Abstract
Dislocation of a total hip prosthesis is a painful and mentally stressful orthopaedic emergency.1 It may be long-standing and asymptomatic, typically involving the femoral portion.2–4 This report describes a peculiar chronic dislocation of both components of a total hip prosthesis. A 93-year-old female patient, thin and of short stature, had come to our attention for recent onset of lumbar pain at the orthopaedic department. She walked with significant unequal lengths of the lower limbs. She had previously been operated on for bilateral total hip replacement, in which the left hip, a Brunelli version (Brescia, Italy, 1977), was performed 30 years ago for dysplasia.5 At the emergency department, lumbar spine and pelvis radiographs were taken, showing scoliosis and vertebral arthrosic deformations, along with dislocation of both total left hip replacement components (Figure). It was detected that the femoral stem was loosened. Patient denied any fall injury or accident to the operated left hip. It was decided not to perform surgery because of the patient’s age. Many case reports have discussed hip dislocations in which a femoral component was involved. To our knowledge, this is the first case of dislocation of both prosthetic elements of a hip replacement that was completely asymptomatic while walking. Figure Bilateral hip prosthetization with dislocation of both prosthetic components of the left hip. This is a Brunelli THR version, peculiar for the squared and cemented socket. On the right is visible a color photo of an explanted cup. The cemented socket ...
Highlights
Dislocation of a total hip prosthesis is a painful and mentally stressful orthopaedic emergency.[1]
A 93-year-old female patient, thin and of short stature, had come to our attention for recent onset of lumbar pain at the orthopaedic department. She walked with significant unequal lengths of the lower limbs
It was detected that the femoral stem was loosened
Summary
Dislocation of a total hip prosthesis is a painful and mentally stressful orthopaedic emergency.[1]. Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 15(1) Asymptomatic Chronic Dislocation of a Cemented Total Hip Prosthesis * Mellino Mellini Hospital Trust, Civil Hospital of Iseo (Brescia), Orthopaedics
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.