tailieunhanh - Báo cáo y học: " Flexion reminder device to discourage recurrent posterior dislocation of a total hip replacement: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Flexion reminder device to discourage recurrent posterior dislocation of a total hip replacement: a case report | Journal of Medical Case Reports BioMed Central Case report Flexion reminder device to discourage recurrent posterior dislocation of a total hip replacement a case report King Wong Manoj Sivan and Gordon Matthews Open Access Address Department of Orthopaedics Wycombe General Hospital High Wycombe Buckinghamshire UK Email King Wong - kinghwong@ ManojSivan - drmanojsivan@ Gordon Matthews - mgm@ Corresponding author Published 25 July 2008 Received 29 September 2007 Journal of Medical Case Reports 2008 2 250 doi 1752-1947-2-250 Accepted 25 July 2008 This article is available from http content 2 1 250 2008 Wong et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Recurrent dislocation of a total hip replacement prosthesis is a frustrating complication for both the surgeon and the patient. For positional dislocations with no indications for revision surgery the current best treatment is physiotherapy the use of abduction braces and avoidance of unsafe hip positions. Abduction braces can be cumbersome and have poor compliance. We report the successful use of a new lightweight flexion reminder device that can be used to treat people with this condition. Case presentation A 64-year-old British woman experienced recurrent positional posterior dislocation after primary hip replacement particularly when involved in activities involving unsafe flexion of the operated hip. She disliked using an abduction brace and hence was given a simple flexion reminder device that could be strapped to the thigh. Beyond the safe flexion limit the padded top end of the device hitched against the groin crease and reminded her not to flex further to avoid .