Intrapelvic Dislocation of a Femoral Trial Head During Primary Total Hip Arthroplasty Requiring Laparotomy for Retrieval
Mustafa Citak*, 1, Till Orla Klatte 1, Akos Zahar 1, Kimberly Day 1, Daniel Kendoff 1, Thorsten Gehrke 1, Arnulf Dörner 2, Matthias Gebauer 1
Identifiers and Pagination:Year: 2013
First Page: 169
Last Page: 171
Publisher Id: TOORTHJ-7-169
Article History:Received Date: 7/1/2013
Revision Received Date: 13/4/2013
Acceptance Date: 20/4/2013
Electronic publication date: 17/5/2013
Collection year: 2013
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
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.