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Chronic Lymphedema of the Lower Limb: A Rare Cause of Dislocation of Total Hip Arthroplasty.

Identifieur interne : 000A16 ( PubMed/Checkpoint ); précédent : 000A15; suivant : 000A17

Chronic Lymphedema of the Lower Limb: A Rare Cause of Dislocation of Total Hip Arthroplasty.

Auteurs : Raju Vaishya ; Amit Kumar Agarwal ; Nishint Gupta ; Vipul Vijay

Source :

Cureus [ 2168-8184 ] ; 2016.

RBID : pubmed:27226940

Abstract

Total hip arthroplasty (THA) in a patient with chronic lymphedema of both lower limbs is rarely reported in the literature. Chronic lymphedema is a challenging condition associated with various complications especially in a patient with THA. However, dislocation of the total hip prosthesis due to acute exacerbation of lower limb swelling in the postoperative period is an extremely rare complication. The cause that led to the dislocation of the prosthesis is intricate and difficult to assess, as this has not been discussed in the literature yet. We believe that the excessive weight of the limb due to chronic lymphedema had a deleterious effect on the biomechanics of total hip prosthesis, thereby increasing the tendency for dislocation. This case illustrates that chronic lymphedema of the lower limb should be dealt with aggressively using various modalities like intermittent pneumatic compression pumps and compression stockings after THA in such patients.

DOI: 10.7759/cureus.579
PubMed: 27226940

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<front><div type="abstract" xml:lang="en">Total hip arthroplasty (THA) in a patient with chronic lymphedema of both lower limbs is rarely reported in the literature. Chronic lymphedema is a challenging condition associated with various complications especially in a patient with THA. However, dislocation of the total hip prosthesis due to acute exacerbation of lower limb swelling in the postoperative period is an extremely rare complication. The cause that led to the dislocation of the prosthesis is intricate and difficult to assess, as this has not been discussed in the literature yet. We believe that the excessive weight of the limb due to chronic lymphedema had a deleterious effect on the biomechanics of total hip prosthesis, thereby increasing the tendency for dislocation. This case illustrates that chronic lymphedema of the lower limb should be dealt with aggressively using various modalities like intermittent pneumatic compression pumps and compression stockings after THA in such patients.</div>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>World J Orthop. 2012 Aug 18;3(8):122-30</RefSource>
<PMID Version="1">22919568</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Ann Plast Surg. 2007 Oct;59(4):464-72</RefSource>
<PMID Version="1">17901744</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Orthop Surg (Hong Kong). 2002 Jun;10(1):35-9</RefSource>
<PMID Version="1">12401919</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Bone Joint Surg Am. 1982 Dec;64(9):1295-306</RefSource>
<PMID Version="1">7142237</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Instr Course Lect. 2005;54:131-41</RefSource>
<PMID Version="1">15948440</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Indian J Dermatol. 2010 Apr-Jun;55(2):144-7</RefSource>
<PMID Version="1">20606882</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Tissue Viability. 2003 Jul;13(3):98-100, 102, 104 passim</RefSource>
<PMID Version="1">12889397</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Am Acad Orthop Surg. 2004 Sep-Oct;12(5):314-21</RefSource>
<PMID Version="1">15469226</PMID>
</CommentsCorrections>
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Chronic Lymphedema of the Lower Limb: A Rare Cause of Dislocation of Total Hip Arthroplasty.

Chronic Lymphedema of the Lower Limb: A Rare Cause of Dislocation of Total Hip Arthroplasty.

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Abstract

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