Wednesday, July 15, 2009
So my PA came up to me on a particularly busy day the other day and asked if I would help "pull this back in". I love putting dislocated hips back in (closed reduction), and I was ready for the whole conscious sedation thing and the satisfying 'clunk' of the prosthesis dropping back into the socket but WHOA NELLIE! This is not a hip dislocation, this is a prosthetic failure. This patient had a total hip arthroplasty done some months prior and had noticed that her right leg was shorter than her left and that it seemed to be 'going the wrong way' when she walked. The screws used to set the prosthetic portion of the joint into the acetabulum have pulled out of the very thin bone and the hip is not dislocated at all, in fact, the ball and socket seem to have a very cozy relationship! Needless to say we did not yank on this thing, but gave that call that every Orthopedist dreads... hardware failure. Ortho docs, what is the prognosis for the second swing at this thing?
Posted by 911DOC at Wednesday, July 15, 2009