Retrieval of a Trial Femoral Head That Displaces into the Periacetabular Soft Tissue During Mini-Incision Total Hip Arthroplasty: A Case Report

Alfonso, Daniel T.; Idjadi, Jeremy; Lamont, Justin G.

doi:10.2106/jbjs.e.00195

Cited by 16 publications

(38 citation statements)

References 2 publications

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“…9,10,14,18,19 The trial head can be left in the pelvis if not causing any obstructive symptoms. 12 However, retrieval may be necessary due to the risk of later complications and infection.…”

Section: Discussionmentioning

confidence: 99%

A safe method for the retrieval of a dislocated trial head in total hip arthroplasty

et al. 2017

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Total hip arthroplasty is a life changing procedure providing a significant improvement in the quality of life for those receiving treatment. An 81-year-old male with severe right sided hip osteoarthritis underwent uncemented total hiparthroplasty. Intraoperatively the 32mm trial head dislodged from the trial stem over the anterior rim of the acetabulum relocating to within the pelvic cavity. Time efficient retrieval was performed during primary surgery through a mini-incision at the iliac crest.

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Section: Discussionmentioning

confidence: 99%

A safe method for the retrieval of a dislocated trial head in total hip arthroplasty

et al. 2017

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“…In addition, Alfonso et al 10 developed technique of suturing the trial femoral head thus inhibiting the dislocation from the taper. Although useful, this technique requires time and is not suited for everyday practice in our opinion.…”

Section: Discussionmentioning

confidence: 99%

“…Still, there are issues of long term health consequences with the foreign body reactions and further migrations that could cause compression of vital structures such as nerves, vessels or the ureter, remain not yet answered. Therefore, the situation is maybe best solved in a planned second operation, after the exact localisation of the trial femoral head is determined, preferably by the MSCT because the vast majority of the trial femoral heads is radiolucent and intraoperative fluoroscopy and standard radiographs are of negligible significance 2–5 8 10…”

Section: Discussionmentioning

confidence: 99%

“…Citak et al 3 performed laparotomy in order to retrieve the trial head although there are reports of a potentially less invasive laparoscopic retrieval in the setting of the abdominal cavity localisation 10. We favour laparotomy over any kind of laparoscopic solution because of two reasons.…”

Section: Discussionmentioning

confidence: 99%

“…We favour laparotomy over any kind of laparoscopic solution because of two reasons. First, even Alfonso et al 10 stated that small incision can lead to the increased risk of femoral trial head dislocation because of the reduced visualisation, which is also true in the setting of laparoscopy, and second because of the possible iatrogenic vascular injury.…”

Section: Discussionmentioning

confidence: 99%

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Dislocated trial femoral head during total hip arthroplasty: review of the literature and the new algorithm for treatment

et al. 2015

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SUMMARYDislocation of the trial femoral head is a rare and unpleasant event that can compromise the success of the total hip arthroplasty. A 62-year-old Caucasian woman with osteoarthritis was admitted to our Department and underwent an elective total hip arthroplasty. While performing the dislocation manoeuver the trial femoral head dissociated from the taper in the superior and anterior direction in the soft tissue and could not be retrieved immediately. The operation was then executed and finished in an ordinary manner. Three months after discharge from our department patient presented with the pain in the hip and groin and periprosthetic joint infection was diagnosed. The successful second operation for the retrieval of the dislocated trial femoral head was conducted through ilioinguinal approach. In this paper we reviewed the published literature and developed the algorithm for the decision-making while dealing with the dislocated and lost trial femoral head. BACKGROUND

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Pitfall in total hip arthroplasty: intraoperative migration of the trial femoral head through the iliopsoas muscle

Hamoui

Larbi

Delannis

et al. 2011

Eur J Orthop Surg Traumatol

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Total hip arthroplasty is actually one of the most orthopaedic procedures realised to treat a lot of conditions in hip pathology. Complications associated with this operation are well established and reported in the medical literature. Only few cases of intraoperative dislocation of the trial femoral head had been reported; we present a case of intraoperative intrapelvic dislocation of the trial femoral head through the iliopsoas muscle during total hip replacement with a standard posterolateral approach of Moore.

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Retrieval of a Trial Femoral Head That Displaces into the Periacetabular Soft Tissue During Mini-Incision Total Hip Arthroplasty: A Case Report

Cited by 16 publications

References 2 publications

A safe method for the retrieval of a dislocated trial head in total hip arthroplasty

A safe method for the retrieval of a dislocated trial head in total hip arthroplasty

Dislocated trial femoral head during total hip arthroplasty: review of the literature and the new algorithm for treatment

Pitfall in total hip arthroplasty: intraoperative migration of the trial femoral head through the iliopsoas muscle

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