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Case Report
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| Use of a fracture table for irreducible bipolar hemiarthroplasty dislocation: A case report | ||||||
| Chelsea S. Mathews1, Robert L. Garrison2, Regis L. Renard3 | ||||||
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1MD, PGY-3 Resident, Department of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
2MD, Assistant Professor, Department of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. 3MS, MD, Assistant Professor, Department of Orthopedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. | ||||||
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| How to cite this article |
| Mathews CS, Garrison RL, Renard RL. Use of a fracture table for irreducible bipolar hemiarthroplasty dislocation: A case report. Int J Case Rep Images 2017;8(2):138–142. |
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Abstract
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Introduction:
This article describes a case in which a fracture table was used to successfully reduce a hip dislocation which was seemingly irreducible using other common methods.
Case Report: A 53-year-old female presented to the authors' facility with pain in the right hip and an infected posterolateral hip incision. Radiographs showed a posterior dislocation of the right hip status post bipolar hemiarthroplasty. The patient was taken to the operating room and successfully closed reduced using the Allis method. The infection was eradicated with IV antibiotics and I & D. After six weeks of post reduction, the patient presented to the emergency room with another right hip dislocation. A closed reduction was attempted using the same technique as before, but it was unsuccessful. Based on the patient's chronic diagnosis (stage IV lung cancer) we chose to treat this again in a closed manner. The patient was transferred to a fracture table, and using longitudinal traction, a successful reduction was achieved. At final follow-up the patient had maintained reduction without signs or symptoms of infection. Conclusion: Use of the fracture table for hip reduction may be an option in certain selected patients. | |
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Keywords:
Bipolar, Dislocation, Hemiarthroplasty, Irreducible
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Author Contributions
Chelsea S. Mathews – 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 Robert L. Garrison II – 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 Regis L. Renard – 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 |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Chelsea S. Mathews 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. |
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