Application of polypropylene mesh in patient with recurrent femoral head dislocation after total hip arthroplasty (case from practice)

Authors

DOI:

https://doi.org/10.15674/0030-59872018186-88

Keywords:

arthroplasty, hip joint, femoral head dislocation, polypropylene

Abstract

One of complications after total hip arthroplasty is femoral head dislocation. It occurrence in case of primary replacement can happen from 0,2 till 2 %. In such cases after primary dislocation and close reduction recurrence can happen in 16–59 %. In this article we present clinical case of the treatment of recurrent femoral head luxation after total hip arthroplasty. Patient had two revision surgeries, defect of hip joint capsule and ligaments was revealed, and this defect was replaced by polypropylene mesh implant during the last revision. There were not complications in postoperative period. On follow-up X-rays in 8 years there was full restoration of hip joint function (flexion more than 90°, abduction to 30°) and ability to walk. There was not recurrent head dislocation. Presented method of treatment reflects possibilities of modern medicine. Patient’s recovery — is the result of timely and qualified chosen methods of conservative and surgical treatment. Application of polypropylene mesh to close soft tissues defect in case of femoral head dislocation is discussion question. But our experience, absence of infection complication and recurrent dislocation can testify of a positive result.

Author Biographies

Maksim Golovakha

Zaporizhzhia State Medical University. Ukraine 

MD, Prof. in Orthopaedics and Traumatology 

golovaha@ukr.net

Sergey Maslennikov

Zaporizhzhia State Medical University. Ukraine 

travmatology1@i.ua

Anatoliy Tverdovsky

SI «Zaporizhzhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine» 

tverdovskyi.a.o@gmail.com

Ivan Zabielin

SI «Zaporizhzhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine» 

PhD 

zabelin-ne@inbox.ru

Sergey Krasnoperov

Zaporizhzhia State Medical University. Ukraine 

PhD in Orthopaedics and Traumatology 

krasnoperovserg@gmail.com

Oleg Banit

KO «ZRKH» ZRS Department of Orthopedics, Arthrology, Sports Trauma 

olegbanit@gmail.com

References

Filippenko, V. A., Tankut, V. O., Mezentsev, V. O., & Ovchinnikov, O. М. (2017). Causes of dislocation of endoprosthesis head after initial hip replacement. Trauma, 18(1), 27-32. doi:10.22141/1608-1706.1.18.2017.95587

Vakulenko, A. V., Vakulenko, V. M., & Nedelko, A. A. (2014). Dislocations after total hip arthroplasty. Trauma, 15(3), 47–49.

Neverov, V. A., & Zakiri S. М. (1997). Revision endoprosthetics of the hip joint. St. Petersburg: Education.

Alberton, G. M., High, W. A., & Morrey, B. F. (2002). Dislocation after revision total hip arthroplasty. The Journal of Bone and Joint Surgery-American Volume, 84(10), 1788-1792. doi:10.2106/00004623-200210000-00008

Barrack, R. L., Butler, R., Laster, D. R., & Andrews, P. (2001). Stem design and dislocation after revision total hip arthroplasty: Clinical results and computer modeling. The Journal of Arthroplasty, 16(8), 8-12. doi:10.1054/arth.2001.28359

Goldstein, W. M., Gleason, T. F., Kopplin, M., & Branson, J. J. (2001). Prevalence of dislocation after total hip arthroplasty through a posterolateral approach with partial capsulotomy and capsulorrhaphy. The Journal of Bone and Joint Surgery-American Volume, 83, 2-7. doi:10.2106/00004623-200100021-00002

Published

2018-04-04

How to Cite

Golovakha, M., Maslennikov, S., Tverdovsky, A., Zabielin, I., Krasnoperov, S., & Banit, O. (2018). Application of polypropylene mesh in patient with recurrent femoral head dislocation after total hip arthroplasty (case from practice). ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS, (1), 86–88. https://doi.org/10.15674/0030-59872018186-88

Issue

Section

SHORT REPORTS AND NEWS FROM PRACTICE

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