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Abstract
We report a case of interposition of a broken trochanteric wire in the hip joint. This caused early wear of the prosthesis and dislocation of the Charnley total hip arthroplasty. The patient was treated with a revision total hip arthroplasty. This rare complication should be taken into consideration when performing a trochanteric osteotomy fixation with wiring in Charnley total hip arthroplasty.
Highlights
Trochanteric osteotomy is a known method used in Charnley total hip arthroplasty
The advantage of the transtrochanteric approach is that it gives a better view of the hip joint
We report a rare complication associated with trochanteric osteotomy
Summary
Trochanteric osteotomy is a known method used in Charnley total hip arthroplasty. The advantage of the transtrochanteric approach is that it gives a better view of the hip joint. The disadvantages of this method are increased operative time, increased blood loss, trochanteric non union and trochanteric bursitis [1,2]. Plain X-ray of the pelvis showed a dislocated left Charnley total hip arthroplasty and it showed a foreign body in the hip joint (broken wire) (Figure 2). In April 2008, the patient had a revision of left Charnley total hip arthroplasty with a good result. A broken wire was found embedded in the polyethylene acetabular component and the polyethylene bearing surface was found to be worn (Figure 3)
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