scholarly journals Functional outcome after total hip replacement following 30 years neglected posterior hip dislocation: a rare case report

2020 ◽  
Vol 8 (3) ◽  
pp. 1152
Author(s):  
Ivander Purvance ◽  
Wayan Suryanto Dusak ◽  
Gusti Ngurah Putra Stanu ◽  
Ni Made Puspa Dewi Astawa
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Soft Tissue Release ◽  
Leg Length ◽  
Skeletal Traction ◽  
Total Hip ◽  
Rare Case Report ◽  
History Of ◽  
The Right

Neglected traumatic dislocations of the hip is one of disabling condition in lower extremity which are seldom found in adults. However, in developing countries, neglected-unreduced traumatic dislocations are not uncommon. Total hip replacement (THR) still remains a recommendation for the treatment of neglected hip dislocation which occurs more than 3 months. A 45- years-old female came to the outpatient clinic complaining pain on her right hip with history of trauma 30 years before, but instead of seeking medical treatment, she went to bonesetter instead. On physical examination, there is 5 cm leg length discrepancy, and the patient walked with limping gait. Conventional x-ray confirmed persistent dislocation of the right hip. A soft tissue release procedure and femoral neck osteotomy with skeletal traction was done before, followed by delayed THR two months after. The patient’s functional status was improved, and the HHS score increased from 48 to 87. The patient had no pain or significant complaints, except for a finding of mild residual Trendelenburg gait.

Psoriasis Vulgaris Caused by Ceramic Inserts Used in Total Hip Replacement

2012 ◽  
Vol 16 (6) ◽  
pp. 448-450 ◽  
Author(s):  
Fujio Higuchi ◽  
Daisuke Tsuruta ◽  
Yumiko Ishibashi ◽  
Kazuko Imamura ◽  
Tokiko Shimoyama ◽  
...  
Keyword(s):  
Nous Avons ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Nuclear Factor Κb ◽  
Total Hip ◽  
First Case ◽  
The Right ◽  
Ceramic Insert ◽  
Psoriatic Lesions

Background: Ceramics are inorganic nonmetallic materials and are used as bioinert components in joint replacement surgeries. Ceramics are known to be low allergenic. We experienced a ceramic-induced psoriasis. Objective: We report a first case of possible ceramic-induced psoriasis caused by a ceramic insert. Methods: A 55-year-old female received an implanted ceramic-on-ceramic total hip replacement for osteoarthritis of the right hip joint. Following surgery, she developed psoriatic lesions, which continued for 10 years. We suspected that psoriasis was caused by a ceramic insert and removed it surgically. Results: When the ceramic insert was replaced with a polyethylene-on-metal hip joint, the psoriatic lesions completely disappeared. Conclusion: The pathogenesis of psoriasis is still an enigma, although deregulation of nuclear factor κB signaling and resulting abnormal cytokine secretion are speculated to be involved. Ceramics may affect these signaling events and cause the onset of psoriasis. Renseignements de base: Les céramiques sont des matériaux non métalliques inorganiques et sont utilisées comme composants bio-inertes dans les arthroplasties. Les céramiques sont reconnues pour être peu allergisantes. Nous avons observé un psoriasis provoqué par la céramique. Objectif: Nous exposons un premier cas possible de psoriasis provoqué par la céramique causé par un implant en céramique. Méthodes: Une femme de 55 ans a reçu une prothèse céramique-sur-céramique implantée lors d'une arthroplastie totale de la hanche pour traiter l'arthrose de l'articulation de la hanche droite. Après la chirurgie, elle a développé des lésions psoriasiques dont la manifestation s'est poursuivie pendant 10 ans. Nous avons soupçonné que le psoriasis était causé par l'implant en céramique, et nous l'avons enlevé chirurgicalement. Résultats: Une fois l'implant en céramique remplacé par une prothèse articulaire en polyéthylène-sur-métal, les lésions psoriasiques ont disparu complètement. Conclusion: La pathogenèse du psoriasis demeure une énigme, bien qu'on suppose que la dérégulation de la voie de signalisation NF-κB et que la sécrétion anormale de cytokines résultante soient impliquées. Les céramiques peuvent affecter ces événements de signalisation et provoquer l'apparition du psoriasis.

