Dislocation of primary total hip arthroplasty and the risk of redislocation.

Hdl Handle:
http://hdl.handle.net/10147/323666
Title:
Dislocation of primary total hip arthroplasty and the risk of redislocation.
Authors:
Brennan, Stephen A; Khan, Fahim; Kiernan, Christine; Queally, Joseph M; McQuillan, Janette; Gormley, Isobel C; O'Byrne, John M
Affiliation:
Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland. stevobrennan@hotmail.com
Citation:
Brennan SA et al. Dislocation of primary total hip arthroplasty and the risk of redislocation. Hip Int. 2012 22 (5):500-4
Publisher:
Hip international : the journal of clinical and experimental research on hip pathology and therapy
Journal:
Hip international : the journal of clinical and experimental research on hip pathology and therapy
Issue Date:
Sep-2012
URI:
http://hdl.handle.net/10147/323666
DOI:
10.5301/HIP.2012.9747
PubMed ID:
23100149
Abstract:
6554 primary total hip arthroplasties were reviewed. Risk factors for dislocation were analysed to assess which were important in terms of predicting recurrent instability. The patients risk of having a second dislocation was independently associated with the surgical approach adopted (p = 0.03) and the time to first dislocation from the primary hip replacement (p = 0.002). Early dislocators whose surgery was performed through an anterolateral approach had less recurrence than late dislocators through a posterior or transtrochanteric approach. None of the other risk factors including head size (p = 0.59), modularity (p = 0.54), mechanism of dislocation (p = 0.23), leg length discrepancy (p = 0.69) and acetabular inclination (p = 0.31) were influential. The use of an abduction brace was not useful in preventing a further dislocation with 69.2% of those braced re-dislocating compared to 68.5% who were not braced (p = 0.96).
Item Type:
Article
Language:
en
Keywords:
SURGERY
Local subject classification:
SURGERY, ORTHOPAEDIC; ARTHROPLASTY
MeSH:
Acetabulum; Adult; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip; Braces; Female; Femur Head; Hip Dislocation; Hip Joint; Hip Prosthesis; Humans; Joint Instability; Leg Length Inequality; Male; Middle Aged; Prosthesis Design; Prosthesis Failure; Range of Motion, Articular; Recurrence; Risk Factors; Young Adult
ISSN:
1724-6067

Full metadata record

DC FieldValue Language
dc.contributor.authorBrennan, Stephen Aen_GB
dc.contributor.authorKhan, Fahimen_GB
dc.contributor.authorKiernan, Christineen_GB
dc.contributor.authorQueally, Joseph Men_GB
dc.contributor.authorMcQuillan, Janetteen_GB
dc.contributor.authorGormley, Isobel Cen_GB
dc.contributor.authorO'Byrne, John Men_GB
dc.date.accessioned2014-07-23T11:49:58Z-
dc.date.available2014-07-23T11:49:58Z-
dc.date.issued2012-09-
dc.identifier.citationBrennan SA et al. Dislocation of primary total hip arthroplasty and the risk of redislocation. Hip Int. 2012 22 (5):500-4en_GB
dc.identifier.issn1724-6067-
dc.identifier.pmid23100149-
dc.identifier.doi10.5301/HIP.2012.9747-
dc.identifier.urihttp://hdl.handle.net/10147/323666-
dc.description.abstract6554 primary total hip arthroplasties were reviewed. Risk factors for dislocation were analysed to assess which were important in terms of predicting recurrent instability. The patients risk of having a second dislocation was independently associated with the surgical approach adopted (p = 0.03) and the time to first dislocation from the primary hip replacement (p = 0.002). Early dislocators whose surgery was performed through an anterolateral approach had less recurrence than late dislocators through a posterior or transtrochanteric approach. None of the other risk factors including head size (p = 0.59), modularity (p = 0.54), mechanism of dislocation (p = 0.23), leg length discrepancy (p = 0.69) and acetabular inclination (p = 0.31) were influential. The use of an abduction brace was not useful in preventing a further dislocation with 69.2% of those braced re-dislocating compared to 68.5% who were not braced (p = 0.96).en_GB
dc.language.isoenen
dc.publisherHip international : the journal of clinical and experimental research on hip pathology and therapyen_GB
dc.rightsArchived with thanks to Hip international : the journal of clinical and experimental research on hip pathology and therapyen_GB
dc.subjectSURGERYen_GB
dc.subject.meshAcetabulum-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshArthroplasty, Replacement, Hip-
dc.subject.meshBraces-
dc.subject.meshFemale-
dc.subject.meshFemur Head-
dc.subject.meshHip Dislocation-
dc.subject.meshHip Joint-
dc.subject.meshHip Prosthesis-
dc.subject.meshHumans-
dc.subject.meshJoint Instability-
dc.subject.meshLeg Length Inequality-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshProsthesis Design-
dc.subject.meshProsthesis Failure-
dc.subject.meshRange of Motion, Articular-
dc.subject.meshRecurrence-
dc.subject.meshRisk Factors-
dc.subject.meshYoung Adult-
dc.subject.otherSURGERY, ORTHOPAEDICen_GB
dc.subject.otherARTHROPLASTYen_GB
dc.titleDislocation of primary total hip arthroplasty and the risk of redislocation.en_GB
dc.typeArticleen
dc.contributor.departmentCappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland. stevobrennan@hotmail.comen_GB
dc.identifier.journalHip international : the journal of clinical and experimental research on hip pathology and therapyen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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