Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Series Volume 7 Issue 4

Intraprosthetic Dislocation of Dual-Mobility Total Hip Arthroplasty: Analysis of a Case Series and Review of Literature

Felipe Fernández Monsalve1-2*, Iván Radovic Repetto3, Manuel Becerra Simonetti3 and Carolina Becerra Hernández4

1Hip and Pelvis Fellowship, Instituto Traumatológico Dr. Teodoro Gebauer Weisser, University of Chile, Chile
2Orthopedic Surgeon, Hip Unit, Complejo Asistencial Dr. Víctor Ríos Ruiz, Los Ángeles, Chile
3Orthopedic Surgeon, Hip Unit, Instituto Traumatológico Dr. Teodoro Gebauer Weisser, Santiago, Chile
4M.D., University of Valparaíso, Chile

*Corresponding Author: Felipe Fernández Monsalve, Hip and Pelvis Fellowship, Instituto Traumatológico Dr. Teodoro Gebauer Weisser, University of Chile, Chile - Orthopedic Surgeon, Hip Unit, Complejo Asistencial Dr. Víctor Ríos Ruiz, Los Ángeles, Chile.

Received: February 14, 2024; Published: March 04, 2024

Abstract

Introduction: Intraprosthetic dislocation is a rare and exclusive complication of hip prostheses with dual-mobility components, where the prosthetic femoral head separates from the polyethylene liner.

Materials and Methods: Descriptive study of a series of cases, from the period 2019 to 2023, with a diagnosis of intraprosthetic dislocation.

Results: Three clinical cases with intraprosthetic dislocation from our institution are described. All required open reduction and revision total hip arthroplasty. One of them, operated on six months after the event, showed signs of metallosis and wear; the polyethylene liner was not found during the intraoperative period.

Conclusion: In a hip prosthetic dislocation with dual-mobility components, intraprosthetic dislocation should be considered. The reduction is generally open

Keywords: Dual-Mobility; Total Hip Arthroplasty; Dislocation; Intraprosthetic Dislocation; Acetabular Cup

References

  1. De Martino Ivan., et al. “Early intraprosthetic dislocation in dual-mobility implants: a systematic review”. Arthroplasty Today3 (2017): 197-202.
  2. Waddell Bradford S., et al. “Total Hip Arthroplasty Dislocations Are More Complex Than They Appear: A Case Report of Intraprosthetic Dislocation of an Anatomic Dual-Mobility Implant After Closed Reduction”. Ochsner Journal2 (2016): 185-190.
  3. Schirmers Joseph., et al. “Early intraprosthetic dislocation of dual-mobility total hip arthroplasty implant following attempted closed reduction: a case report”. Reconstructive Review2 (2015).
  4. Vermersch Thibault., et al. “Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup”. International orthopaedics 39 (2015): 2097-2101.
  5. Swiontkowski Marc. "Concern about early intraprosthetic dislocation in dual-mobility implants”. JBJS Case Connector3 (2013): e91.
  6. Philippot R., et al. “Intraprosthetic dislocation: a specific complication of the dual-mobility system”. Clinical Orthopaedics and Related Research3 (2013): 965-970.
  7. Koper Maarten., et al. “Asymptomatic intraprosthetic dual mobility cup dislocation with increased metal ion levels”. Arthroplasty Today1 (2019): 38-42.
  8. Fehring Keith A., et al. “Dissociation and intrapelvic entrapment of a dual-mobility polyethylene component”. Clinical Orthopaedics and Related Research 474 (2016): 1072-1076.
  9. Shaikh Ashraf., et al. “Intra prosthetic Dislocation of Dual Mobility Total Hip Arthroplasty: A Case Report and Review of Literature”. Journal of Orthopaedic Case Reports3 (2023): 50.

Citation

Citation: Felipe Fernández Monsalve., et al. “Intraprosthetic Dislocation of Dual-Mobility Total Hip Arthroplasty: Analysis of a Case Series and Review of Literature".Acta Scientific Orthopaedics 7.4 (2024): 02-05.

Copyright

Copyright: © 2024 Felipe Fernández Monsalve., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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