Intraprosthetic Dislocation of Dual-Mobility Bearings Associated with Closed Reduction: A Report of Two Cases. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Cvetanovich, Gregory L.; Fillingham, Yale A.; Della Valle, Craig J.; Sporer, Scott M.
• Is Part Of: JBJS case connector. Volume 5:Issue 1(2015)
• Publication Date: 2015-01
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.N.00137
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We present two patients with dual-mobility total hip arthroplasty components who underwent closed reduction of posterior dislocations with conscious sedation in the emergency room. Following closed reduction, both patients had immediate pain, clicking, and grinding of the hip. Radiographs identified intraprosthetic dislocation of the dual-mobility components, and revision surgery was required. Conclusion: When dislocation of a dual-mobility bearing occurs, the surgeon should consider performing a careful closed reduction with muscle paralysis and use of fluoroscopic guidance in the operating room to avoid intraprosthetic dislocation.