Prevention of Dislocation After Total Hip Arthroplasty

Prevention of Dislocation After Total Hip Arthroplasty

Prevention of dislocation after primary total hip arthroplasty (THA) begins with patient preoperative assessment and planning. We performed a literature search to assess historical perspectives and current strategies to prevent dislocation after primary THA. The search yielded 3458 articles, and 154...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty Vol. 33; no. 5; pp. 1316 - 1324
Main Authors: Rowan, Fiachra E., Benjamin, Biju, Pietrak, Jurek R., Haddad, Fares S.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-05-2018
Subjects:
Acetabulum - surgery
Aged
Arthroplasty, Replacement, Hip - adverse effects
Body Mass Index
complication
dislocation
Female
Femur Head - surgery
Hip Dislocation - surgery
Hip Prosthesis - adverse effects
Humans
instability
Joint Dislocations - prevention & control
Joint Dislocations - surgery
Male
Middle Aged
Prosthesis Failure
Range of Motion, Articular
revision hip arthroplasty
total hip arthroplasty
total hip arthroplasty
dislocation
complication
revision hip arthroplasty
instability
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Prevention of dislocation after primary total hip arthroplasty (THA) begins with patient preoperative assessment and planning. We performed a literature search to assess historical perspectives and current strategies to prevent dislocation after primary THA. The search yielded 3458 articles, and 154 articles are presented. Extremes of age, body mass index >30 kg/m2, lumbosacral pathology, surgeon experience, and femoral head size influence dislocation rates after THA. There is mixed evidence regarding the effect of neuromuscular disease, sequelae of pediatric hip conditions, and surgical approach on THA instability. Sex, simultaneous bilateral THA, and restrictive postoperative precautions do not influence the dislocation rates of THA. Navigation, robotics, lipped liners, and dual-mobility acetabular components may improve dislocation rates. Risks for dislocation should be identified, and measures should be taken to mitigate the risk. Reliance on safe zones of acetabular component positioning is historical. We are in an era of bespoke THA surgery.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2018.01.047