Closed reduction of a hip dislocation following total femoral replacement using a traction table: A case report

Abstract

Hip dislocations are relatively common complications following arthroplasties. In majority of cases closed reduction is the first option for  treating this significant complication. Regular reduction techniques place a great strain on the surgeon physically and also significant  strain on the implants. We present an easier option for closed reduction with traction table under image guidance that may be useful in  difficult cases. A 72 year old, obese lady presented with an infected distal femoral replacement and had a total femoral replacement. This  was done in two stages 12 weeks apart. An unconstrained liner was used. She suffered recurrent hip dislocations (4 episodes) afterwards  within 5 months of the surgery. Each episode was reduced successfully by closed reduction using a traction table under C arm guidance. With physiotherapy and better patient education she is currently community ambulant with a walking stick and has not dislocated in the  last 27 months. Reduction of hip dislocation especially following an arthroplasty or femoral replacement can be effected successfully  using a traction table. This can be one of the options for closed reduction of dislocation following arthroplasty.