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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2001, Number 5

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Acta Ortop Mex 2001; 15 (5)

False via of long evolution in hip prosthetic surgery

García JJD, García HA, Rosas PC
Full text How to cite this article

Language: Spanish
References: 6
Page: 241-244
PDF size: 43.80 Kb.


Key words:

prosthesis, hip, transoperative complications.

ABSTRACT

Objective. To stress on the importance of the proper technique for complications as fracture or cortical penetration of the femur, which appears in 0 to 4.45% in literature. Material and methods. Two cases in whom femoral stem penetrated in one through the posterior cortex of the femur and in the other through the medial one are reported. Results. Diagnostic transoperative isolated radiological projection misillustrated an inadequate positioning of the prosthesis. Either cemented or not, once the prosthesis stable, malpositioning can be absorbed by subclinical compensation in flexion (or other hip attitude) according to the malorientation of the prosthetic head. Conclusion. Proper surgical and radiological techniques must be applied for avoiding malpositioning of prosthesis. Otherwise, revision can be indicated.


REFERENCES

  1. Bregstrom B, Linberg L, Persson B: Complications after total hip arthroplasty to Charnley in Swedish series of cases. Clin Orthop Rel Res 1993; 95: 91-3.

  2. Brian F, Kavanagh MB: Femoral fractures associated with total hip arthroplasty. Orthop Clin North Am 1992; 23(2): 249-57.

  3. Epss CH: Complications in orthopedics surgery. Primera edición. Philadelphia: JB Lippincott Co. 1978: 915-6.

  4. Ling RS: Complicaciones de las artroplastías totales de cadera, complicaciones sistémicas y diversas en el lado femoral. Primera edición. España: Editorial Salvat; 1987: 217-9.

  5. Steinberg ME: La cadera, diagnóstico y tratamiento de su patología. Primera edición. España: Editorial Médica Panamericana; 1993: 1108-30.

  6. Talab Y, States JD, Evarts DM: Femoral shaft perforation: A complication of total hip reconstruction. Clin Orthop Rel Res 1979; 141: 158-61.




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C?MO CITAR (Vancouver)

Acta Ortop Mex. 2001 Sep-Oct;15