A conservative approach to dislocation following total hip arthroplasty: a review of 8606 hips.

Autor:	Ogonda L; Outcomes Unit, Primary Joint Unit, Musgrave Park Hospital, Belfast, UK., Cassidy RS; Outcomes Unit, Primary Joint Unit, Musgrave Park Hospital, Belfast, UK., Beverland DE; Outcomes Unit, Primary Joint Unit, Musgrave Park Hospital, Belfast, UK.
Jazyk:	angličtina
Zdroj:	Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2022 May; Vol. 32 (3), pp. 291-297. Date of Electronic Publication: 2020 Sep 09.
DOI:	10.1177/1120700020959062
Abstrakt:	Patients and Methods: We present the data on 8606 total hip arthroplasty (THA) procedures carried out in 7818 patients through a posterior approach between 1998 and 2017. Results: 218 hips (2.5%) suffered at least 1 dislocation with dislocation rates declining from 6.2% from 1998 to 2002 to 1.5% from 2003 to 2017. Overall, 92 hips (1.06%) required revision surgery but of these, only 5 (0.06%) had a full revision of both components with the remaining 87 requiring intervention only on the acetabular side. None have had a pseudo-arthrosis; none were left dislocated and all remain stable to date. Conclusions: In patients who have a second dislocation within 3 months of their primary surgery we recommend a spica or long leg cylinder cast to reduce the need for revision surgery. We propose an algorithm to manage instability with less aggressive operative treatment in this often-elderly patient population with the potential for less physiological insult and significant cost savings.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu