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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2014, Number 2

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Acta Ortop Mex 2014; 28 (2)

Evaluation and treatment of prosthetic hip dislocation

Dabaghi A, Saleme J, Ochoa L

Language: Spanish
References: 42
Page: 137-144
PDF size: 176.98 Kb.


ABSTRACT

Hip dislocation is the second most common complication of Total Hip Arthroplasty followed by aseptic loosening, is the second most common complication of THA presenting with an incidence of 2.4-3.9% in primary procedures and an incidence of up to 28% in revision surgeries. The hip dislocations can be classified into 3 groups: Early, middle and late. Generally early dislocations respond favorably to nonsurgical treatment and have low recurrence rate. In this case the need for revision surgery is much higher. The diagnosis of a dislocated hip is relatively easy to perform because the clinical picture is very typical. Having identified a dislocated hip the first step is to make an attempt to reduce a closed manner. Among the options are the following: Change of modular components, trochanteric progress, review of component orientation and ultimately the use of constrained components. One of the most common problems for which the patient presents early recurrent instability is inadequate orientation of the prosthetic components. The THA is one of the most useful and most successful surgeries the last 100 years, however requires a refined surgical technique, proper patient selection and planning to meet the expectations of it. It currently has a range of possible treatments for problem resolution, with the intent of restoring a stable and functional hip.


REFERENCES

  1. Callaghan JJ, Rosenberg AG, Rubash HE: The Adult Hip. 2a edition, Vol. 1. Lippincott Williams & Wilkins, 2006: 1-15.

  2. Stuchin SA: anatomic diameter femoral heads in total hip arthoplasty: a preliminary report. J Bone Joint Surg Am. 2008; 90 Suppl 3: 52-6.

  3. Learmonth ID: Total Hip replacement and the law of diminishing returns. J Bone Joint Surg. 2006; 88 (7): 1664-73.

  4. Meek RMD, Allan DB, McPhillips G, Kerr L, Howie CR: Late dislocation after Total Hip Arthroplasty. Clin Med Res. 2008; 6(1): 17-23.

  5. Kung PL, Ries MD: Effect of femoral head size and adductors on dislocation after revision THA. Clin Orthop Relat Res. 2007; 465: 170-4.

  6. Sanchez-Sotelo J, Haidukewych GJ, Boberg CJ: Hospital cost of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am. 2006; 88(2): 290-4.

  7. Fackler CD, Poss R. Dislocation in Total Hip Arthroplasties. Clin Orthop Relat Res. 1980; 151: 169-78.

  8. Parvizi J, Picinic E, Sharkey P: Revision Total Hip Arthroplasty for instability: surgical techniques and principles. Instr Course Lect. 2009; 58: 183-91.

  9. Von Knoch M, Berry DJ, Harmsen S, Morrey B: Late dislocation after Total Hip Arthroplasty. J Bone Joint Surg Am. 2002; 84: 1949-53.

  10. Berry DJ, von Knoch M, Schlenck CD, Hamsen WS: Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am. 2005; 87: 2456-63.

  11. Conroy JL, Whitehouse SL, Graves SE, Pratt NL, Ryan R, Crawford RW: Risk factors for revision for early dislocation in total hip arthroplasty. J Arthroplasty. 2008; 23: 867-72.

  12. Morrey BF: Instability after total hip arthroplasty. Orthop Clin North Am. 1992; 23: 237-48.

  13. Berend KR, Lombardi AV Jr, Seng BE, Adams JB: Enhanced early outcomes with anterior supine intermuscular approach in primary total hip arthroplasty. J Bone Joint Surg Am. 2009; 91(Suppl 6): 107-20.

  14. Demos HA, Rorabech CH, Bourne RB, MacDonald SJ, McCalden RW: Instability in primary total hip arthroplasty with the direct lateral approach. Clin Orthop Relat Res. 2001; 393: 168-80.

  15. Goldstein WM, Gleason TF, Kopplin M, Branson JJ: Prevalence of dislocation after total hip arthoplasty through a posterolateral approach with partial capsulotomy and capsulorrhaphy. J Bone Joint Surg Am. 2001; 83: 2-7.

  16. Masonis JL, Bourne RB: Surgical approach, abductor function and total hip arthroplasty disloaction. Clin Orthop Related Res. 2002; 405: 46-53.

  17. Ji HM, Kim KC, Lee YK, Ha YC, Koo KH: Dislocation after total hip arthroplasty: A randomized clinical trial of a posterior approach and a modified lateral approach. J Arthroplasty. 2012; 27: 378-85.

  18. Kwon MS, Kuskowski M, Mulhall KJ, Macaulay W, Brown TE, Saleh KJ: Does surgical approach affect Total Hip Arthroplasty dislocation rates? Clin Orthop Relat Res. 2006; 447: 34-8.

