An unreported cause of early postoperative dislocation following total hip revision: Massive intra-capsular oedema related to inferior vena cava filter thrombosis

Summary Inferior vena cava (IVC) filters are widely used to prevent pulmonary embolism (PE) in patients with an absolute or relative contraindication for anticoagulants, during the peri-operative period of trauma or total joint replacement. No complication specific to the orthopaedic's aspect o...

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Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2013-05, Vol.99 (3), p.367-370
Main Authors: Langlois, J, Nich, C, Courpied, J.-P, Hamadouche, M
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip
Edema - complications
Hip dislocation
Humans
Inferior vena cava filter
Joint Capsule - pathology
Joint Dislocations - etiology
Male
Middle Aged
Orthopedics
Postoperative Complications
Pulmonary Embolism - prevention & control
Surgery
Tomography, X-Ray Computed
Total hip replacement
Vena Cava Filters - adverse effects
Venous Thrombosis - etiology
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Summary:Summary Inferior vena cava (IVC) filters are widely used to prevent pulmonary embolism (PE) in patients with an absolute or relative contraindication for anticoagulants, during the peri-operative period of trauma or total joint replacement. No complication specific to the orthopaedic's aspect of this practice has been described. We report the case of a patient who had major femoral head/cup separation mimicking dislocation following revision total hip arthroplasty related to massive intra-capsular oedema produced by IVC filter thrombosis. The patient could be successfully treated non-operatively. Orthopaedic surgeons should identify and refer patients with a complicated IVC filter, to identify any migration or occlusion, and also be aware that removable filters must not be kept in situ, once the high-risk phase of developing PE is past.
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2012.10.015