Drain entrapment and titanium to ceramic head deposition
Postoperative dislocation remains one of the most frequent complications following total hip replacement. In this report, a case is presented that illustrates two potential concerns with postoperative dislocation and subsequent closed reduction. The first complication presented in this report is ent...
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Published in: | The Journal of arthroplasty Vol. 13; no. 6; pp. 713 - 717 |
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Main Authors: | , , , , |
Format: | Journal Article |
Language: | English |
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Elsevier Inc
01-09-1998
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Abstract | Postoperative dislocation remains one of the most frequent complications following total hip replacement. In this report, a case is presented that illustrates two potential concerns with postoperative dislocation and subsequent closed reduction. The first complication presented in this report is entrapment of a closed drainage system tube in the joint space following closed reduction. The second complication, transfer of metallic debris to a ceramic femoral head from contact with an acetabular shell during closed reduction, was documented by analysis of a femoral head using scanning electron microscopy and energy dispersive x-ray spectrometry. This report emphasizes the need for the surgeon to express caution when relocating a dislocated hip, particularly when a closed drainage system is used postoperatively. |
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AbstractList | Postoperative dislocation remains one of the most frequent complications following total hip replacement. In this report, a case is presented that illustrates two potential concerns with postoperative dislocation and subsequent closed reduction. The first complication presented in this report is entrapment of a closed drainage system tube in the joint space following closed reduction. The second complication, transfer of metallic debris to a ceramic femoral head from contact with an acetabular shell during closed reduction, was documented by analysis of a femoral head using scanning electron microscopy and energy dispersive x-ray spectrometry. This report emphasizes the need for the surgeon to express caution when relocating a dislocated hip, particularly when a closed drainage system is used postoperatively. |
Author | Copley, Lawson A. Steinberg, Marvin E. Luchetti, Wayne T. Vresilovic, Edward J. Black, Jonathan |
Author_xml | – sequence: 1 givenname: Wayne T. surname: Luchetti fullname: Luchetti, Wayne T. – sequence: 2 givenname: Lawson A. surname: Copley fullname: Copley, Lawson A. – sequence: 3 givenname: Edward J. surname: Vresilovic fullname: Vresilovic, Edward J. – sequence: 4 givenname: Jonathan surname: Black fullname: Black, Jonathan – sequence: 5 givenname: Marvin E. surname: Steinberg fullname: Steinberg, Marvin E. |
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Cites_doi | 10.1016/S0030-5898(20)31734-X 10.2106/00004623-199402000-00002 10.2106/00004623-198870030-00005 10.1097/00003086-198305000-00015 10.2214/ajr.149.5.971 10.2106/00004623-198264090-00004 10.1007/BF00379748 10.2106/00004623-197557070-00017 10.2106/00004623-198971090-00009 |
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Keywords | total hip arthroplasty femoral head drainage tube closed reduction titanium |
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References | Morrey (bib1) 1992; 23 Woo, Morrey (bib3) 1982; 64 Nolan, Fitzgerald, Beckenbaugh (bib2) 1975; 57 Kelman, Roofeh (bib4) 1989; 4 Kim, Junji, Rubash (bib6) 1994; 76 Revell, Weightman, Freeman, Vernon-Roberts (bib8) 1978; 91 Glant, Jacobs, Molnar, Galante (bib10) 1991; 15 Linder, Lindberg, Carlsson (bib7) 1983; 175 Black (bib5) 1991 Larson, Zindrick, Schwartz, Demos (bib13) 1987; 149 Lombardi, Mallory, Vaughn (bib11) 1989; 71 Agins, Alcock, Bansal (bib9) 1988; 70 Zeide, Robbins (bib12) 1975; 36 Kelman (10.1016/S0883-5403(98)80018-1_bib4) 1989; 4 Black (10.1016/S0883-5403(98)80018-1_bib5) 1991 Morrey (10.1016/S0883-5403(98)80018-1_bib1) 1992; 23 Kim (10.1016/S0883-5403(98)80018-1_bib6) 1994; 76 Linder (10.1016/S0883-5403(98)80018-1_bib7) 1983; 175 Zeide (10.1016/S0883-5403(98)80018-1_bib12) 1975; 36 Glant (10.1016/S0883-5403(98)80018-1_bib10) 1991; 15 Revell (10.1016/S0883-5403(98)80018-1_bib8) 1978; 91 Agins (10.1016/S0883-5403(98)80018-1_bib9) 1988; 70 Nolan (10.1016/S0883-5403(98)80018-1_bib2) 1975; 57 Lombardi (10.1016/S0883-5403(98)80018-1_bib11) 1989; 71 Woo (10.1016/S0883-5403(98)80018-1_bib3) 1982; 64 Larson (10.1016/S0883-5403(98)80018-1_bib13) 1987; 149 |
