Prognosis of dislocation after total hip arthroplasty

Autor: Atul B. Joshi, G. Vlatis, Ljubisa Markovic, John C. M. Murphy, C.M. Lee
Rok vydání: 1998
Předmět:
Zdroj: The Journal of arthroplasty. 13(1)
ISSN: 0883-5403
Popis: One hundred sixty-one dislocations after cemented total hip arthroplasty, with a mean follow-up period of 8 years after dislocation, were reviewed with the aim of establishing the prognosis. There were 84% single and 16% recurrent dislocations. Closed reduction was successful in 81% of cases. Thirty-seven percent of dislocations were early (within 5 weeks), 36% occurred in patients who had had previous surgery, and in 47% there was nonunion of the trochanter. There was a two-way interaction between these factors, and all factors were significant for recurrent dislocation. Twenty-six (16%) recurrent dislocations required surgery. The most common causes of recurrent dislocation demonstrated at operation were component malposition (58%) and failure of the abductor mechanism (42%). In total, 96% of cases were successfully treated.
Databáze: OpenAIRE