How to prevent dislocation after revision total hip arthroplasty: a systematic review of the risk factors and a focus on treatment options.
J Orthop Traumatol
; 19(1): 17, 2018 Sep 10.
Article
en En
| MEDLINE
| ID: mdl-30203338
ABSTRACT
BACKGROUND:
Dislocation represents the most common complication after revision total hip arthroplasty (rTHA). Understanding risk factors for dislocation has a great clinical relevance for every hip surgeon in order to consider all surgical options for effective planning. The aim of this systematic review was to answer two main questions-(1) what are the risk factors for instability after rTHA? and (2) what are the best preoperative assessments and surgical options to avoid dislocation after rTHA? MATERIALS ANDMETHODS:
Scientific databases were accessed to identify papers dealing with prevention and treatment of dislocation after rTHA. We performed a search using the keywords 'revision hip arthroplasty' and 'dislocation', 'instability', 'outcome', 'failure', 'treatment'. After removal of duplicates and exclusion of works published in different languages, 33 articles were reviewed completely.RESULTS:
Risk factors were analysed in order to establish the most relevant and evidence-based treatments available in the current literature.CONCLUSIONS:
The risk of dislocation after rTHA can be reduced using some precautions inferred from the literature. The use of a larger femoral and acetabular component, elevated rim liner and dual mobility implants can significantly reduce the risk of dislocation after rTHA. However, care must be taken regarding patient-related risk factors since these cannot be addressed and modified. Hence, a complete evaluation of risk factors should be performed for each patient and procedure before starting rTHA.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Artroplastia de Reemplazo de Cadera
/
Luxación de la Cadera
/
Prótesis de Cadera
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
J Orthop Traumatol
Asunto de la revista:
ORTOPEDIA
/
TRAUMATOLOGIA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Italia