Document Detail

Severe pelvic pain and extrinsic compression of the rectum: late complication of total hip arthroplasty.
MedLine Citation:
PMID:  11484124     Owner:  NLM     Status:  MEDLINE    
Various pelvic and visceral complications have been reported resulting from total hip arthroplasty. Most of these complications are known to be related to the intrapelvic migration of the acetabular cup or the cement, or to the heat generated by polymerization of the methylmethacrylate. Complications involving almost every pelvic structure have been described. We report a case of progressive limb shortening and severe pelvic pain beginning 6 months after total hip arthroplasty. To close the acetabular defect after removal of the displaced acetabular component, we used a modified extraperitoneal approach adapted from Stoppa's technique, which is commonly used for inguinal, femoral, and obturator hernias. In this article, we aim to describe this modified extraperitoneal approach and to offer advice for the diagnosis and treatment of this serious complication.
Y Tomak; B Gulman; Z Malazgirt; T N Karaismailoglu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  6     ISSN:  0949-2658     ISO Abbreviation:  J Orthop Sci     Publication Date:  2001  
Date Detail:
Created Date:  2001-08-02     Completed Date:  2001-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  282-5     Citation Subset:  IM    
Ondokuz Mayis University, Faculty of Medicine, Department of Orthopaedics and Trauma Surgery, 55139 Kurupelit, Samsun, Turkey.
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MeSH Terms
Arthroplasty, Replacement, Hip / adverse effects*
Device Removal
Foreign-Body Migration / complications*
Middle Aged
Osteoarthritis, Hip / surgery
Pelvic Pain / etiology*
Rectal Diseases / etiology*
Time Factors

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