An unreported cause of early postoperative dislocation following total hip revision: Massive intra-capsular oedema related to inferior vena cava filter thrombosis - 13/03/13
, C. Nich b , J.-P. Courpied a , M. Hamadouche a 
Corresponding author. Department of Orthopaedic and Reconstructive Surgery, Service A, Cochin Port Royal Teaching Hospital Center, 27, rue du Faubourg St-Jacques, 75014, Paris, France. Tel.: +(33) 1 44 89 77 42; fax: +(33) 1 44 89 78 22.
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Summary |
Inferior vena cava (IVC) filters are widely used to prevent pulmonary embolism (PE) in patients with an absolute or relative contraindication for anticoagulants, during the peri-operative period of trauma or total joint replacement. No complication specific to the orthopaedic’s aspect of this practice has been described. We report the case of a patient who had major femoral head/cup separation mimicking dislocation following revision total hip arthroplasty related to massive intra-capsular oedema produced by IVC filter thrombosis. The patient could be successfully treated non-operatively. Orthopaedic surgeons should identify and refer patients with a complicated IVC filter, to identify any migration or occlusion, and also be aware that removable filters must not be kept in situ, once the high-risk phase of developing PE is past.
El texto completo de este artículo está disponible en PDF.Keywords : Total hip replacement, Inferior vena cava filter, Hip dislocation
Esquema
 | Worked performed at the Clinical Orthopaedic Research Center, Department of Orthopaedic and Reconstructive Surgery (Service A), Cochin Hospital, AP–HP, Paris 5 René Descartes University, Paris, France. |
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