Case Report
 
Late polyethylene liner dissociation after cement-free hip joint replacement: A case report
Ghassan Almaimani1, Christoph Schreyer2
1MBBS, Resident, Department of Surgery, Main-Kinzig-Clinics, Schlüchtern, Germany.
2Doctorate, Consultant Orthopedic Surgeon, Head of Department, Main-Kinzig-Clinics, Schlüchtern, Germany.

Article ID: Z01201612CR10734GA
doi:10.5348/ijcri-2016146-CR-10734

Address correspondence to:
Ghassan Almaimani
Weinbergstr. 6a, Gelnhausen
Germany, 63571

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How to cite this article
Almaimani G, Schreyer C. Late polyethylene liner dissociation after cement-free hip joint replacement: A case report. Int J Case Rep Images 2016;7(12):832–835.


Abstract
Introduction: Total hip arthroplasty is one of the most successful orthopedic procedures, but its complications can be very challenging for both patient and surgeon. One rare but serious complication is polyethylene liner dissociation.
Case Report: Here we report a case of 67-year-old male who presented with hip pain after bending forward. Polyethylene liner dissociation was found at urgent revision surgery that was not diagnosable by imaging alone.
Conclusion: Polyethylene liner dissociation needs to be considered alongside infection and aseptic loosening in all cases of late-onset pain following total hip arthroplasty. Surgeons and radiologists need to be aware of the condition and some diagnostic features.

Keywords: Arthroplasty, Hip, Joint replacement, Polyethylene liner dissociation


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Author Contributions
Ghassan Almaimani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Christoph Schreyer – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Ghassan Almaimani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Ghassan Almaimani is a Teaching Assistant at Department of Surgery, Umm Al-Qura University. He is currently a senior resident at Department of Surgery, Main-Kinzig-Clinics, Germany. His area of interest include surgical education, General Surgery and Trauma Surgery. He has published more than 10 research papers. He intends to pursue a fellowship in Trauma Surgery after completing his residency.



Christoph Schreyer is Head of Surgical Department at Main-Kinzig-Clinics, Schlüchtern, Germany. His area of interest include primary hip and knee replacement.