Loss of Trial Femoral Head, A Rare Intraoperative Complication During Total Hip Arthroplasty: A Case Report and Literature Review
Shubham Y Dakhode1*, Ketan Naik1, Sahil Mhaisane2 and Subith S1
1Department of Othopaedics, TNMC and BYL Nair Ch. Hospital, Mumbai, India
2Department of Othopaedics, BJ Medical College and Sassoon General Hospital, Pune, India
*Corresponding Author: Shubham Y Dakhode, Department of Othopaedics, TNMC and BYL Nair Ch. Hospital, Mumbai, India.
May 19, 2022; Published: June 20, 2022
The one of the most important step while performing total hip replacement is trial reduction of implant. While dislocating or reducing trail implant the femoral trial head may disengage and migrate into the deep tissue space of the pelvis. Such a complication can be very frustrating to the surgeon and sometimes to the patient also. 70-year-old male farmer presented with right neck femur fracture. The patient was planned for total hip replacement. The trial reduction was done and the hip relocated and checked for range and stability. On performing the dislocation maneuver the trial head disengaged and migrated into the surrounding soft tissue and could not be visualized in spite of multiple attempts. The Final head was attached and the final reduction performed and the patient was closed. The trial head couldn't be detected on the portable fluoroscopy machine and immediate radiographs. A CT on the 3rd post-operative day revealed that the trial head was lying next to the iliac bone, within the pelvis. A 3, 6 and 12 month follow up of the patient showed a normal clinical examination and patient was able to walk full weight bearing.
Keywords: Trial Femoral Head; Dislocation; Total Hip Replacement
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