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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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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. |
format | Online Article Text |
id | pubmed-4275803 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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