Dislocation of a total hip prosthesis: etiology and treatment

Dislocation of a total hip prosthesis: etiology and treatment

Dislocation of a total hip prosthesis is a substantial burden in terms of morbidity and health care costs. The incidence of dislocation is highest during the first postoperative months but the risk persists throughout the entire life of the patient. The first dislocation is treated by an emergency c...

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Bibliographic Details
Published in:Revue médicale suisse Vol. 5; no. 230; p. 2544
Main Authors: Suva, D, Lübbeke, A, Pagano, F, Dayer, R, Hoffmeyer, P
Format: Journal Article
Language:French
Published: Switzerland 16-12-2009
Subjects:
Hip Dislocation - etiology
Hip Dislocation - surgery
Hip Prosthesis
Humans
Prosthesis Failure
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Description
Summary:Dislocation of a total hip prosthesis is a substantial burden in terms of morbidity and health care costs. The incidence of dislocation is highest during the first postoperative months but the risk persists throughout the entire life of the patient. The first dislocation is treated by an emergency closed reduction of the hip undergeneral anaesthesia, following which about three out of four patients will have a stable hip. In cases of recurrent dislocation the treatment is difficult, depending upon the time between surgery and dislocation, the identification of an etiologic factor, and the general status of the patient. Patients in which a specific cause can be identified have better results after surgical revision. When no causal factor is detected several surgical options are possible, but the results are less consistent.
ISSN:1660-9379