Arthroscopic treatment of unstable total hip replacement.
Hip arthroscopy may be useful in the diagnosis and treatment of apparently well-implanted but unstable total hip replacement prostheses. We present 2 cases of arthroscopically assisted capsular tightening in unstable total hip replacements. Both cases had significant capsular laxity. Case 2 had impingement of the lower part of the acetabulum with the lesser trochanter that caused hip dislocation. Early revision surgery can be avoided with the use of this technique in selected cases of unstable total hip replacements.
Department of Traumatology and Orthopaedic Surgery, Donostia University Hospital, and Department of Traumatology and Orthopaedic Surgery, Quiron Hospital, San Sebastián, Spain.
Ricardo
R
Cuéllar
Iñaki
I
Aguinaga
Irene
I
Corcuera
Juan
J
Ponte
Jaime
J
Usabiaga
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D001182:Arthroscopy / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D006617:Hip Dislocation / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D006801:Humans; D017746:Joint Capsule / Q000601:surgery; D007593:Joint Instability / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation / Q000379:methods*; D013536:Suture Techniques