Document Detail


Case Report: Painless Chronic Liner Dissociation of a Total Hip Arthroplasty.
MedLine Citation:
PMID:  23430718     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Dislocation or liner dissociation of a total hip prosthesis usually results in pain and discomfort. Although several reports describe chronic dislocation and its treatment, chronic liner dissociation is an unreported complication. CASE DESCRIPTION: We report an unrecognized dissociation and displacement of the liner of a total hip prosthesis after revision THA. The patient had virtually no pain or functional restrictions. The patient's only complaint was pain on the contralateral side, associated with a leg-length discrepancy. Since the patient had no complaints relative to the liner dissociation we elected not to pursue further treatment. The contralateral pain was treated successfully with a shoe lift. LITERATURE REVIEW: Chronic dislocation of a THA is a rare complication and we found reports of only seven cases in the literature. We found no reports of chronic liner dissociation. CLINICAL RELEVANCE: Orthopaedic surgeons should be aware of the possibility of this rare complication. Our case and the literature suggest treatment can be nonsurgical or surgical.
Authors:
Jorm M Nellensteijn; David R Nellensteijn; Tjitte De Jong
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-21
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Orthopedics, Spaarne Hospital, Spaarne Ziekenhuis, Spaarnepoort 1, 2134 TM, Hoofddorp, the Netherlands, jmnellensteijn@hotmail.com.
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