Prognosis of dislocation after total hip arthroplasty
Autor: | Atul B. Joshi, G. Vlatis, Ljubisa Markovic, John C. M. Murphy, C.M. Lee |
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Rok vydání: | 1998 |
Předmět: |
Adult
Male Reoperation medicine.medical_specialty medicine.medical_treatment Arthroplasty Replacement Hip Nonunion Recurrent dislocation Recurrence Risk Factors medicine Hip Dislocation Humans Orthopedics and Sports Medicine In patient Reduction (orthopedic surgery) Aged Trochanter business.industry Middle Aged medicine.disease Prognosis Arthroplasty Surgery Prosthesis Failure Female Hip Prosthesis Dislocation business Total hip arthroplasty Follow-Up Studies |
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 |
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