Arthroscopic treatment of unstable total hip replacement

Arthroscopy. 2010 Jun;26(6):861-5. doi: 10.1016/j.arthro.2009.11.013. Epub 2010 May 5.

Abstract

Hip arthroscopy may be useful in the diagnosis and treatment of apparently well-implanted but unstable total hip replacement prostheses. We present 2 cases of arthroscopically assisted capsular tightening in unstable total hip replacements. Both cases had significant capsular laxity. Case 2 had impingement of the lower part of the acetabulum with the lesser trochanter that caused hip dislocation. Early revision surgery can be avoided with the use of this technique in selected cases of unstable total hip replacements.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Hip*
  • Arthroscopy / methods*
  • Combined Modality Therapy
  • Female
  • Hip Dislocation / etiology
  • Hip Dislocation / surgery*
  • Hip Dislocation / therapy
  • Humans
  • Joint Capsule / surgery
  • Joint Instability / etiology
  • Joint Instability / surgery*
  • Joint Instability / therapy
  • Male
  • Manipulation, Orthopedic
  • Middle Aged
  • Physical Therapy Modalities
  • Postoperative Complications / surgery*
  • Reoperation / methods*
  • Suture Techniques*