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 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.
Fujishiro
Takaaki
T
Department of Orthopaedic Surgery, Kobe University School of Medicine, Kobe, Japan.
Nishikawa
Tetsuo
T
Takikawa
Satoshi
S
Saegusa
Yasuhiro
Y
Yoshiya
Shinichi
S
Kurosaka
Masahiro
M
D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery*; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation