Advertisement

Arthroscopic Treatment of Unstable Total Hip Replacement

  • Ricardo Cuéllar
    Correspondence
    Address correspondence and reprint requests to Ricardo Cuéllar, M.D., Ph.D., Department of Traumatology and Orthopaedic Surgery, Donostia University Hospital, Po Dr Beguiristain, s/n 20014 San Sebastián, Spain
    Affiliations
    Department of Traumatology and Orthopaedic Surgery, Donostia University Hospital, and Department of Traumatology and Orthopaedic Surgery, Quiron Hospital, San Sebastián, Spain
    Search for articles by this author
  • Iñaki Aguinaga
    Affiliations
    Department of Traumatology and Orthopaedic Surgery, Donostia University Hospital, and Department of Traumatology and Orthopaedic Surgery, Quiron Hospital, San Sebastián, Spain
    Search for articles by this author
  • Irene Corcuera
    Affiliations
    Department of Traumatology and Orthopaedic Surgery, Donostia University Hospital, and Department of Traumatology and Orthopaedic Surgery, Quiron Hospital, San Sebastián, Spain
    Search for articles by this author
  • Juan Ponte
    Affiliations
    Department of Traumatology and Orthopaedic Surgery, Donostia University Hospital, and Department of Traumatology and Orthopaedic Surgery, Quiron Hospital, San Sebastián, Spain
    Search for articles by this author
  • Jaime Usabiaga
    Affiliations
    Department of Traumatology and Orthopaedic Surgery, Donostia University Hospital, and Department of Traumatology and Orthopaedic Surgery, Quiron Hospital, San Sebastián, Spain
    Search for articles by this author

