Complication of intraprosthetic dislocation of dual-mobility hip implant following closed reduction.

2.50
Hdl Handle:
http://hdl.handle.net/11287/620669
Title:
Complication of intraprosthetic dislocation of dual-mobility hip implant following closed reduction.
Authors:
Mukundu Nagesh, Navin; Patel, Nimesh; Howell, Jonathan R.
Abstract:
Total hip replacement is a successful operation for the management of hip pain but there are potential complications, of which dislocation is one of the most common. The management of recurrent dislocation is a challenging problem that requires a multimodal approach and the use of dual-mobility implants is one option. We present a patient who was previously revised with a dual-mobility implant for recurrent dislocation, who had a complication after closed reduction of a subsequent intraprosthetic dislocation. Following a missed radiographical diagnosis, the patient experienced mechanical symptoms on hip flexion caused by a disassociated dual-mobility implant. Subsequent surgical removal of the failed implant and revision was required. Careful study of radiographs revealed an eccentric femoral head and evidence of the disassociated implant within the surrounding soft tissues. Radiographs following closed reduction of intraprosthetic dislocations should be scrutinised closely to detect implant failure to prevent further complications.
Citation:
Complication of intraprosthetic dislocation of dual-mobility hip implant following closed reduction. 2018, 2018 BMJ Case Rep
Publisher:
BMJ
Journal:
BMJ case reports
Issue Date:
22-Mar-2018
URI:
http://hdl.handle.net/11287/620669
DOI:
10.1136/bcr-2017-223553
PubMed ID:
29572368
Additional Links:
http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=29572368
Type:
Case Report
Language:
en
ISSN:
1757-790X
Appears in Collections:
Exeter Hip Unit; 2018 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMukundu Nagesh, Navinen
dc.contributor.authorPatel, Nimeshen
dc.contributor.authorHowell, Jonathan R.en
dc.date.accessioned2018-05-03T13:58:33Z-
dc.date.available2018-05-03T13:58:33Z-
dc.date.issued2018-03-22-
dc.identifier.citationComplication of intraprosthetic dislocation of dual-mobility hip implant following closed reduction. 2018, 2018 BMJ Case Repen
dc.identifier.issn1757-790X-
dc.identifier.pmid29572368-
dc.identifier.doi10.1136/bcr-2017-223553-
dc.identifier.urihttp://hdl.handle.net/11287/620669-
dc.description.abstractTotal hip replacement is a successful operation for the management of hip pain but there are potential complications, of which dislocation is one of the most common. The management of recurrent dislocation is a challenging problem that requires a multimodal approach and the use of dual-mobility implants is one option. We present a patient who was previously revised with a dual-mobility implant for recurrent dislocation, who had a complication after closed reduction of a subsequent intraprosthetic dislocation. Following a missed radiographical diagnosis, the patient experienced mechanical symptoms on hip flexion caused by a disassociated dual-mobility implant. Subsequent surgical removal of the failed implant and revision was required. Careful study of radiographs revealed an eccentric femoral head and evidence of the disassociated implant within the surrounding soft tissues. Radiographs following closed reduction of intraprosthetic dislocations should be scrutinised closely to detect implant failure to prevent further complications.en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=29572368en
dc.rightsArchived with thanks to BMJ case reportsen
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleComplication of intraprosthetic dislocation of dual-mobility hip implant following closed reduction.en
dc.typeCase Reporten
dc.identifier.journalBMJ case reportsen
dc.type.versionPublisheden
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