Reconstruction of the iliofemoral ligament with an artificial ligament for recurrent anterior dislocation of total hip arthroplasty

An 86-year-old woman underwent 4 revisions of hip arthroplasty and showed good position of both acetabular and femoral components. This was confirmed by roentgenographic measurements in the prone position. However, poor anterior acetabular covering after posterior inclination of the pelvis associate...

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Bibliographic Details
Published in:The Journal of arthroplasty 2003-06, Vol.18 (4), p.524-527
Main Authors: Fujishiro, Takaaki, Nishikawa, Tetsuo, Takikawa, Satoshi, Saegusa, Yasuhiro, Yoshiya, Shinichi, Kurosaka, Masahiro
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - adverse effects
artificial ligament
Female
Hip Dislocation - diagnostic imaging
Hip Dislocation - etiology
Hip Dislocation - surgery
Humans
iliofemoral ligament
Kyphosis - diagnostic imaging
Kyphosis - etiology
Kyphosis - surgery
Ligaments, Articular - surgery
Prosthesis Failure
Radiography
reconstruction
recurrent dislocation
Reoperation
total hip arthroplasty
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Description
Summary:An 86-year-old woman underwent 4 revisions of hip arthroplasty and showed good position of both acetabular and femoral components. This was confirmed by roentgenographic measurements in the prone position. However, poor anterior acetabular covering after posterior inclination of the pelvis associated with lumbar kyphosis was observed in the standing position. Therefore, we reconstructed the iliofemoral ligament using a Leeds-Keio ligament to prevent anterior dislocation. At the 12-month follow-up evaluation, hip stability was confirmed, and the hip showed no further dislocation.
ISSN:0883-5403
1532-8406
DOI:10.1016/S0883-5403(03)00073-1