title: Intrapelvic dislocation of a femoral trial head during primary total hip arthroplasty requiring laparotomy for retrieval.
abstract: OBJECTIVE
  Total hip arthroplasty (THA) is a safe and reliable surgical procedure. However, THA also has intra- and postoperative complications. A dreaded and frustrating intraoperative complication during total hip arthroplasty is dislocation of the femoral trial head from the neck into the pelvis.
  
  
  METHODS
  Here, we report on the case of a 71-year old female patient with osteoarthritis of the left hip. Total hip arthroplasty was performed in a lateral position through a standard posterior approach. During intraoperative trial reduction, the femoral trial head dissociated from the taper and dislocated into the psoas compartment. Several unsuccessful attempts, including an additional ventral approach, were made to immediately retrieve the femoral trial head.
  
  
  CONCLUSIONS
  Postoperative a Computerized Tomography (CT) was performed to locate the trial head, a secondary explorative laparotomy was undertaken to retrieve it. The retrieval of the femoral trial head should be performed in a planned second surgical procedure to avoid possible complications during the manipulation necessary for retrieval.
authors.affiliation: Helios Endo-Klinik Hamburg, Department of Orthopaedic Surgery, Hamburg, Germany.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Citak
authors.forename: Till Orla
authors.initials: TO
authors.lastname: Klatte
authors.forename: Akos
authors.initials: A
authors.lastname: Zahar
authors.forename: Kimberly
authors.initials: K
authors.lastname: Day
authors.forename: Daniel
authors.initials: D
authors.lastname: Kendoff
authors.forename: Thorsten
authors.initials: T
authors.lastname: Gehrke
authors.forename: Arnulf
authors.initials: A
authors.lastname: Dörner
authors.forename: Matthias
authors.initials: M
authors.lastname: Gebauer
keywords: Complication; femoral trial head; laparotomy; retrieval; total hip arthroplasty; total hip replacement.