Abstract
One of complications after total hip arthroplasty is femoral head dislocation. It occurrence in case of primary replacement can happen from 0,2 till 2 %. In such cases after primary dislocation and close reduction recurrence can happen in 16–59 %. In this article we present clinical case of the treatment of recurrent femoral head luxation after total hip arthroplasty. Patient had two revision surgeries, defect of hip joint capsule and ligaments was revealed, and this defect was replaced by polypropylene mesh implant during the last revision. There were not complications in postoperative period. On follow-up X-rays in 8 years there was full restoration of hip joint function (flexion more than 90°, abduction to 30°) and ability to walk. There was not recurrent head dislocation. Presented method of treatment reflects possibilities of modern medicine. Patient’s recovery — is the result of timely and qualified chosen methods of conservative and surgical treatment. Application of polypropylene mesh to close soft tissues defect in case of femoral head dislocation is discussion question. But our experience, absence of infection complication and recurrent dislocation can testify of a positive result.
Highlights
Ключевые слова: эндопротез, тазобедренный сустав, вывих протеза, полипропилен для ревизионных операций, а также при дисплас тическом коксартрозе с высоким вывихом головки бедренной кости [5, 6]
In this article we present clinical case of the treatment of recurrent femoral head luxation after total hip arthroplasty
APPLICATION OF POLYPROPYLENE MESH IN PATIENT WITH RECURRENT FEMORAL HEAD DISLOCATION AFTER TOTAL HIP ARTHROPLASTY (CASE FROM PRACTICE)
Summary
Применение полипропиленовой сетки у пациента с рецидивирующим вывихом бедренного компонента эндопротеза тазобедренного сустава (случай из практики). One of complications after total hip arthroplasty is femoral head dislocation. It occurrence in case of primary replacement can happen from 0.2 till 2 %. In this article we present clinical case of the treatment of recurrent femoral head luxation after total hip arthroplasty. Одним із ускладнень тотального ендопротезування кульшового суглоба може бути вивих головки стегнового компонента. Наведено клінічний випадок лікування рецидивного вивиху стегнового компонента ендо протеза кульшового суглоба. Что одним из осложнений тотального эндопротезирования тазобед ренного сустава может быть вывих бедренного компонента. Цель работы: описать применение пропиленовой сетки у пациента с рецидивирующим вывихом бедренного компонента эндопротеза тазобед ренного сустава
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