Ahmad Madussar A, Biant Leela C, Tayar Rene, Thomas Paul R, Field Richard E
Department of Orthopaedic Surgery, South West London Elective Orthopaedic Centre, Epsom Hospital, Epsom, Surrey, UK.
Hip Int. 2009 Apr-Jun;19(2):157-9. doi: 10.1177/112070000901900215.
Acetabular component extraction following intra-pelvic migration of a total hip replacement can be hazardous to pelvic tissues, vessels and organs. Acetabular component removal is usually performed using an abdominal retroperitoneal approach. We describe a closed reduction of the acetabular component using a traction/manipulation technique. This manoeuvre can be used in cases of intra-pelvic acetabular component migration where the surface contour of the acetabular component is uncomplicated and an interposition membrane separates the implant from adjacent intra-pelvic structures.