2020
DOI: 10.5435/jaaosglobal-d-20-00086
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“Purse-String” Capsular Closure for Decreasing Dislocation Rates in Proximal Femur Replacements

Abstract: Hip joint dislocation is the most common complication after a proximal femur replacement. As the utilization of proximal femur replacements continues to increase, it becomes imperative for surgeons to find the optimal method to decrease postoperative dislocation and its sequelae. These cases often involve extensive soft-tissue deficits that require reconstruction to provide postoperative strength and stability. Patients report good functional outcomes; however, dislocation remains a concern. Although “describe… Show more

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Cited by 1 publication
(5 citation statements)
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“…Therefore, it is important to have appropriate preoperative templating and planning to understand all of the available constraint options for the revision system that is being utilized. Additionally, various soft-tissue capsular closure techniques have been described to bolster stability: For example, Novack et al recently illustrated a novel "purse-string" capsular closure 21 (Fig. 1).…”
Section: Discussionmentioning
confidence: 99%
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“…Therefore, it is important to have appropriate preoperative templating and planning to understand all of the available constraint options for the revision system that is being utilized. Additionally, various soft-tissue capsular closure techniques have been described to bolster stability: For example, Novack et al recently illustrated a novel "purse-string" capsular closure 21 (Fig. 1).…”
Section: Discussionmentioning
confidence: 99%
“…Patients who undergo PFR with poor bone stock after failed THA have greater instability rates (between 10% and 40%) 16,19,21,38 . Dislocation after megaprosthesis revision surgery is devastating as it can also cause extensive hardware and soft-tissue damage, which can lead to additional revision procedures and have negative psychological ramifications for patients recovering from multiple revision procedures 21 . Implant design, such as dual-mobility articulation and constrained liners, has been increasingly utilized to decrease the risk of instability.…”
Section: Instabilitymentioning
confidence: 99%
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