      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.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Arthroscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Johnston T.L.
        • Schenker M.L.
        • Briggs K.K.
        • Philippon M.J.
        Relationship between offset angle alpha and hip chondral injury in femoroacetabular impingement.
        Arthroscopy. 2008; 24: 669-675
        • Kelly B.T.
        • Williams III, R.J.
        • Philippon M.J.
        Hip arthroscopy: Current indications, treatment options, and management issues.
        Am J Sports Med. 2003; 31: 1020-1037
        • Larson C.M.
        • Guanche C.A.
        • Kelly B.T.
        • Clohisy J.C.
        • Ranawat A.S.
        Advanced techniques in hip arthroscopy.
        Instr Course Lect. 2009; 58: 423-436
        • Lubowitz J.H.
        • Poehling G.G.
        Hip arthroscopy: An emerging gold standard.
        Arthroscopy. 2006; 22: 1257-1259
        • Philippon M.J.
        • Stubbs A.J.
        • Schenker M.L.
        • Maxwell R.B.
        • Ganz R.
        • Leunig M.
        Arthroscopic management of femoroacetabular impingement: Osteoplasty technique and literature review.
        Am J Sports Med. 2007; 35: 1571-1580
        • Byrd J.W.T.
        Hip arthroscopy: Surgical indications.
        Arthroscopy. 2006; 22: 1260-1262
        • Byrd J.W.T.
        • Jones K.S.
        Hip arthroscopy for labral pathology: Prospective analysis with 10-year follow-up.
        Arthroscopy. 2009; 25: 365-368
        • Larson C.M.
        • Giveans M.R.
        Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement.
        Arthroscopy. 2009; 25: 369-376
        • Philippon M.J.
        • Schenker M.L.
        • Briggs K.
        • Kuppersmith D.
        Femoroacetabular impingement in 45 professional athletes: Associated pathologies and return to sport following arthroscopic decompression.
        Knee Surg Sports Traumatol Arthrosc. 2007; 15: 908-914
        • Diulus C.A.
        • Krebs V.E.
        • Hanna G.
        • Barsoum W.K.
        Hip arthroscopy: Technique and indications.
        J Arthroplasty. 2006; 21: S68-S73
        • McCarthy J.C.
        • Lee J.A.
        Hip arthroscopy: Indications and technical pearls.
        Clin Orthop Relat Res. 2005; 441: 180-187
        • McCarthy J.C.
        • Jibodh S.R.
        • Lee J.A.
        The role of arthroscopy in evaluation of painful hip arthroplasty.
        Clin Orthop Relat Res. 2009; 467: 174-180
        • Shifrin L.Z.
        • Reis N.D.
        Arthroscopy of a dislocated hip replacement: A case report.
        Clin Orthop Relat Res. 1980; : 213-214
        • Vakili F.
        • Salvati E.A.
        • Warren R.F.
        Entrapped foreign body within the acetabular cup in total hip replacement.
        Clin Orthop Relat Res. 1980; : 159-162
        • Hyman J.L.
        • Salvati E.A.
        • Laurencin C.T.
        • Rogers D.E.
        • Maynard M.
        • Brause B.D.
        The arthroscopic drainage, irrigation, and debridement of late, acute total hip arthroplasty infections.
        J Arthroplasty. 1999; 14: 903-910
        • Khanduja V.
        • Villar R.N.
        The role of arthroscopy in resurfacing arthroplasty of the hip.
        Arthroscopy. 2008; 24: 122.e1-122.e3
        • Bond J.L.
        • Knutson Z.A.
        • Ebert A.
        • Guanche C.A.
        The 23-point arthroscopic examination of the hip: Basic setup, portal placement, and surgical technique.
        Arthroscopy. 2009; 25: 416-429
        • Dienst M.
        • Gödde S.
        • Seil R.
        • Hammer D.
        • Kohn D.
        Hip arthroscopy without traction: In vivo anatomy of the peripheral hip joint cavity.
        Arthroscopy. 2001; 17: 924-931
        • Bocell J.R.
        • Thorpe C.D.
        • Tullos H.S.
        Arthroscopic treatment of symptomatic total knee arthroplasty.
        Clin Orthop Relat Res. 1991; : 125-134
        • Johnson D.R.
        • Friedman R.J.
        • McGinty J.B.
        • Mason J.L.
        • St Mary E.W.
        The role of arthroscopy in the problem total knee replacement.
        Arthroscopy. 1990; 6: 30-32
        • Scranton Jr, P.E.
        Management of knee pain after total knee arthroplasty.
        J Arthroplasty. 2001; 16 (248–235)
        • Wasilewski S.A.
        • Frankl U.
        Arthroscopy of the painful dysfunctional total knee replacement.
        Arthroscopy. 1989; 5: 294-297
        • Hamilton W.G.
        • McAuley J.P.
        Evaluation of the unstable total hip arthroplasty.
        Instr Course Lect. 2004; 53: 87-92
        • Bozic K.J.
        • Kurtz S.M.
        • Lau E.
        • Ong K.
        • Vail T.P.
        • Berry D.J.
        The epidemiology of revision total hip arthroplasty in the United States.
        J Bone Joint Surg Am. 2009; 91: 128-133
        • Macaulay W.
        • Saleh K.
        • Parvizi J.
        Total hip arthroplasty dislocation: Prevention and management: Editorial comment.
        Clin Orthop Relat Res. 2006; 447: 2-3
        • Pulido L.
        • Restrepo C.
        • Parvizi J.
        Late instability following total hip arthroplasty.
        Clin Med Res. 2007; 5: 139-142
        • Philippon M.J.
        • Schenker M.L.
        Athletic hip injuries and capsular laxity.
        Oper Tech Orthop. 2005; 15: 261-266
        • Philippon M.J.
        • Zehms C.T.
        • Briggs K.K.
        • Manchester D.J.
        • Kuppersmith D.A.
        Hip instability in the athlete.
        Oper Tech Sports Med. 2007; 15: 189-194
        • Shindle M.K.
        • Ranawat A.S.
        • Kelly D.T.
        Diagnosis and management of traumatic and atraumatic hip instability in the athletic patient.
        Clin Sports Med. 2006; 25: 309-326
        • Tibor L.M.
        • Sekiya J.K.
        Differential diagnosis of pain around the hip joint.
        Arthroscopy. 2008; 24: 1407-1421
        • Philippon M.J.
        The role of arthroscopic thermal capsulorrhaphy in the hip.
        Clin Sports Med. 2001; 20: 817-829
        • Brown T.
        • Callaghan J.J.
        Impingement in total hip replacement: Mechanism and consequences.
        Curr Orthop. 2008; 22: 376-391
        • Malik A.
        • Maheshwari A.
        • Dorr L.D.
        Impingement with total hip replacement.
        J Bone Joint Surg Am. 2007; 89: 1832-1842