Is the Dislocation Rate Higher after Bipolar Hemiarthroplasty in Patients with Neuromuscular Diseases?

Suh, Kuen Tak; Kim, Dae Woong; Lee, Hong Seok; Seong, Yoon Jae; Lee, Jung Sub

doi:10.1007/s11999-011-2139-9

Cited by 25 publications

(14 citation statements)

References 29 publications

(62 reference statements)

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“…Some studies have suggested that these patients had high risks of hip dislocation ranging from 11% to 45% after bipolar hemiarthroplasty for hip fracture [3,22,24]. In contrast, Suh et al [23] and we observed similar proportions of dislocation in patients with and without neuromuscular disease, but their study and our study might lack enough patients with neuromuscular conditions to really test the question with adequate statistical power.…”

Section: Discussioncontrasting

confidence: 60%

What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study

Li¹,

Ren²,

Liu³

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Hip dislocation after treatment of a femoral neck fracture with a hemiarthroplasty remains an important problem in the treatment of hip fractures, but the associations between patient factors and surgical factors, and how these factors contribute to dislocation in patients who have undergone bipolar hemiarthroplasty through an anterolateral approach for femoral neck fracture currently are only poorly characterized. Questions/purposes We evaluated patients with bipolar hemiarthroplasty dislocation after surgery for femoral neck fracture treated through an anterolateral approach and asked: (1) What are the frequency, characteristics, and risk factors of bipolar hemiarthroplasty dislocations? (2) What are the frequency, characteristics, and risk factors of bipolar hemiarthroplasty dissociations?

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Section: Discussioncontrasting

confidence: 60%

What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study

Li¹,

Ren²,

Liu³

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…The incidence of dislocation after hemiarthroplasty has been reported as 1.5% to 13.4%. 22,[32][33][34][35] Although the reason for dislocation in this population includes a combination of factors, elderly patients with multiple medical comorbidities may be unable to comply with the positional restrictions prescribed by surgeons using the posterior and anterolateral approaches. The dislocation rate in the current study was 3% (n=3), which is consistent with previously reported rates after hemiarthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Short-term Outcomes of Femoral Neck Fractures Treated With Hemiarthroplasty Using the Anterior Approach

Trinh¹,

Ferrel²,

Pulley³

et al. 2015

Orthopedics

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The direct anterior approach has recently gained popularity for patients undergoing elective total hip arthroplasty. It is unknown whether the reported benefits of the direct anterior approach to elective total hip arthroplasty can be extrapolated to patients undergoing hemiarthroplasty after femoral neck fracture. A retrospective review of 101 patients was performed to compare the outcomes of patients treated with hemiarthroplasty using the direct anterior approach (group 1) with those of patients undergoing the procedure with the posterior, anterolateral, or lateral approach (group 2). No differences in age, American Society of Anesthesiologists classification, and preinjury ambulatory status were identified between treatment groups. No difference in operative time was found between those undergoing the anterior approach (98.7 minutes) and those undergoing other surgical approaches (96.5 minutes) (P=.76). No difference in either the need for transfusion or the number of blood products transfused was seen (P=.21) postoperatively. Patients undergoing the direct anterior approach were more likely to be discharged by postoperative day 3 (P=.004) despite no difference in the recorded number of feet ambulated in the hospital. At a mean clinical follow-up of 16 weeks, there was no difference in the rate of return to baseline ambulatory status between groups (P=.07). The overall rates of major and minor complications for all patients were 23% and 26%, respectively, with no statistically significant differences between groups. The overall dislocation rate of all patients was found to be 3%. All dislocations were observed in group 2. Larger prospective studies are needed to further define the benefits of the direct anterior approach in this patient population.

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“…Given the rigidity and cognitive decline associated with Parkinson's disease, dislocation, even with hemiarthroplasty, remains a concern [33]. Coughlin and Templeton [6] reported a dislocation rate of 37% in patients with Parkinson's disease and hemiarthroplasty for displaced femoral neck fractures.…”

Section: Discussionmentioning

confidence: 99%

Mortality and Revision Surgery Are Increased in Patients With Parkinson’s Disease and Fractures of the Femoral Neck

Karadsheh

Rodriguez

Harris

et al. 2015

Clin Orthop Relat Res

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Is the Dislocation Rate Higher after Bipolar Hemiarthroplasty in Patients with Neuromuscular Diseases?

Cited by 25 publications

References 29 publications

What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study

What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study

Short-term Outcomes of Femoral Neck Fractures Treated With Hemiarthroplasty Using the Anterior Approach

Mortality and Revision Surgery Are Increased in Patients With Parkinson’s Disease and Fractures of the Femoral Neck

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