JBJS, May 1, 2008, Volume 90, Issue 5

Injury to the Colon During Revision Total Hip Arthroplasty

Lindsey S. Hagstrom, BA Dennis J. Callahan, MD James W. Green, MD

Hip

A young woman with rheumatoid arthritis underwent revision of an acetabular component of a total hip prosthesis because of progressive osteolysis about the acetabular screw holes. During curettage of the membrane of one of the screw holes, a portion of the colon adjacent to the acetabulum was grasped and inadvertently injured. To the best of our knowledge, this is the first report of this intra-abdominal complication. We obtained institutional review board approval for this retrospective report. Our patient was informed that data concerning the case would be submitted for publication, and she consented.

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