Top

Published in:

01-08-2016 | Review

Intra-pelvic migration of femoral head trial in total hip arthroplasty, a rare intra-operative complication: a systematic literature review

Authors: S. Abouel-Enin, H. Fraig, J. Griffiths, J. Latham

Published in: MUSCULOSKELETAL SURGERY | Issue 2/2016

Abstract

Trial reduction while performing total hip replacement is an essential step of the procedure. This is to check the stability of the hip joint with the selected implant sizes and to assess the leg length to avoid discrepancy. Disengagement of the femoral head trial from the femoral rasp stem with subsequent migration of the trial head into the pelvic cavity is a rare occurrence, but can be a very frustrating complication to both the surgeon and occasionally the patient. We present our experience with this exceptional situation and different management options, together with systematic review of the literature.

Available only for authorised users

Ikeuchi K et al (2014) Intraoperative migration of the trial femoral head into the pelvis during total hip arthroplasty. Nagoya J Med Sci 76:203–210PubMedPubMedCentral

Plate JF et al (2014) Anterior intrapelvic migration of femoral trial head requiring secondary surgical approach for retrieval. J Surg Orthop Adv 23(2):115–118CrossRefPubMed

Citak M et al (2013) Intrapelvic dislocation of a femoral trial head during primary total hip arthroplasty requiring laparotomy for retrieval. Open Orthop J 7:169–171CrossRefPubMedPubMedCentral

Sandiford N, Jack CM et al (2012) The surgical anatomy of intra-abdominal prosthetic dislocation during hip arthroplasty. Hip Int 22(2):184–188CrossRefPubMed

Madsen WY et al (2012) Successful intraoperative retrieval of dislocated femoral trial head during total hip arthroplasty. J Arthroplasty 27(5):820.e9-11CrossRefPubMed

Hamoui M et al (2012) Pitfall in total hip arthroplasty: intraoperative migration of the trial femoral head through the iliopsoas muscle. Eur J Orthop Surg Traumatol 22(8):713–716CrossRef

Kalra K et al (2011) Intrapelvic displacement of a trial femoral head during total hip arthroplasty and a method to retrieve it. J Arthroplasty 26(2):338.e21-3CrossRefPubMed

Vertelis A et al (2008) Case report. Trial femoral head loss into the soft tissues of pelvis during primary total hip replacement: a case report. Cases J 1:151CrossRefPubMedPubMedCentral

Ziv YB et al (2008) Intraoperative dislocation of a trial femoral head into the pelvis during total hip arthroplasty. Can J Surg 51(3):E73-4PubMed

10.

Ozkan K et al (2008) Intraoperative dislocation of the prosthetic femoral head into the pelvis during total hip arthroplasty. Acta Orthop Belg 74:553–555PubMed

11.

Alfonso D et al (2006) Retrieval of a trial femoral head that displaces into the periacetabular soft tissue during mini-incision total hip arthroplasty. A Case Report. JBJS 88A(4):866–868CrossRef

12.

Callaghan JJ et al (2006) Intrapelvic migration of the trial femoral head during total hip arthroplasty: is retrieval necessary? Areport of four cases. Iowa Orthop J 26:60-2PubMed

13.

Princep A (2002) Intraoperative migration of the trial femoral head into the pelvis during total hip arthroplasty. Prevention and retrieval. Letter to the editor. J Bone Joint Surg 84-A:880–881PubMed

14.

Rachbauer F et al (2002) Intraoperative migration of the trial femoral head into the pelvis during total hip arthroplasty: prevention and retrieval. Letter to the editor. Bone and Joint Surg 84:881–882

15.

Batouk O et al (2001) Intraoperative dislocation of the trial femoral head into the pelvis during total hip arthroplasty. A Case Report. JBJS 83:1549–1551

16.

Lamo-Espinosa J et al (2015) Clinical and radiological short-term complications after single-stage bilateral uncemented total hip arthroplasty. Musculoskelet Surg 99(1):67–73CrossRefPubMed

Title: Intra-pelvic migration of femoral head trial in total hip arthroplasty, a rare intra-operative complication: a systematic literature review
Authors: S. Abouel-Enin
H. Fraig
J. Griffiths
J. Latham
Publication date: 01-08-2016
Publisher: Springer Milan
Published in: MUSCULOSKELETAL SURGERY / Issue 2/2016
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-016-0403-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Intra-pelvic migration of femoral head trial in total hip arthroplasty, a rare intra-operative complication: a systematic literature review

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2016

Survival evaluation of the patients with diabetic major lower-extremity amputations

The effect of deltoid lengthening on functional outcome for reverse shoulder arthroplasty

The biphasic bioresorbable scaffold (Trufit®) in the osteochondral knee lesions: long-term clinical and MRI assessment in 30 patients

Aetiology of lateral progression of arthritis following Oxford medial unicompartmental knee replacement: a case–control study

Structural allograft reconstruction of the foot and ankle after tumor resections

Biomechanical evaluation of medial patello-femoral ligament reconstruction: comparison between a double-bundle converging tunnels technique versus a single-bundle technique