Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

e-ISSN: 2449-9145

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Femoral head reposition first, device assemble later: If reduction is impossible when using MUTARS®

Author(s): Gyu Min Kong*

This Dislocation occurs in about 1% after a total hip arthroplasty, but the frequency is much higher after revision surgery. To prevent dislocation, a procedure using a larger femoral head has been recommended, and dual mobility femoral head has been introduced to broaden its indications. However, it is very difficult to reduce the dual mobility femoral head to the acetabular component with contracture in the soft tissue around the joint. A 72-year-old male patient developed a periprosthetic fracture (Vancouver type B3) in his femur and underwent revision surgery using MUTARS®. Three years later, periprosthetic joint infection developed and 2 stage revision was performed. Dislocation of the artificial joint two months after the revision was happen and manual reduction was performed, but dislocation occurs again. New revision was undergone using dual mobility bearing. During surgery, the soft tissue around the hip joint was too tight to reduce, the problem could be overcome by first repositioning the femoral head and then assembling the diaphyseal portion of the implant.

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Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
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