Obturator Anterior Dislocation after Direct Anterior Total Hip Arthroplasty in a Patient with Ehlers-Danlos Syndrome: A Case Report

Sarah N. Powell, Joseph K. Nash, Beau J. Kildow

Research output: Contribution to journalArticlepeer-review

Abstract

Case:A 71-year-old woman with Ehlers-Danlos syndrome suffered an atraumatic obturator dislocation status post direct anterior total hip arthroplasty. A closed reduction under conscious sedation was attempted, but was unsuccessful. Repeat closed reduction under full general anesthesia with paralysis and fluoroscopic guidance was successful at reducing the femoral prosthesis out of the pelvis and back into an appropriate position.Conclusion:Atraumatic obturator dislocations after total hip arthroplasty are exceedingly rare. General anesthesia with full paralysis is helpful for a successful closed reduction, and open reduction may be necessary to remove the femoral prosthesis from the pelvis.

Original languageEnglish (US)
Article numbere22.00662
JournalJBJS Case Connector
Volume13
Issue number2
DOIs
StatePublished - Apr 6 2023

Keywords

  • Ehlers-Danlos
  • connective tissue disorders
  • direct anterior total hip arthroplasty
  • dual mobility
  • obturator dislocation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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