Intrapelvic dislocation of a femoral trial head during primary total hip arthroplasty requiring laparotomy for retrieval
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Intrapelvic dislocation of a femoral trial head during primary total hip arthroplasty requiring laparotomy for retrieval. / Citak, Mustafa; Klatte, Till Orla; Zahar, Akos; Day, Kimberly; Kendoff, Daniel; Gehrke, Thorsten; Dörner, Arnulf; Gebauer, Matthias.
in: The open orthopaedics journal, Jahrgang 7, 2013, S. 169-71.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Intrapelvic dislocation of a femoral trial head during primary total hip arthroplasty requiring laparotomy for retrieval
AU - Citak, Mustafa
AU - Klatte, Till Orla
AU - Zahar, Akos
AU - Day, Kimberly
AU - Kendoff, Daniel
AU - Gehrke, Thorsten
AU - Dörner, Arnulf
AU - Gebauer, Matthias
PY - 2013
Y1 - 2013
N2 - BACKGROUND AND PURPOSE: Total hip arthroplasty (THA) is a safe and reliable surgical procedure. However, THA also has intra- and postoperative complications. A dreaded and frustrating intraoperative complication during total hip arthroplasty is dislocation of the femoral trial head from the neck into the pelvis.METHODS: Here, we report on the case of a 71-year old female patient with osteoarthritis of the left hip. Total hip arthroplasty was performed in a lateral position through a standard posterior approach. During intraoperative trial reduction, the femoral trial head dissociated from the taper and dislocated into the psoas compartment. Several unsuccessful attempts, including an additional ventral approach, were made to immediately retrieve the femoral trial head.RESULTS AND INTERPRETATION: Postoperative a Computerized Tomography (CT) was performed to locate the trial head, a secondary explorative laparotomy was undertaken to retrieve it. The retrieval of the femoral trial head should be performed in a planned second surgical procedure to avoid possible complications during the manipulation necessary for retrieval.
AB - BACKGROUND AND PURPOSE: Total hip arthroplasty (THA) is a safe and reliable surgical procedure. However, THA also has intra- and postoperative complications. A dreaded and frustrating intraoperative complication during total hip arthroplasty is dislocation of the femoral trial head from the neck into the pelvis.METHODS: Here, we report on the case of a 71-year old female patient with osteoarthritis of the left hip. Total hip arthroplasty was performed in a lateral position through a standard posterior approach. During intraoperative trial reduction, the femoral trial head dissociated from the taper and dislocated into the psoas compartment. Several unsuccessful attempts, including an additional ventral approach, were made to immediately retrieve the femoral trial head.RESULTS AND INTERPRETATION: Postoperative a Computerized Tomography (CT) was performed to locate the trial head, a secondary explorative laparotomy was undertaken to retrieve it. The retrieval of the femoral trial head should be performed in a planned second surgical procedure to avoid possible complications during the manipulation necessary for retrieval.
U2 - 10.2174/1874325001307010169
DO - 10.2174/1874325001307010169
M3 - SCORING: Journal article
C2 - 23730381
VL - 7
SP - 169
EP - 171
ER -