References_xml | – volume: 175 start-page: 93 year: 1983 ident: bib7 article-title: Aseptic loosening of hip prosthesis: a histologic and enzyme histochemical study publication-title: Clin Orthop contributor: fullname: Carlsson – start-page: 110 year: 1991 ident: bib5 article-title: Biological performance of materials: fundamentals of biocompatibility contributor: fullname: Black – volume: 76 start-page: 172 year: 1994 ident: bib6 article-title: In vivo and in vitro analysis of membranes from hip prostheses inserted without cement publication-title: J Bone Joint Surg contributor: fullname: Rubash – volume: 4 start-page: 68 year: 1989 ident: bib4 article-title: Entrapment of a drainage tube after total hip arthroplasty publication-title: Complications Orthop contributor: fullname: Roofeh – volume: 91 start-page: 167 year: 1978 ident: bib8 article-title: The production and biology of polyethylene wear debris publication-title: Arch Orthop Trauma Surg contributor: fullname: Vernon-Roberts – volume: 70 start-page: 347 year: 1988 ident: bib9 article-title: Metallic wear in failed titanium-alloy total Hip replacements publication-title: J Bone Joint Surg [Am] contributor: fullname: Bansal – volume: 71 start-page: 1337 year: 1989 ident: bib11 article-title: Aseptic loosening in total hip arthroplasty secondary to osteolysis induced by wear debris from titanium-alloy modular femoral heads publication-title: J Bone Joint Surg [Am] contributor: fullname: Vaughn – volume: 149 start-page: 971 year: 1987 ident: bib13 article-title: Postoperative dislocation of a total hip prosthesis due to a surgical drain publication-title: AJR contributor: fullname: Demos – volume: 23 start-page: 237 year: 1992 ident: bib1 article-title: Instability after total hip arthroplasty publication-title: Orthop Clin North Am contributor: fullname: Morrey – volume: 15 start-page: 540 year: 1991 ident: bib10 article-title: Particulate titanium induced bone resorption in organ culture publication-title: Orthop Trans contributor: fullname: Galante – volume: 36 start-page: 163 year: 1975 ident: bib12 article-title: Retained wound suction-drain fragment publication-title: Bull Hosp Joint Dis contributor: fullname: Robbins – volume: 57 start-page: 977 year: 1975 ident: bib2 article-title: Complications of total hip arthroplasty treated by reoperation publication-title: J Bone Joint Surg [Am] contributor: fullname: Beckenbaugh – volume: 64 start-page: 1295 year: 1982 ident: bib3 article-title: Dislocations after total hip arthroplasty publication-title: J Bone Joint Surg [Am] contributor: fullname: Morrey – start-page: 110 year: 1991 ident: 10.1016/S0883-5403(98)80018-1_bib5 article-title: Biological performance of materials: fundamentals of biocompatibility contributor: fullname: Black – volume: 23 start-page: 237 year: 1992 ident: 10.1016/S0883-5403(98)80018-1_bib1 article-title: Instability after total hip arthroplasty publication-title: Orthop Clin North Am doi: 10.1016/S0030-5898(20)31734-X contributor: fullname: Morrey – volume: 76 start-page: 172 year: 1994 ident: 10.1016/S0883-5403(98)80018-1_bib6 article-title: In vivo and in vitro analysis of membranes from hip prostheses inserted without cement publication-title: J Bone Joint Surg doi: 10.2106/00004623-199402000-00002 contributor: fullname: Kim – volume: 70 start-page: 347 year: 1988 ident: 10.1016/S0883-5403(98)80018-1_bib9 article-title: Metallic wear in failed titanium-alloy total Hip replacements publication-title: J Bone Joint Surg [Am] doi: 10.2106/00004623-198870030-00005 contributor: fullname: Agins – volume: 175 start-page: 93 year: 1983 ident: 10.1016/S0883-5403(98)80018-1_bib7 article-title: Aseptic loosening of hip prosthesis: a histologic and enzyme histochemical study publication-title: Clin Orthop doi: 10.1097/00003086-198305000-00015 contributor: fullname: Linder – volume: 4 start-page: 68 year: 1989 ident: 10.1016/S0883-5403(98)80018-1_bib4 article-title: Entrapment of a drainage tube after total hip arthroplasty publication-title: Complications Orthop contributor: fullname: Kelman – volume: 149 start-page: 971 year: 1987 ident: 10.1016/S0883-5403(98)80018-1_bib13 article-title: Postoperative dislocation of a total hip prosthesis due to a surgical drain publication-title: AJR doi: 10.2214/ajr.149.5.971 contributor: fullname: Larson – volume: 15 start-page: 540 year: 1991 ident: 10.1016/S0883-5403(98)80018-1_bib10 article-title: Particulate titanium induced bone resorption in organ culture publication-title: Orthop Trans contributor: fullname: Glant – volume: 36 start-page: 163 year: 1975 ident: 10.1016/S0883-5403(98)80018-1_bib12 article-title: Retained wound suction-drain fragment publication-title: Bull Hosp Joint Dis contributor: fullname: Zeide – volume: 64 start-page: 1295 year: 1982 ident: 10.1016/S0883-5403(98)80018-1_bib3 article-title: Dislocations after total hip arthroplasty publication-title: J Bone Joint Surg [Am] doi: 10.2106/00004623-198264090-00004 contributor: fullname: Woo – volume: 91 start-page: 167 year: 1978 ident: 10.1016/S0883-5403(98)80018-1_bib8 article-title: The production and biology of polyethylene wear debris publication-title: Arch Orthop Trauma Surg doi: 10.1007/BF00379748 contributor: fullname: Revell – volume: 57 start-page: 977 year: 1975 ident: 10.1016/S0883-5403(98)80018-1_bib2 article-title: Complications of total hip arthroplasty treated by reoperation publication-title: J Bone Joint Surg [Am] doi: 10.2106/00004623-197557070-00017 contributor: fullname: Nolan – volume: 71 start-page: 1337 year: 1989 ident: 10.1016/S0883-5403(98)80018-1_bib11 article-title: Aseptic loosening in total hip arthroplasty secondary to osteolysis induced by wear debris from titanium-alloy modular femoral heads publication-title: J Bone Joint Surg [Am] doi: 10.2106/00004623-198971090-00009 contributor: fullname: Lombardi |
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Snippet | Postoperative dislocation remains one of the most frequent complications following total hip replacement. In this report, a case is presented that illustrates... |
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SubjectTerms | closed reduction drainage tube femoral head titanium total hip arthroplasty |
Title | Drain entrapment and titanium to ceramic head deposition |
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