Surgical Approach, Abductor Function, and Total Hip Arthroplasty Dislocation

Masonis, John L.; Bourne, Robert B.

doi:10.1097/00003086-200212000-00006

Cited by 431 publications

(296 citation statements)

References 26 publications

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“…In our series, one hip was dislocated and was reduced nonsurgically; it did not recur. The rate of dislocation (one of 10) seems higher than that seen in THAs for degenerative arthritis or avascular necrosis (range, 1%-3%) [29,32,42], but seems comparable to rates in reports of patients who had developmental dysplasia of the hip (range, 5%-11%) [13,14,26].…”

Section: Discussionmentioning

confidence: 50%

Total Hip Arthroplasty Performed in Patients with Residual Poliomyelitis: Does it Work?

Yoon

Lee

Yoo

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Patients with residual poliomyelitis can have advanced degenerative arthritis of the hip in the paralytic limb or the nonparalytic contralateral limb. Although THA is a treatment option for some of these patients, there are few studies regarding THA in this patient population. Questions/purposes We therefore reviewed a group of patients with residual poliomyelitis who underwent cementless THA on either their paralytic limb or nonparalytic limb to assess (1) Harris hip scores, (2) radiographic results, including implant loosening, (3) complications, including dislocation, and (4) limb length discrepancy after recovery from surgery. Methods

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Section: Discussionmentioning

confidence: 50%

Total Hip Arthroplasty Performed in Patients with Residual Poliomyelitis: Does it Work?

Yoon

Lee

Yoo

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…The surgical approach may be extended for additional exposure if necessary. The reported dislocation rate with this approach has been reported as 0 to 2% [3,6,7,11,14], with an overall dislocation rate of 0.55% [13]. So-called ''hip precautions'' are not necessary when utilizing this approach for primary arthroplasty [17].…”

Section: Anterolateral Approach (Supine Position)mentioning

confidence: 99%

Acetabular Orientation: Anterolateral Approach in the Supine Position

Austin¹,

Rothman²

2009

Clinical Orthopaedics &Amp; Related Research

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The anterolateral approach in the supine position provides excellent visualization of the acetabulum. The main advantage of the approach, a low dislocation rate, has been demonstrated in the literature, while the purported disadvantage of abductor dysfunction has not been clearly delineated in the literature. The technique requires meticulous attention to preservation of the gluteus medius and minimus tendons. Impingement and dislocation are avoided by careful attention to the preparation of acetabulum, critical assessment of the implanted components, and intraoperative trialing. Leg lengths are assessed through direct palpation of the malleoli. Routine use of postoperative hip precautions is not necessary when this approach is utilized. The anterolateral approach in the supine position allows for a reproducible result with a low dislocation rate. Level of Evidence: Level V, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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“…Despite constant advances in prosthetic component design, dislocations and late-stage prosthetic loosening remain the 2 most common complications. 1 Dislocation after primary THA has been reported in various publications to be in the range of 4%, with rates as high as 11% reported by some authors. 1,2 Dislocation rates in revision THA have been reported to range from 10% to 20%, with many factors implicated, including those related to the patient, surgical technique, or the position and design of the prosthetic implants.…”

Section: Introductionmentioning

confidence: 99%

“…1 Dislocation after primary THA has been reported in various publications to be in the range of 4%, with rates as high as 11% reported by some authors. 1,2 Dislocation rates in revision THA have been reported to range from 10% to 20%, with many factors implicated, including those related to the patient, surgical technique, or the position and design of the prosthetic implants. 1 Patient factors not directly under the control of the surgeon, such as age, cognitive function, sex, previous surgical history, obesity, and preoperative diagnoses, have all been shown to relate to dislocation.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Dislocation rates in revision THA have been reported to range from 10% to 20%, with many factors implicated, including those related to the patient, surgical technique, or the position and design of the prosthetic implants. 1 Patient factors not directly under the control of the surgeon, such as age, cognitive function, sex, previous surgical history, obesity, and preoperative diagnoses, have all been shown to relate to dislocation. 3 In contrast, the surgeon can control operative technique and implant choice to a certain degree.…”

Section: Introductionmentioning

confidence: 99%

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