Recurrent Dislocation After Revision Total Hip Replacement with a Large Prosthetic Femoral Head.

Autor: Halley, David, Glassman, Andrew, Crowninshield, Roy D.
Předmět:
Zdroj: Journal of Bone & Joint Surgery, American Volume; Apr2004, Vol. 86 Issue 4, p827-830, 4p
Abstrakt: The article reports the case of a patient who had recurrent dislocation after a total hip replacement, in which the orientation of the acetabular component was suboptimal and had been unsuccessfully treated initially with a large femoral head. The case study shows that, when dislocation is associated with malposition of the acetabular component, treatment to stabilize the hip by polyethylene exchange alone may be insufficient, and effective treatment may require correction of the position of the acetabular component. Thus, the use of a large femoral head should not supplant the need for proper orientation of the acetabular component. The use of a larger femoral head and polyethylene cup in revision surgery for patients with a malpositioned acetabular component is not recommended.
Databáze: Complementary Index