Late hip dislocation is uncommon, particularly in the context of paraplegia. We
report a case in which total hip arthroplasty with a semi-constrained acetabular
component was a successful treatment for this condition. A review of the
literature revealed that this method of treatment had not been previously
described in paraplegics. For patients with late hip dislocation in spastic
paraplegia, total hip arthroplasty with a semi-constrained acetabular component,
combined with adequate adductor release and obturator neurectomy is
recommended.
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DeBenedettiM.J.,
EltoraiI..
Non-septic hip instability in the chronic spinal cord injury
patient.Paraplegia1986; 24:
293–300.
2.
FreemanB.L..
Old unreduced dislocations; Hip. In:
CrenshawA.H.
ed. Campbell's Operative Orthopaedics.9th ed.St. Louis: C V Mosby
Company; 1998;
2660–2.
3.
GarrettJ.C.,
EpsteinH.C.,
HarrisW.H.,
HarveyJ.P.Jr.,
NickelV.L..
Treatment of unreduced traumatic posterior dislocations of
the hip.J Bone and Joint Surg (Am)1979; 61-A:
2–6.
4.
RyanM.D.,
HendersonJ.J..
The management of an old fused hip after the occurrence of
paraplegia.Paraplegia1992; 30:
220–2.
5.
GrahamG.P.,
DentC.M.,
EvansP.D.,
McKibbinB..
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paraplegics.Paraplegia1992; 30:
587–91.
