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Safe Positioning for Sexual Intercourse After Proximal Femoral Replacement.

Cory G Couch, Richard W Nicholas, Corey O Montgomery

    Orthopedics
    |September 22, 2017
    PubMed
    Summary
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    Proximal femoral replacement, a complex hip surgery, carries a risk of prosthetic dislocation during sexual activity. Patients should discuss safe positioning with their surgeon to prevent this complication.

    Area of Science:

    • Orthopedic Surgery
    • Biomedical Engineering

    Background:

    • Hip arthroplasty treats hip fractures and degeneration.
    • Proximal femoral replacement reconstructs extensive bone loss, often after malignancy resection or complex revisions.

    Observation:

    • A case of prosthetic dislocation following proximal femoral replacement during sexual intercourse is presented.
    • Standard hip arthroplasty dislocation risks are exacerbated by certain sexual positions.

    Findings:

    • Proximal femoral replacement surgery increases dislocation risk due to significant soft tissue loss.
    • Sexual activity can lead to prosthetic dislocation in patients with proximal femoral replacements.

    Implications:

    • Routine preoperative counseling for sexually active patients undergoing proximal femoral replacement is crucial.

    Related Experiment Videos

  • Discussion of safe sexual positioning is recommended to mitigate dislocation risk.
  • This highlights a unique complication associated with advanced hip reconstruction techniques.