scholarly journals Irretrievable morse taper junction of the femoral prosthesis at revision hip arthroplasty for metallosis: A case report

Author(s):  
VikasRajesh Singh ◽  
Graham Mercer
2010 ◽  
Vol 25 (6) ◽  
pp. 932-938 ◽  
Author(s):  
Myung-Sik Park ◽  
Ju-Hong Lee ◽  
Jong-Hyuk Park ◽  
Dong-Hun Ham ◽  
Yang-Keun Rhee

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

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.


1999 ◽  
Vol 12 (02) ◽  
pp. 97-101 ◽  
Author(s):  
A. R. Cross ◽  
O. I. Lanz ◽  
L. Blaeser

SummaryAseptic loosening of the femoral implant (ALFI) has been reported in 7.2% of total hip arthroplasty procedures in the dog. In this case report, ALFI was diagnosed in a nine year old male German Shepherd, seven years after the initial cemented total hip arthroplasty was performed. The revision of the ALFI was performed using a longitudinal osteotomy to extract the polymethylmethacrylate and the titanium femoral prosthesis was replaced with a cobalt chromium model. The osteotomy and an iatrogenic femoral fracture were repaired using four 1.3 mm cables. Postoperative radiographs revealed satisfactory alignment, reduction of the osteotomy and adequate positioning of the femoral prosthesis.Case report describing the revision of aseptic loosening of the femoral implant seven years after the initial total hip arthroplasty was performed. The revision utilized four 1.3 mm cable cerclage.


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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