A conservative approach to dislocation following total hip arthroplasty: a review of 8606 hips.
Hip Int
; 32(3): 291-297, 2022 May.
Article
em En
| MEDLINE
| ID: mdl-32905705
ABSTRACT
PATIENTS AND METHODS:
We present the data on 8606 total hip arthroplasty (THA) procedures carried out in 7818 patients through a posterior approach between 1998 and 2017.RESULTS:
218 hips (2.5%) suffered at least 1 dislocation with dislocation rates declining from 6.2% from 1998 to 2002 to 1.5% from 2003 to 2017. Overall, 92 hips (1.06%) required revision surgery but of these, only 5 (0.06%) had a full revision of both components with the remaining 87 requiring intervention only on the acetabular side. None have had a pseudo-arthrosis; none were left dislocated and all remain stable to date.CONCLUSIONS:
In patients who have a second dislocation within 3 months of their primary surgery we recommend a spica or long leg cylinder cast to reduce the need for revision surgery. We propose an algorithm to manage instability with less aggressive operative treatment in this often-elderly patient population with the potential for less physiological insult and significant cost savings.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
/
Luxações Articulares
/
Luxação do Quadril
/
Prótese de Quadril
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Aged
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article