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Arthroscopic Treatment of a Low-Velocity Gunshot Injury to a Primary Total Hip Arthroplasty

A Case Report

Fournier, Matthew N., MD1; Rider, Carson M., MD1; Olinger, Catherine R., MD1; Dabov, Gregory D., MD1; Mihalko, William M., MD, PhD1; Mihalko, Marc J., MD1

doi: 10.2106/JBJS.CC.18.00204
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Case: An immunosuppressed 51-year-old man sustained a ballistic injury about the site of a primary total hip arthroplasty, which had been performed for osteonecrosis of the femoral head 2 years earlier. He was treated with arthroscopic debridement and irrigation, inspection of the implants, and removal of foreign bodies.

Conclusion: Ballistic injury to a hip arthroplasty site with retained foreign bodies is an unusual injury. Hip arthroscopy may represent a minimally invasive treatment option for implant inspection, joint debridement, and removal of intra-articular fragments while minimizing the risk of soft-tissue complications.

1Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, Tennessee

E-mail address for M.N. Fournier: mfournier@campbellclinic.com

Investigation performed at the Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, Tennessee

Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (http://links.lww.com/JBJSCC/A777).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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