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 OJO  Vol.3 No.2 , June 2013
Mobile Bearing Plate Dislocation in Total Knee Arthroplasty Due to Muscle Spasm: A Case Report
Abstract: An unusual case of early dislocation of a mobile bearing posterior stabilized total knee arthroplasty in a 48-year-old Caucasian woman is described. Dislocation occurred one day postoperatively, attributed to a gap mismatch. Revision surgery reduced posterior dislocation, increased bearing plate thickness and rebalanced ligaments. A second dislocation occurred after revision surgery. The patient’s history was retaken and a hamstring spasm disease identified. A new revision utilized a more constrained design, without perioperative local nerve block. Two years following surgery, no further dislocation had occurred. A numerical musculoskeletal model of the case and implant configuration identified no trend to mobile bearing dislocation when regular muscle forces were applied. Muscle spasm is a risk factor for mobile bearing total knee arthroplasty dislocation, especially with femoral nerve block.
Cite this paper: J. Nicodeme, C. Löcherbach, A. Terrier, A. Gallice and B. Jolles, "Mobile Bearing Plate Dislocation in Total Knee Arthroplasty Due to Muscle Spasm: A Case Report," Open Journal of Orthopedics, Vol. 3 No. 2, 2013, pp. 69-73. doi: 10.4236/ojo.2013.32013.
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