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

Khan, Riaz J.K.; Fick, Daniel; Alakeson, N; Nivbrant, Bo; Wood, David

doi:10.1002/14651858.cd005320

Cited by 9 publications

(11 citation statements)

References 30 publications

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“…This approach, together with the inclusion of all surgical and medical disturbances occurring within the year, regardless of severity, contributed to the observed rates reported. The rates of wound disturbance, hip dislocation and readmission appear high in comparison to elsewhere; 24,25,38 however, the identification of wound disturbance and readmissions is particularly sensitive to method of capture. The rates of symptomatic deep venous thrombosis appear favourable, 26,27 although the current rates exclude subclinical thromboses.…”

Section: Discussionmentioning

confidence: 98%

Patterns of recovery following knee and hip replacement in an Australian cohort

Naylor¹,

Harmer²,

Heard³

et al. 2009

Aust. Health Review

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Most literature reporting the impressive results from knee and hip replacement derives from international data. Few Australian studies have comprehensively compared outcomes after joint replacement up to 1 year. This paper compares the patterns of recovery across physical and patient-centred outcomes following knee or hip replacement in an Australian cohort. One hundred and twenty-two consecutive patients undergoing knee or hip replacement were prospectively followed. Serial assessments were conducted (preoperatively, and 2, 6, 12, 26 and 52 weeks postsurgery). Joint pain, patient's global improvement, timed mobility, and complications were monitored. English-proficient patients completed WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) and SF-36v2 (Medical Outcomes Short-Form 36 version 2) questionnaires.At 1 year, 81% (55 knee, 44 hip) were available for follow-up. Significant, large improvements (up to 254%) were evident for most outcomes. Global improvement was reported by 97%. Recovery for both surgical groups was greatest within the first 26 weeks, but hip patients improved more quickly in most outcomes. Wound disturbances were the most common complication (23 in total, 23%) and 13 patients (13%) were readmitted for complications. Recovery patterns were similar to that observed elsewhere. The physical and patientcentred outcomes provide a useful Australian reference for clinicians of the temporal aspects of recovery as well the differences between hip and knee surgeries. Complication and readmission rates appeared high, possibly partly explained by

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Section: Discussionmentioning

confidence: 98%

Patterns of recovery following knee and hip replacement in an Australian cohort

Naylor¹,

Harmer²,

Heard³

et al. 2009

Aust. Health Review

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“…Numerous studies have attempted to identify a relationship between cup orientation and dislocation risk, with variable and contradictory results. 2,6,7,[19][20][21] Recent data suggest that cup orientation plays only a small role in the risk of dislocation. 22 Esposito et al 22 conducted a prospective registry trial of 7040 patients undergoing primary THA and found no significant association between perioperative dislocation rates and acetabular component inclination or anteversion angles.…”

Section: Discussionmentioning

confidence: 99%

Cheating the Acetabular Component Horizontally in Total Hip Arthroplasty

Eskildsen¹,

Moskal²,

Olcott³

et al. 2016

Orthopedics

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To avoid inadvertent vertical positioning of the acetabular component during total hip arthroplasty (THA), the authors routinely "cheat" component abduction an additional 10° horizontal (goal=30°). This likely increases the incidence of components placed into abduction of less than 30°, the clinical consequences of which are not well studied. The purpose of this study was to determine the clinical and radiographic outcomes in patients undergoing THA with acetabular components positioned in less than 30° of abduction as compared with those with components positioned between 30° and 50°. A retrospective review was performed of consecutive patients undergoing primary THA with horizontally cheated acetabular component position performed by a single surgeon. Patients were grouped into cohorts with either component abduction less than 30° or between 30° and 50°. Demographic data, operative data, and complications were recorded. Harris Hip Scores (HHS) and radiographic analysis were obtained from preoperative and most recent clinic visits. Between September 2004 and September 2010, 320 consecutive THA procedures were performed. A total of 149 hips had component abduction less than 30° (mean, 25.8°; range, 15.7°-29.4°). No components had greater than 50° of abduction. At an average 37-month follow-up, no significant difference in HHS was found between the 2 cohorts (P=.137). The horizontal cohort had no dislocations, component loosening, or osteolysis. By cheating the acetabular component more horizontal, an excessively vertical position was avoided. Component abduction less than 30° yielded equivalent clinical outcomes to component abduction between 30° and 50°. [Orthopedics. 2016; 39(6):e1092-e1096.].

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“…28 Complications following joint replacement are better documented, probably because of the accurate data collection required by national joint registries and because the local complications relating to the joint itself are often documented and measurable on radiographs. 29 Many papers regarding the complications of total hip replacement (THR) concern outcome measures and the long-term survivorship of the prosthesis itself. Despite this, there is no 'consistent universal or standard reporting of complications after THR in the orthopaedic literature'.…”

Section: Definitions Of Common Complicationsmentioning

confidence: 99%

Recognising and dealing with complications in orthopaedic surgery

Ricketts

Roper

et al. 2017

annals

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Orthopaedic surgeons need information about the complications they are likely to encounter. The literature on complications is difficult to interpret owing to a lack of agreed definitions, problems with collecting accurate data and with data interpretation. We suggest a role for the Royal College of Surgeons and specialist societies in collecting and interpreting complications data. The aim of this narrative review was to provide an overview of the medical informatics of (orthopaedic) complications. Outcome measures were not part of this review. KEYWORDS Orthopaedic -Complications

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

Cited by 9 publications

References 30 publications

Patterns of recovery following knee and hip replacement in an Australian cohort

Patterns of recovery following knee and hip replacement in an Australian cohort

Cheating the Acetabular Component Horizontally in Total Hip Arthroplasty

Recognising and dealing with complications in orthopaedic surgery

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