Abstract
We report a rare case of Hip Resurfacing dislocation three years after a bilateral Hip Resurfacing in a very strong patient and show the maneuver to do a closed reduction on a film done at the surgical theatre under general anesthesia.
Hip resurfacing dislocation is a very rare entity described in the literature and more rare after three years. With conventional total hip replacement the dislocation rate is 2–5%. In the international literature the dislocation rate with resurfacing is 0.21%.
We describe a case of a 47 years old male patient who was submitted to a biltateral 54 × 60 mm Hip Resurfacing in November 16 th and 18th, 2011 (two separate days). He had a normal post op and returned to his work after six weeks and recreational activities after four months. Three years later, on November 8th, 2014 he did an extreme movement of hip flexion, adduction and internal rotation when he was gardening and planting a tree seedling suffering a left hip dislocation.
Hopefully we could reduce the dislocated hip in a closed manner in the following morning. Patient went home next day but on that same night had important abominal pain needing to return to hospital when numerous gallbladder stones where found being submitted to a total laparoscopic colecistectomy two days later. It was really a bad luck week.
Metal ions are still normal and patient is symptomless until today having returned to his recreational activities.
We will show in a movie the maneuver to do this closed reduction and hope by showing this maneuver that our colleagues do not have to do an open dislocation in the future in case they face a Hip Resurfacing dislocation.
