. CONCLUSION: The diagnosis of IPD is an indication for revision surgery of the DMC. When utilising a DMC, care should be taken to mitigate against the known risk factors for IPD. All dual mobility dislocations should be reduced under general anaesthesia with muscle relaxant Level of evidence: Level 4.. Keywords: intraprosthetic dislocation, dual mobility cup, revision hip arthroplasty


2014 ◽  
Vol 85 (6) ◽  
pp. 677-680 ◽  
Author(s):  
George C Babis ◽  
Nikolaos A Stavropoulos ◽  
Gregory Sasalos ◽  
Maria Ochsenkuehn-Petropoulou ◽  
Panagiotis Megas

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