title: [Total hip arthroplasty in patients with cerebral vascular event. Case report].
abstract: BACKGROUND
  Associated neurological disorders pose a challenge hip joint reconstruction. The imbalance and poor muscle tone predispose to dislocation and loosening of the prosthesis.
  
  
  METHODS
  The following is the case of a 67 years old patient with a hemorrhagic cerebral vascular event with a secondary left hemiparesis. Ten years later had a femoral neck fracture on the affected side. Initially she was treated with conservative management resulting in pain and discapacity, valued with WOMAC scale as 12 points. Two years later was treated with total hip arthroplasty with large diameter femoral head. We present the follow up of 41 months, asymptomatic, walking using a cane and a WOMAC score of 41, with no signs of radiological loosening or dislocation.
  
  
  CONCLUSIONS
  There is no experience documented in neurological disorders associated with hip diseases that requires a total hip arthroplasty. Loosening of the implants, dislocation and heterotopic ossification has been described as complications of the procedure. Large heads in total hip arthroplasty and a correct surgical technique associated with a multidisciplinary management in patients with neurological disorders offers an opportunity as a treatment in patient with hip disorders.
authors: Servicio de Reconstrucción Articular de Cadera-Rodilla, Instituto Nacional de Rehabilitación, Tlalpan, D.F. México. jvrcamacho@hotmail.com
authors: Javier
authors: J
authors: Camacho-Galindo
authors: María de los Angeles
authors: Mde L
authors: Soria-Bastida
authors: Juan Karlos
authors: JK
authors: Torres-Higuita
authors: Víctor Manuel
authors: VM
authors: Ilizaliturri-Sánchez
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D002561:Cerebrovascular Disorders / Q000150:complications; D005260:Female; D005265:Femoral Neck Fractures / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010291:Paresis / Q000150:complications / Q000209:etiology
keywords: Cerebral vascular event; hemiparesis; total hip arthroplasty