scholarly journals Anterior Dislocation After Total Hip Arthroplasty: A Rare Complication

2021 ◽  
Author(s):  
Swapnil Anil Keny ◽  
Shubhranshu Mohanty ◽  
Tushar Rathod ◽  
Prashant Kamble ◽  
Ronak Kothari
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Rare Complication ◽  
Rare Event ◽  
Treatment Protocol ◽  
Anterior Dislocation ◽  
Total Hip ◽  
Implant Positioning ◽  
One Year

Abstract Anterior dislocation after total hip arthroplasty (THA) is a rare event and its treatment protocol is controversial. The most important factor responsible for this complication is malposition of the components. We present a rare case of early anterior dislocation after THA in a 72-year female due to excessive anteverted position of the acetabulum socket as confirmed by radiological evaluation. Closed reduction was not successful. Revision surgery with correction of acetabulum cup version and inclination within the ‘safe zone’ resulted in excellent stability of prosthesis intra-op which even precluded the use of advanced implant designs such as constrained liners. At one-year follow-up, the patient is mobilized with a walking stick and has no recurrence of dislocation. This highlights the role of proper implant positioning which can reduce the complexity of the surgical procedure and provide good functional outcome in such catastrophic events.

Capsular resection versus capsular repair in direct anterior approach for total hip arthroplasty: a randomized controlled trial

2021 ◽  
Vol 103-B (2) ◽  
pp. 321-328
Author(s):  
Frans-Jozef Vandeputte ◽  
Jens Vanbiervliet ◽  
Cigdem Sarac ◽  
Ronald Driesen ◽  
Kristoff Corten
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Harris Hip Score ◽  
Anterior Capsule ◽  
Total Hip ◽  
Implant Positioning ◽  
Sf 36 ◽  
One Year

Aims Optimal exposure through the direct anterior approach (DAA) for total hip arthroplasty (THA) conducted on a regular operating theatre table is achieved with a standardized capsular releasing sequence in which the anterior capsule can be preserved or resected. We hypothesized that clinical outcomes and implant positioning would not be different in case a capsular sparing (CS) technique would be compared to capsular resection (CR). Methods In this prospective trial, 219 hips in 190 patients were randomized to either the CS (n = 104) or CR (n = 115) cohort. In the CS cohort, a medial based anterior flap was created and sutured back in place at the end of the procedure. The anterior capsule was resected in the CR cohort. Primary outcome was defined as the difference in patient-reported outcome measures (PROMs) after one year. PROMs (Harris Hip Score (HHS), Hip disability and Osteoarthritis Outcome Score (HOOS), and Short Form 36 Item Health Survey (SF-36)) were collected preoperatively and one year postoperatively. Radiological parameters were analyzed to assess implant positioning and implant ingrowth. Adverse events were monitored. Results At one year, there was no difference in HSS (p = 0.728), HOOS (Activity Daily Life, p = 0.347; Pain, p = 0.982; Quality of Life, p = 0.653; Sport, p = 0.994; Symptom, p = 0.459), or SF-36 (p = 0.338). Acetabular component inclination (p = 0.276) and anteversion (p = 0.392) as well as femoral component alignment (p = 0.351) were similar in both groups. There were no dislocations, readmissions, or reoperations in either group. The incidence of psoas tendinitis was six cases in the CS cohort (6%) and six cases in the CR cohort (5%) (p = 0.631). Conclusion No clinical differences were found between resection or preservation of the anterior capsule when performing a primary THA through the DAA on a regular theatre table. In case of limited visibility during the learning curve, it might be advisable to resect a part of the anterior capsule. Cite this article: Bone Joint J 2021;103-B(2):321–328.

scholarly journals Effect of a walking skill training program in patients who have undergone total hip arthroplasty: Followup one year after surgery

2012 ◽  
Vol 64 (3) ◽  
pp. 415-423 ◽  
Author(s):  
Kristi Elisabeth Heiberg ◽  
Vigdis Bruun-Olsen ◽  
Arne Ekeland ◽  
Anne Marit Mengshoel
Keyword(s):  
Total Hip Arthroplasty ◽  
Training Program ◽  
Hip Arthroplasty ◽  
Skill Training ◽  
Total Hip ◽  
Skill Training Program ◽  
One Year

scholarly journals Role of corrosion in taper failure and head disassociation in total hip arthroplasty of a single design

2018 ◽  
Vol 36 (11) ◽  
pp. 2996-3003 ◽  
Author(s):  
Audrey J. Martin ◽  
Derek R. Jenkins ◽  
Douglas W. Van Citters
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip

scholarly journals Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Nils Wirries ◽  
Michael Schwarze ◽  
Dorothea Daentzer ◽  
Michael Skutek
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Mutual Influence ◽  
Negative Impact ◽  
Clinical Signs ◽  
Clinical Results ◽  
Total Hip ◽  
One Year ◽  
Spine Disorders

Lumbar spine disorders (LSD) might influence the outcome after total hip arthroplasty (THA). Despite a known common prevalence of LSD and degenerative hip disorders, this study investigates their mutual influence in case of co-existence with the purpose to advance surgeons planning and patient’s prognosis. Patients with and without LSD were compared before and at the one-year postoperative examination. For clinical evaluation the WOMAC was assessed. The radiological analysis focused on cup anteversion and inclination. The total group included 203 consecutive patients. The overall incidence of LSD was 51.0%. Patients with LSD were on average 4.3 years older and had a 1.8 higher BMI than non-LSD patients (P<0.05). The cup positioning and the clinical results were comparable between both groups before and at the last time of follow up (P>0.05). No hip dislocations nor clinical signs of impingement were seen.We can conclude that there is a high degree of co-existence of LSD and hip disorders. However, a strong negative impact of LSD to clinical or radiologic results could not be confirmed in our study.

The role of cemented stems in revision total hip arthroplasty

2018 ◽  
Vol 29 (3) ◽  
pp. 177-182 ◽  
Author(s):  
Mark A. Roussot ◽  
Georges F. Vles ◽  
Fares S. Haddad
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Total Hip Arthroplasty ◽  
Total Hip

The Role of Patient Restrictions in Reducing the Prevalence of Early Dislocation Following Total Hip Arthroplasty

2005 ◽  
Vol 87 (2) ◽  
pp. 247-253 ◽  
Author(s):  
E. Louis Peak ◽  
Javad Parvizi ◽  
Michael Ciminiello ◽  
James J. Purtill ◽  
Peter F. Sharkey ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip

scholarly journals Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Iori Takigami ◽  
Yoshiki Ito ◽  
Takashi Mizoguchi ◽  
Katsuji Shimizu
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acetabular Fracture ◽  
Rare Complication ◽  
Acetabular Reconstruction ◽  
Fibular Graft ◽  
Intraoperative Complication ◽  
Pelvic Discontinuity ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

Intraoperative acetabular fracture is a rare complication of primary total hip arthroplasty (THA), typically occurring during impaction of the cementless acetabular component. Here we report an unusual case of pelvic discontinuity caused by overreaming of the acetabulum during primary THA. Restoration of posterior columnar continuity was achieved with an autologous fibular graft and a reconstruction plate. Wall defects and cavitary defects were reconstructed with metal mesh and femoral head allograft, followed by placement and fixation of a Kerboull-type acetabular reinforcement device. Previous reports of acetabular fracture during THA have indicated that it has a relatively good prognosis without extensive treatment. However, to our knowledge, there has been no report of pelvic discontinuity necessitating acetabular reconstruction surgery as an intraoperative complication of primary THA.

Sign in / Sign up

Export Citation Format

Share Document