Article

Purse-string capsule repair to reduce proximal femoral arthroplasty dislocation for tumor--a novel technique with results.

Department of Orthopaedic Surgery, University of South Florida, Tampa, FL 33612, USA.
The Journal of arthroplasty (impact factor: 1.79). 06/2010; 25(4):654-7. DOI:10.1016/j.arth.2009.11.002
Source: PubMed

ABSTRACT Hip joint dislocation is the most common complication after proximal femoral arthroplasty with a large endoprosthesis. Average dislocation rates are around 15%. In an attempt to decrease dislocations after proximal femoral arthroplasty for tumor resections, we devised a novel closure of the hip capsule. This technique uses a 3-mm cottony Dacron suture placed about the hip capsule in a circumferential, purse-string manner. Thirty-nine patients received hip hemiarthroplasty with purse-string capsular closure. Seven patients were lost to follow-up, leaving 36 patients available for analysis. One patient dislocated (2.8%). We believe this technique is useful in preventing dislocation in patients undergoing proximal femoral arthroplasty for oncologic disease.

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    Article: Advances in segmental endoprosthetic reconstruction for extremity tumors: a review of contemporary designs and techniques.
    Brian T Palumbo, Eric R Henderson, John S Groundland, David Cheong, Elisa Pala, G Douglas Letson, Pietro Ruggieri
    [show abstract] [hide abstract]
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Keywords

3-mm cottony Dacron suture
 
36 patients available
 
Average dislocation rates
 
circumferential
 
decrease dislocations
 
dislocation
 
hip capsule
 
Hip joint dislocation
 
large endoprosthesis
 
novel closure
 
oncologic disease
 
patients
 
patients undergoing proximal femoral arthroplasty
 
proximal femoral arthroplasty
 
purse-string capsular closure
 
purse-string manner
 
tumor resections