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The Journal of Bone and Joint Surgery (American) 83:1549-1551 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Case Report

Intraoperative Dislocation of the Trial Femoral Head into the Pelvis During Total Hip Arthroplasty

A Case Report

O. Batouk, MD, M. Gilbart, MD and R. Jain, MD, FRCSC

Investigation performed at Toronto Western Hospital, University Health Network, Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
O. Batouk, MD
M. Gilbart, MD
Division of Orthopaedic Surgery, University of Toronto, 30 Bond Street, Room 5013, Bond Wing, Toronto, ON M5B 1W8, Canada. E-mail address for O. Batouk: obatouk@hotmail.com. E-mail address for M. Gilbart: mgilbart@utoronto.ca

R. Jain, MD, FRCSC
895 Don Mills Road, Two Park Centre, Suite 108, Toronto, ON M3C 1W3, Canada

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Total hip arthroplasty has been employed successfully in the treatment of arthritic conditions of the hip1-8. Complications associated with this procedure have been discussed extensively in the literature9. We report an unusual complication of total hip arthroplasty, in which the trial femoral head became dislodged from the trial stem and migrated into the pelvis. The trial head could not be retrieved through the incision made for the total hip arthroplasty. We are unaware of any previously reported cases of intraoperative displacement of the trial femoral head into the pelvis.


   Case Report
 
An eighty-one-year-old man with a history of Paget disease involving the pelvis and hips fell and sustained a subcapital fracture of the right hip (Fig. 1). Preoperative radiographs indicated that the hip-joint space had changes consistent with degenerative arthritis; therefore, we recommended a total hip replacement.


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  		Fig. 1: Anteroposterior radiograph of the right hip, showing a subcapital fracture and . . . [Full Text of this Article]

 

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D. Alfonso, J. Idjadi, and J. G. Lamont
Retrieval of a Trial Femoral Head That Displaces into the Periacetabular Soft Tissue During Mini-Incision Total Hip Arthroplasty. A Case Report
J. Bone Joint Surg. Am., April 1, 2006; 88(4): 866 - 868.
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