Dislocation of primary total hip arthroplasty and the risk of redislocation.

Autor: Brennan, Stephen A., Khan, Fahim, Kiernan, Christine, Queally, Joseph M., McQuillan, Janette, Gormley, Isobel C., O'Byrne, John M.
Předmět:
Zdroj: Hip International; Nov2012, Vol. 22 Issue 5, p500-504, 5p
Abstrakt: Abstract: 6554 primary total hip arthroplasties were reviewed. Risk factors for dislocation were analysed to assess which were important in terms of predicting recurrent instability. The patients risk of having a second dislocation was independently associated with the surgical approach adopted (p = 0.03) and the time to first dislocation from the primary hip replacement (p = 0.002). Early dislocators whose surgery was performed through an anterolateral approach had less recurrence than late dislocators through a posterior or transtrochanteric approach. None of the other risk factors including head size (p = 0.59), modularity (p = 0.54), mechanism of dislocation (p = 0.23), leg length discrepancy (p = 0.69) and acetabular inclination (p = 0.31) were influential. The use of an abduction brace was not useful in preventing a further dislocation with 69.2% of those braced re-dislocating compared to 68.5% who were not braced (p = 0.96). [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index