Skip to main content

Advertisement

Log in

An unusual case of dislocation of a constrained hip replacement

Un cas inhabituel de luxation de PTH contrainte

  • Case Report
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Instability following primary and revision hip arthroplasty does occur. Constrained acetabular devices are one way of treating this. We present dislocation at the bipolar interface of a Trident Tripolar Constrained Device and use this case to remind surgeons that closed reduction of this device is not possible.

Résumé

Une instabilité à la suite d’une arthroplastie de hanche de première intention ou de révision peut survenir. Les cupules cotyloïdiennes contraintes sontune des voies pour prévenir cette complication. Nous rapportons un cas de luxation à l’interface bipolaire d’une cupule cotyloïdienne contrainte de type Trident Tripolaire et nous appuyons sur ce cas pour prévenir les chirurgiens que la réduction à ciel fermé de cette cupule n’est pas possible.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Woo RY, Morrey BF (1982) J Bone Joint Surg Am 64:1295–1306

    Google Scholar 

  2. Alberton GM, Hight WA, Morrey BF (2002) Dislocation after revision total hip arthroplasty. An analysis of risk factors treatment options. J Bone Joint Surg Am 84:1788–1792

    PubMed  Google Scholar 

  3. Anderson MJ, Murray WR (1994) J Arthroplasty 9:17–23

    Google Scholar 

  4. Turner RS (1994) Postoperative total hip prosthetic femoral head dislocations: incidence, etiologic factors, and management. Clin Orthop 301:196–204

    PubMed  Google Scholar 

  5. Paterno SA, Lachiewicz PF, Kelley SS (1997) The influence of patient-related factors and the position of the acetabular component on the rate of dislocation after total hip replacement. J Bone Joint Surg Am 79-A:1202–1210

    Google Scholar 

  6. Williams JF, Gottesman MJ, Mallory TH (1982) Dislocation after total hip arthroplasty: treatment with an above knee spica cast. Clin Orthop 171:53–58

    PubMed  Google Scholar 

  7. Boucher HR, Lynch C, Young AM, Jr Engh CA, Sr Engh C (2003) Dislocation after polyethylene liner exchange in total hip arthroplasty. J Arthroplasty 18:654–657

    Article  PubMed  Google Scholar 

  8. Mahomed NN, Barrett JA, Katz JN, Phillips CB, Losina E, Lew RA, Guadagnoli E, Harris WH, Poss R, Baron JA (2003) Rates and outcomes of primary and revision total hip replacement in the United States medicare population. J Bone Joint Surg Am 85:20–26

    PubMed  Google Scholar 

  9. Mallory TH, Lombardi AV, Fada RA, Herrington SM, Eberle RW (1999) Dislocation after total hip arthroplasty usin g the anterolateral abductor splitting approach. Clin orthop Relat Res 358:166–172

    Article  PubMed  Google Scholar 

  10. Ritter MA (1976) Dislocation and subluxation of the total hip replacement. Clin orthop Relat Res 121:92–94

    PubMed  Google Scholar 

  11. Olerud S, Karlstrom G (1985) Recurrent dislocation after total hip replacement: treatment by fixing an additional sector to the acetabular component. J Bone Joint Surg Br 67-B:402–405

    Google Scholar 

  12. Charlwood AP, Thompson NW, Thompson NS, Beverland DE, Nixon JR (2002) Recurrent hip arthroplasty dislocation: good outcome after cup augmentation in 20 patients followed for 20 years. Acta Orthop Scand 73:502–505

    Article  PubMed  Google Scholar 

  13. Porter P, Stone MH (2004) Total hip arthroplasty using the Wroblewski golf ball cup inserted through a posterior approach: a high rate of dislocation. J Bone Joint Surg Br 86-B:643–647

    Article  Google Scholar 

  14. Kelley SS, Paterno SA, Lachiewicz PF, Hickman JM (1998) Relationship of femoral head and acetabular size to the prevalence of dislocation. Clin Orthop 355:163–170

    Article  PubMed  Google Scholar 

  15. Beaule PE, Schmalzried TP, Udomkiat P, Amstutz HC (2002) Jumbo femoral head for the treatment of recurrent dislocation following total hip replacement. J Bone Joint Surg Am. 84-A:256–263

    PubMed  Google Scholar 

  16. Bystrom S, Espehaug B, Furnes O, Li Havelin, Norwegian Arthroplasty Register (2003) Femoral head sizre is at risk for total head luxation: a study of 42,987 primary hip arthroplasties from the Norwegian Arthroplasty Register. Acta Orthop Scand 74:514–524

    Google Scholar 

  17. Daly PJ, Morrey BF (1992) Operative correction of an unstable total hip arthroplasty. J Bone Joint Surg Am 74-A:1334–1343

    Google Scholar 

  18. Kavanagh BF Jr, Fitzgerald RH (1987) Multiple revisions for failed total hip arthroplasty not associated with infection. J Bone Joint Surg Am 69-A:1144–1149

    Google Scholar 

  19. Khan RJ, Fick D, Alakeson R, Haebich S, de Cruz M, Nivbrant B, Wood D (2006) A Constrained acetabular componet for recurrent dislocation. J Bone Joint Surg Br 88-B:870–876

    Article  Google Scholar 

  20. Trident Constrained Acetabular Insert—Surgical Protocol (2004) Stryker Orthopaedics, Mahwah

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aditya Kapoor.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kapoor, A., Luscombe, J.C. & Reading, A.D. An unusual case of dislocation of a constrained hip replacement. Eur J Orthop Surg Traumatol 17, 487–489 (2007). https://doi.org/10.1007/s00590-007-0215-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-007-0215-3

Keywords

Mots clés

Navigation