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Recurrent atraumatic anterior hip dislocation: Treated by dual mobility system.

Jie X Xu1, Daniel Meyerkort1, Riaz J Khan1

  • 1Department of Orthopaedics, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands 6009, Australia.

Journal of Orthopaedics
|January 1, 2016
PubMed
Summary

This case study shows successful management of recurrent hip dislocations using a dual mobility total hip replacement. The patient experienced no further dislocations after surgery, highlighting this prosthesis as a viable option.

Keywords:
Atraumatic anterior hip dislocationCerebellar ataxiaOsteoarthritis

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering

Background:

  • Recurrent atraumatic anterior hip dislocation presents a significant challenge in orthopedic management.
  • Traditional treatments may not always provide sufficient stability, leading to repeated dislocations.

Purpose of the Study:

  • To present a case of recurrent atraumatic anterior hip dislocation managed with a dual mobility prosthesis.
  • To evaluate the efficacy and stability of this implant in preventing further dislocations.

Main Methods:

  • Hip stability was assessed using radiographic imaging (X-ray) and Magnetic Resonance Imaging (MRI).
  • A total hip replacement was performed using a piriformis sparing anterior approach.
  • A dual mobility bearing, comprising an uncemented porous titanium cup with a 28 mm head and a 42 mm mobile polyethylene liner, was implanted.

Main Results:

  • The patient was able to mobilize pain-free at six weeks post-operation.
  • No further instances of hip dislocation were reported at the six-month follow-up.

Conclusions:

  • Dual mobility hip replacement demonstrated successful outcomes in managing recurrent atraumatic anterior hip dislocation.
  • This approach offers a stable and effective solution for patients experiencing recurrent instability.