Operative and non-operative treatment options for dislocation of the hip following total hip arthroplasty

Anterior-Based Approaches to Total Hip Arthroplasty: Beyond the Learning Curve

“…Although there were low numbers of complications with ABMS or DA approaches overall, the highest were femoral fracture and infection, which is again consistent with previous reports looking at either ABMS or DA approaches [19,28,29]. However, rates of instability were low (0.5% for both) in comparison to commonly reported rates with posterior approaches (2%-3%) [30,31], which again confirms that one can expect a different profile of complications with these approaches.…”

Anterior-Based Approaches to Total Hip Arthroplasty: Beyond the Learning Curve

“…Although there were low numbers of complications with ABMS or DA approaches overall, the highest were femoral fracture and infection, which is again consistent with previous reports looking at either ABMS or DA approaches [19,28,29]. However, rates of instability were low (0.5% for both) in comparison to commonly reported rates with posterior approaches (2%-3%) [30,31], which again confirms that one can expect a different profile of complications with these approaches.…”

Evaluation of the impact of preoperative assessment on length of stay after a total hip arthroplasty

“…In contrast, length of stay was significantly higher for patients who were medically unfit postoperatively, who lived alone and who required a care package after surgery. These findings are consistent with existing research (Husted et al, 2011;Khan et al, 2006). If these findings are representative of preoperative clinic performance across health trusts they raise significant issues in terms of the economic costbenefit of the clinic and the focus for clinical practice to improve patient outcomes and potentially reducing length of stay for total hip arthroplasty.…”

“…This finding does not support the British Orthopaedic Association (2012) recommendations that preoperative assessment delivered by physiotherapists, occupational therapists and social workers helps reduce length of stay after a total hip arthroplasty. Likewise, patient age and gender were statistically insignificant, which contrasts with previous studies reporting that women and age were significant predictors for length of stay (Huddleston et al, 2012;Khan et al, 2006;Mears et al, 2009;Rissanen et al, 1996;Vincent et al, 2006;Williams, 2010). In contrast, length of stay was significantly higher for patients who were medically unfit postoperatively, who lived alone and who required a care package after surgery.…”

Cheating the Acetabular Component Horizontally in Total Hip Arthroplasty

“…Only 1 (0.7%) dislocation was observed in the below 30° group, which compares favorably with the reported overall dislocation rate of 1% to 4% in primary THA. 21 There were also no acetabular component revisions after short-to mid-term follow-up.…”

Anterior-Based Approaches to Total Hip Arthroplasty: Beyond the Learning Curve

“…Although there were low numbers of complications with ABMS or DA approaches overall, the highest were femoral fracture and infection, which is again consistent with previous reports looking at either ABMS or DA approaches [19,28,29]. However, rates of instability were low (0.5% for both) in comparison to commonly reported rates with posterior approaches (2%-3%) [30,31], which again confirms that one can expect a different profile of complications with these approaches.…”

Evaluation of the impact of preoperative assessment on length of stay after a total hip arthroplasty

“…In contrast, length of stay was significantly higher for patients who were medically unfit postoperatively, who lived alone and who required a care package after surgery. These findings are consistent with existing research (Husted et al, 2011;Khan et al, 2006). If these findings are representative of preoperative clinic performance across health trusts they raise significant issues in terms of the economic costbenefit of the clinic and the focus for clinical practice to improve patient outcomes and potentially reducing length of stay for total hip arthroplasty.…”

“…This finding does not support the British Orthopaedic Association (2012) recommendations that preoperative assessment delivered by physiotherapists, occupational therapists and social workers helps reduce length of stay after a total hip arthroplasty. Likewise, patient age and gender were statistically insignificant, which contrasts with previous studies reporting that women and age were significant predictors for length of stay (Huddleston et al, 2012;Khan et al, 2006;Mears et al, 2009;Rissanen et al, 1996;Vincent et al, 2006;Williams, 2010). In contrast, length of stay was significantly higher for patients who were medically unfit postoperatively, who lived alone and who required a care package after surgery.…”

Cheating the Acetabular Component Horizontally in Total Hip Arthroplasty

“…Only 1 (0.7%) dislocation was observed in the below 30° group, which compares favorably with the reported overall dislocation rate of 1% to 4% in primary THA. 21 There were also no acetabular component revisions after short-to mid-term follow-up.…”

Anterior-Based Approaches to Total Hip Arthroplasty: Beyond the Learning Curve

“…Although there were low numbers of complications with ABMS or DA approaches overall, the highest were femoral fracture and infection, which is again consistent with previous reports looking at either ABMS or DA approaches [19,28,29]. However, rates of instability were low (0.5% for both) in comparison to commonly reported rates with posterior approaches (2%-3%) [30,31], which again confirms that one can expect a different profile of complications with these approaches.…”

Evaluation of the impact of preoperative assessment on length of stay after a total hip arthroplasty

“…In contrast, length of stay was significantly higher for patients who were medically unfit postoperatively, who lived alone and who required a care package after surgery. These findings are consistent with existing research (Husted et al, 2011;Khan et al, 2006). If these findings are representative of preoperative clinic performance across health trusts they raise significant issues in terms of the economic costbenefit of the clinic and the focus for clinical practice to improve patient outcomes and potentially reducing length of stay for total hip arthroplasty.…”

“…This finding does not support the British Orthopaedic Association (2012) recommendations that preoperative assessment delivered by physiotherapists, occupational therapists and social workers helps reduce length of stay after a total hip arthroplasty. Likewise, patient age and gender were statistically insignificant, which contrasts with previous studies reporting that women and age were significant predictors for length of stay (Huddleston et al, 2012;Khan et al, 2006;Mears et al, 2009;Rissanen et al, 1996;Vincent et al, 2006;Williams, 2010). In contrast, length of stay was significantly higher for patients who were medically unfit postoperatively, who lived alone and who required a care package after surgery.…”

Cheating the Acetabular Component Horizontally in Total Hip Arthroplasty

“…Only 1 (0.7%) dislocation was observed in the below 30° group, which compares favorably with the reported overall dislocation rate of 1% to 4% in primary THA. 21 There were also no acetabular component revisions after short-to mid-term follow-up.…”