title: Drain entrapment and titanium to ceramic head deposition: two unique complications following closed reduction of a dislocated total hip arthroplasty.
abstract: Postoperative dislocation remains one of the most frequent complications following total hip replacement. In this report, a case is presented that illustrates two potential concerns with postoperative dislocation and subsequent closed reduction. The first complication presented in this report is entrapment of a closed drainage system tube in the joint space following closed reduction. The second complication, transfer of metallic debris to a ceramic femoral head from contact with an acetabular shell during closed reduction, was documented by analysis of a femoral head using scanning electron microscopy and energy dispersive x-ray spectrometry. This report emphasizes the need for the surgeon to express caution when relocating a dislocated hip, particularly when a closed drainage system is used postoperatively.
authors.affiliation: Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
authors.forename: W T
authors.initials: WT
authors.lastname: Luchetti
authors.forename: L A
authors.initials: LA
authors.lastname: Copley
authors.forename: E J
authors.initials: EJ
authors.lastname: Vresilovic
authors.forename: J
authors.initials: J
authors.lastname: Black
authors.forename: M E
authors.initials: ME
authors.lastname: Steinberg
mesh_terms: D002516:Ceramics; D004322:Drainage / Q000295:instrumentation*; D019544:Equipment Failure Analysis; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008855:Microscopy, Electron, Scanning; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D013499:Surface Properties; D014025:Titanium
chemical_list: D014025:Titanium