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Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report

INTRODUCTION: Dislocation following total hip replacement is a well-documented complication. We present an unusual cause of failure to achieve a concentric closed reduction of a cemented total hip replacement which has never previously been reported. PRESENTATION OF CASE: A 78-year-old female patien...

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Autores principales: Lim, Hai Fon, Jain, Sameer, Haughton, Ben, Veysi, Veysi, Shaw, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275803/
https://www.ncbi.nlm.nih.gov/pubmed/25460462
http://dx.doi.org/10.1016/j.ijscr.2014.10.065
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author Lim, Hai Fon
Jain, Sameer
Haughton, Ben
Veysi, Veysi
Shaw, David
author_facet Lim, Hai Fon
Jain, Sameer
Haughton, Ben
Veysi, Veysi
Shaw, David
author_sort Lim, Hai Fon
collection PubMed
description INTRODUCTION: Dislocation following total hip replacement is a well-documented complication. We present an unusual cause of failure to achieve a concentric closed reduction of a cemented total hip replacement which has never previously been reported. PRESENTATION OF CASE: A 78-year-old female patient had an unsuccessful closed reduction of a posteriorly dislocated total hip replacement. Careful review of perioperative radiographs revealed a fragment of bone cement incarcerated within the acetabular component blocking reduction. This was confirmed on a subsequent computed tomography scan. Open reduction via a posterior approach with retrieval of the cement fragment was eventually required. DISCUSSION: Observation of important radiological features which may prevent unnecessary further attempts at closed reduction are discussed. We consider reasons for a non-concentric reduction and reflect on the dangers of multiple forced attempts. CONCLUSION: This case emphasises the importance of clinical judgement during closed reduction and highlights a previously unreported cause for non-concentric reduction in a dislocated cemented total hip replacement.
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spelling pubmed-42758032014-12-28 Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report Lim, Hai Fon Jain, Sameer Haughton, Ben Veysi, Veysi Shaw, David Int J Surg Case Rep Article INTRODUCTION: Dislocation following total hip replacement is a well-documented complication. We present an unusual cause of failure to achieve a concentric closed reduction of a cemented total hip replacement which has never previously been reported. PRESENTATION OF CASE: A 78-year-old female patient had an unsuccessful closed reduction of a posteriorly dislocated total hip replacement. Careful review of perioperative radiographs revealed a fragment of bone cement incarcerated within the acetabular component blocking reduction. This was confirmed on a subsequent computed tomography scan. Open reduction via a posterior approach with retrieval of the cement fragment was eventually required. DISCUSSION: Observation of important radiological features which may prevent unnecessary further attempts at closed reduction are discussed. We consider reasons for a non-concentric reduction and reflect on the dangers of multiple forced attempts. CONCLUSION: This case emphasises the importance of clinical judgement during closed reduction and highlights a previously unreported cause for non-concentric reduction in a dislocated cemented total hip replacement. Elsevier 2014-10-23 /pmc/articles/PMC4275803/ /pubmed/25460462 http://dx.doi.org/10.1016/j.ijscr.2014.10.065 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Article
Lim, Hai Fon
Jain, Sameer
Haughton, Ben
Veysi, Veysi
Shaw, David
Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report
title Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report
title_full Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report
title_fullStr Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report
title_full_unstemmed Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report
title_short Irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: A case report
title_sort irreducible dislocated total hip replacement due to intra-articular incarceration of bone cement: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275803/
https://www.ncbi.nlm.nih.gov/pubmed/25460462
http://dx.doi.org/10.1016/j.ijscr.2014.10.065
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