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Arthroscopy of a dislocated hip replacement: a case report
Clinical Orthopaedics and Related Research
|January 1, 1980
Summary
A hip replacement dislocation was treated using minimally invasive arthroscopic surgery. This technique successfully removed an obstructing cement fragment, allowing for joint reduction.
Area of Science:
- Orthopedic surgery
- Arthroscopy
- Arthroplasty
Background:
- Dislocation of total hip arthroplasty (THA) can occur.
- Closed reduction is the initial treatment for THA dislocation.
- Obstructing intra-articular fragments can impede closed reduction.
Observation:
- A 55-year-old woman presented with a dislocated total hip arthroplasty.
- Closed manipulation failed due to an obstructing cement fragment within the joint.
- Percutaneous arthroscopic instrumentation was utilized.
Findings:
- Arthroscopic visualization identified the obstructing cement fragment.
- The cement fragment was successfully manipulated and removed from the joint using arthroscopic instruments.
- This allowed for successful closed reduction of the total hip arthroplasty dislocation.
Implications:
- Percutaneous arthroscopic techniques offer a minimally invasive option for managing THA dislocations with intra-articular obstructions.
- This approach may reduce the need for open revision surgery in select cases.
- Further research can explore the efficacy and indications for arthroscopic management of THA complications.