  19. Tsai SJ, Wang CT, Jiang CC: The effect of posterior capsule repair upon post-operative hip dislocation following primary total hip arthroplasty. BCM Musculoskelet Disord. 2008; 9: 29.

  20. Canale TS, Beaty JH: Campbell’s Operative Orthopaedics. Eleventh Edition. Vol. 1. Mosby Elsevier. 2008: 312-5.

  21. Herrlin K, Selvik G, Pettersson H, Kesek P, Onnerfalt R, Ohlin A: Position, orientation and component interaction in dislocation of the total hip prosthesis. Acta Radiol. 1988; 29: 441-4.

  22. Ursey MM, Noble PC, Rudner LJ, Conditt MA, Birman MV, Santore RF, Mathis KB: Does neck/liner impingment increase wear of ultrahigh-molecular-weight polyethylene liners? J Arthoplasty. 2006; 21(6 Suppl 2): 65-71.

  23. Barrack RL: Dislocation after total hip athroplasty: implant design and orientation. J Am Acad Orthop Surg. 2003; 11: 89-99.

  24. Barrack RL, Lavernia C, Ries M, Thornberry R, Tozakoglou E: Virtual Reality computer animation of the effect of component position and design on stability after total hip arthroplasty. Orthop Clin North Am. 2001; 32: 567-77, vii.

  25. Malik A, Maheshwari A, Dorr LD: Impingment with Total Hip Replacement: J Bone Joint Surg Am. 2007; 89: 1832-42.

  26. Kim YH, Choi Y, Kim JS: Influence of patient, design and surgery-related factors on rate of dislocation after primary cementless total hip arthroplasty. J Arthroplasty. 2009; 24: 1258-63.

  27. Woo RY, Morrey BF: Dislocation after total hip arthroplasty. J Bone Joint Surg Am. 1982; 64: 1295-306.

  28. Puri L, Lapinski B, Wixson RL, Lynch J, Hendrix R, Stulberg SD: Computed tomographic follow-up evaluation of operative intervention for periacetabular lysis. J Arthroplasty. 2006; 21(6 Suppl 2): 78-82.

  29. Nishii T, Sugano N, Miki H, Koyama T, Takao M, Yoshikawa H: Influence of component position on dislocation. J Arthroplasty. 2004; 19: 162-6.

  30. Berend KR, Sporer SM, Sierra RJ, Glassman AH, Morris MJ: Achieving stability and lower-limb lenght in Total Hip Arthroplasty. J Bone and Joint Surg Am. 2010; 92: 2737-52.

  31. Soong, M, Rubash H, Macaulay W: Dislocation after Total Hip Arthroplasty. J Am Acad Orthop Surg. 2004; 12: 314-21.

  32. Ali Khan MA, Brakenbury PH, Reynolds IS: Dislocation following total hip replacement. J Bone Joint Surg Br. 1981; 63: 214-8.

  33. Berry JD, Steinmann SP: Adult Reconstruction. Lippincott Williams & Wilkins. 2007: 95-102.

  34. Canale TS, Beaty JH: Campbell’s Operative Orthopaedics. Eleventh Edition. Vol. 1. Mosby Elsevier. 2008: 401-10.

  35. Sánchez-Sotelo J, Berry DJ: Epidemiology of instability after total hip replacement. Orthop Clin North Am. 2001; 32: 543.

  36. Daly PJ, Morrey BF: Operative correction of an unstable total hip arthroplasty. J Bone Joint Surg Am. 2004; 1992; 74: 1334-43.

  37. Peters CL, McPherson E, Jackson JD, Erickson JA: Reduction in early dislocation rate with large-diameter femoral heads in primary Total Hip Arthroplasty. J Arthroplasty. 2007; 22(Suppl 2): 140-44.

  38. Anderson MJ, Murray WR, Skinner HB: Constrained acetabular components. J Arthroplasty. 1994; 9: 17-23.

  39. Shapiro GS, Weiland De, Markel DC, Padgett DE, Sculco TP, Pellicci PM: The use of a constained acetabular component for recurrent dislocation. J Arthroplasty. 2003; 18: 250-8.

  40. Eklund A: Trochanteric osteotomy for recurrent dislocation of total hip arthroplasty. J Arthroplasty. 1993; 8: 629-32.

  41. Longiohn D, Dorr LD: Soft tissue balance of the hip. J Arthroplasty. 1998; 13: 97-100.

  42. Hedlundh U, Ahnfelt L, Hybbinette CH, Weckstrom J, Fredin H: Surgical experience related to dislocation after total hip arthroplasty. J Bone Joint Surg Br. 1996; 78: 206-9.




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