The double-mobility acetabular component in revision total hip replacement
| Autor: | E. C. Matthews, P. S. Young, R. G. Middleton, N. L. Vasukutty, Tahawwar Hasnat A. Minhas, C. E. Uzoigwe |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Joint Instability Male Reoperation medicine.medical_specialty Revision total hip replacement Arthroplasty Replacement Hip medicine.medical_treatment Aseptic loosening Recurrent dislocation Prosthesis Design Recurrence medicine Humans Orthopedics and Sports Medicine In patient Recurrent instability Reduction (orthopedic surgery) Aged Retrospective Studies Aged 80 and over business.industry Mean age Middle Aged Prosthesis Failure Surgery Radiography Treatment Outcome Acetabular component Female Hip Joint Hip Prosthesis business Follow-Up Studies |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :603-608 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.94b5.27876 |
| Popis: | We present our experience with a double-mobility acetabular component in 155 consecutive revision total hip replacements in 149 patients undertaken between 2005 and 2009, with particular emphasis on the incidence of further dislocation. The mean age of the patients was 77 years (42 to 89) with 59 males and 90 females. In all, five patients died and seven were lost to follow-up. Indications for revision were aseptic loosening in 113 hips, recurrent instability in 29, peri-prosthetic fracture in 11 and sepsis in two. The mean follow-up was 42 months (18 to 68). Three hips (2%) in three patients dislocated within six weeks of surgery; one of these dislocated again after one year. All three were managed successfully with closed reduction. Two of the three dislocations occurred in patients who had undergone revision for recurrent dislocation. All three were found at revision to have abductor deficiency. There were no dislocations in those revised for either aseptic loosening or sepsis.These results demonstrate a good mid-term outcome for this component. In the 29 patients revised for instability, only two had a further dislocation, both of which were managed by closed reduction. |
| Databáze: | OpenAIRE |
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