Reduction of the Femoral Head First, and Assembly of the MUTARS® Device in Case of Impossible Reduction during Total Hip Arthroplasty
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Dislocation after a total hip arthroplasty occurs in approximately 1% of patients; however, the frequency is much higher after revision surgery. To prevent dislocation, use of a larger femoral head is recommended, and a dual mobility femoral head has been introduced. However, reducing the dual mobility femoral head to the acetabular component is difficult in cases involving contracture in the soft tissue around the joint. A 72-year-old male patient who developed a periprosthetic joint infection underwent two-stage revision surgery using MUTARS®. Two months after the revision, the hip joint became dislocated and manual reduction was attempted; however, dislocation occurred again. During another revision using a dual mobility bearing, the soft tissue around the hip joint was too tight to reduce. The problem was overcome by first repositioning the dual mobility head into the acetabular socket, followed by assembly of the diaphyseal portion of the implant.
Abstract
Dislocation after a total hip arthroplasty occurs in approximately 1% of patients; however, the frequency is much higher after revision surgery. To prevent dislocation, use of a larger femoral head is recommended, and a dual mobility femoral head has been introduced. However, reducing the dual mobility femoral head to the acetabular component is difficult in cases involving contracture in the soft tissue around the joint. A 72-year-old male patient who developed a periprosthetic joint infection underwent two-stage revision surgery using MUTARS®. Two months after the revision, the hip joint became dislocated and manual reduction was attempted; however, dislocation occurred again. During another revision using a dual mobility bearing, the soft tissue around the hip joint was too tight to reduce. The problem was overcome by first repositioning the dual mobility head into the acetabular socket, followed by assembly of the diaphyseal portion of the implant.
참고문헌 (7)
- C. Faldini, "How to prevent dislocation after revision total hip arthroplasty: a systematic review of the risk factors and a focus on treatment options", Journal of Orthopaedics and Traumatology, 19(1) (2018), Springer Science and Business Media LLC[DOI]
- Daly PJ, "Operative correction of an unstable total hip arthroplasty", J Bone Joint Surg Am, 74, pp.1334~1343 (1992)
- Donald W. Howie, "Large Femoral Heads Decrease the Incidence of Dislocation After Total Hip Arthroplasty", Journal of Bone and Joint Surgery, 94(12), pp.1095~1102 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- F. Randelli, "Direct anterior approach and dual mobility cup: the “head-first” reduction technique: a technical note and early case series", MUSCULOSKELETAL SURGERY, 105(2), pp.201~206 (2020), Springer Science and Business Media LLC[DOI]
- Moussa Hamadouche, "Total Hip Arthroplasty for the Treatment of Ankylosed Hips", The Journal of Bone and Joint Surgery-American Volume, 83(7), pp.992~998 (2001), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Theodore T. Manson, "The Role of Dual-Mobility Components in Total Hip Arthroplasty", Journal of Bone and Joint Surgery, 105(3), pp.250~261 (2022), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Andrea Sambri, "Megaprosthesis in Non-Oncologic Settings—A Systematic Review of the Literature", Journal of Clinical Medicine, 12(12), pp.4151~ (2023), MDPI AG[DOI]