Akos Zahar

Alfonso D

Arnulf Dörner

Batouk O

Berry DJ

Callaghan JJ

Daniel Kendoff

Kimberly Day

Matthias Gebauer

Mustafa Citak

Pagnano MW

Princep A

Rachbauer F

Sculco TP

Thorsten Gehrke

Till Orla Klatte

Vertelis A

Wall SJ

Ziv YB

Open Orthopaedics Journal


                    Background and Purpose:
                    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.
                
                
                    Results and interpretation:
                    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.
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The Open Orthopaedics Journal

Intrapelvic Dislocation of a Femoral Trial Head During Primary Total Hip Arthroplasty Requiring Laparotomy for Retrieval

Intrapelvic Dislocation of a Femoral Trial Head During Primary Total Hip Arthroplasty Requiring Laparotomy for Retrieval

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