A new method for intraoperative assessment of leg length, sizing and placement of the components in total hip replacement

2020 ◽  
Vol 30 (4) ◽  
pp. 689-694
Author(s):  
Ioannis P. Stathopoulos ◽  
Nicolaos Andrianopoulos ◽  
Dimitrios Paschaloglou ◽  
Kalliopi Lampropoulou-Adamidou ◽  
Maria Spetsaki ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
New Method ◽  
Leg Length ◽  
Total Hip ◽  
Intraoperative Assessment

The natural history of a posteriorly dislocated total hip replacement

1999 ◽  
Vol 14 (8) ◽  
pp. 964-968 ◽  
Author(s):  
Emile Li ◽  
John B. Meding ◽  
Merrill A. Ritter ◽  
E.Michael Keating ◽  
Philip M. Faris
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
History Of

scholarly journals Process optimized minimally invasive total hip replacement

2012 ◽  
Vol 3 (2) ◽  
pp. 3 ◽  
Author(s):  
Philipp Gebel ◽  
Markus Oszwald ◽  
Bernd Ishaque ◽  
Gaffar Ahmed ◽  
Recha Blessing ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Direct Anterior Approach ◽  
Operation Technique ◽  
Complication Rates ◽  
Leg Length ◽  
Total Hip ◽  
The Mean ◽  
Mean Time

The purpose of this study was to analyse a new concept of using the the minimally invasive direct anterior approach (DAA) in total hip replacement (THR) in combination with the leg positioner (Rotex- Table) and a modified retractor system (Condor). We evaluated retrospectively the first 100 primary THR operated with the new concept between 2009 and 2010, regarding operation data, radiological and clinical outcome (HOOS). All surgeries were perfomed in a standardized operation technique including navigation. The average age of the patients was 68 years (37 to 92 years), with a mean BMI of 26.5 (17 to 43). The mean time of surgery was 80 min. (55 to 130 min). The blood loss showed an average of 511.5 mL (200 to 1000 mL). No intra-operative complications occurred. The postoperative complication rate was 6%. The HOOS increased from 43 points pre-operatively to 90 (max 100 points) 3 months after surgery. The radiological analysis showed an average cup inclination of 43° and a leg length discrepancy in a range of +/- 5 mm in 99%. The presented technique led to excellent clinic results, showed low complication rates and allowed correct implant positions although manpower was saved.

scholarly journals Bilateral Total Hip Replacement in Steroid Induced AVN in A Young Patient

2014 ◽  
Vol 13 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Md. Mahbubul Alam ◽  
Bishnu Pada Das ◽  
Aminul Hashan
Keyword(s):  
Young Patient ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Past History ◽  
Medical Science ◽  
Oral Steroid ◽  
Restricted Movement ◽  
Total Hip ◽  
History Of ◽  
Household Activities

A 30 years old female patient presented us with pain, restricted movement of hip and difficulty of walking. She had past history of taking oral Steroid for 6 months for gaining weight. Radiological examination revealed bilateral avascular necrosis of hips with advanced osteoarthritic changes. The patient had sequential Total hip replacement on both sides in 6 weeks interval. Post operatively she was uneventful and after proper exercise and physiotherapy she is maintaining her daily household activities smoothly. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18304 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.205-208

scholarly journals Fluoroscopy Comes to the Rescue in Anaesthesia Management of a Case of Ankylosing Spondylitis

2021 ◽  
Vol 7 (1) ◽  
Keyword(s):  
Ankylosing Spondylitis ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Epidural Anaesthesia ◽  
Hip Replacement ◽  
Previous History ◽  
Success Rates ◽  
Total Hip ◽  
Neuraxial Anaesthesia ◽  
The Right

Introduction: Ankylosing spondylitis is an anaesthetic challenge both from the airway and neuraxial point of view. The success rates as reported in literature while administering neuraxial anaesthesia in such cases are very low. We describe here such a case posted for total hip replacement. Case Presentation: A 25-year-old male patient was posted for right total hip replacement (THR) due to total arthrodesis of the right hip joint. He had a previous history of left THR done 1.5 yrs back. The patient was unable to sit erect and flexion and extension movements of the spine were painful. Both active and passive movements were severely restricted due to pain and stiffness, upto only 25- 30 degrees in the right hip joint and 45-50 degrees in the left hip joint and this has made him completely bedridden. For the anaesthetic management of this case, we combined fluoroscopy, a commonly used tool in chronic pain practice, into an-aesthesia practice by using it for the administration of epidural anaesthesia via inter-laminar approach in the prone position. The perioperative and post-operative course was uneventful. Conclusion: We conclude that fluoroscopy can be used in realtime as one of the most useful tools while administering neuraxial anaesthesia in difficult spine scenarios. Keywords: Ankylosing Spondylitis, Neuraxial Anaesthesia, Epidural Anaesthesia, Fluoroscopy, Total Hip Replacement.

scholarly journals Does surgical approach influence the natural history of the unstable total hip replacement?

2021 ◽  
Author(s):  
Charles-Antoine Dion ◽  
Tom Schmidt-Braekling ◽  
Amedeo Falsetto ◽  
Cheryl Kreviazuk ◽  
Paul E. Beaulé ◽  
...  
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Surgical Approach ◽  
Hip Replacement ◽  
Total Hip ◽  
History Of
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