nach oben

Current Reviews in Musculoskeletal Medicine

Erschienen in:

01.12.2013 | Modern Concepts in Primary and Revision Total Hip Arthroplasty (TN Board, Section editor)

Dislocation after total hip arthroplasty

verfasst von: A. Zahar, A. Rastogi, D. Kendoff

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

Dislocation remains one of the most common complications after total hip arthroplasty, regardless of the surgical approach. While multiple reasons as laxity, implant position, improper implant choice, and impingement etc. might be leading factors for dislocation, an exact identification of the exact reason is of major importance, to plan for a proper surgical or nonsurgical correction. This article describes in detail the definition, etiology, reduction, and possible treatment options for dislocation after primary and revision total hip arthroplasty that are currently used at the Endo Klinik in Hamburg. It furthermore includes a distinct overview of possible surgical treatment options, based on the main pathology leading to dislocation.

Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, Stöckl B. Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component. J Bone Joint Surg Br. 2005;87:762–9.PubMed

Swedish Hip Arthroplasty Register, Annual Report 2011, http://www.shpr.se.

• Hailer NP, Weiss RJ, Stark A, Kärrholm J. The risk of revision due to dislocation after total hip arthroplasty depends on surgical approach, femoral head size, sex, and primary diagnosis. An analysis of 78,098 operations in the Swedish Hip Arthroplasty Register. Acta Orthop. 2012;83:442–8. Patients undergoing THA after femoral neck fracture or osteonecrosis are at higher risk of dislocation. The use of the minimally invasive or posterior approaches increases this risk of dislocations. Consequently, the question is raised whether patients belonging to these risk groups should be operated using lateral approaches. PubMedCrossRef

Devane PA, Wraighte PJ, Ong DC, Horne JG. Do joint registries report true rates of hip dislocation? Clin Orthop Relat Res. 2012;470:3003–6.PubMedCrossRef

Moskal JT, Capps SG. Acetabular component positioning in total hip arthroplasty: an evidence-based analysis. J Arthroplasty. 2011;26:1432–7.PubMedCrossRef

Sikes CV, Lai LP, Schreiber M, Mont MA, Jinnah RH, Seyler TM. Instability after total hip arthroplasty: treatment with large femoral heads vs constrained liners. J Arthroplasty. 2008;23(7 Suppl):59–63.PubMedCrossRef

Patel PD, Potts A, Froimson MI. The dislocating hip arthroplasty: prevention and treatment. J Arthroplasty. 2007;22(4 Suppl 1):86–90.PubMedCrossRef

Ranawat CS, Rao RR, Rodriguez JA, Bhende HS. Correction of limb-length inequality during total hip arthroplasty. J Arthroplasty. 2001;16:715–20.PubMedCrossRef

Amstutz HC, Le Duff MJ, Beaule PE. Prevention and treatment of dislocation after total hip replacement using large diameter balls. Clin Orthop Relat Res. 2004;108.

10.

Amuwa C, Dorr LD. The combined anteversion technique for acetabular component anteversion. J Arthroplasty. 2008;23:1068.PubMedCrossRef

11.

Fukunishi S, Fukui T, Nishio S, Fujihara Y, Okahisa S, Yoshiya S. Combined anteversion of the total hip arthroplasty implanted with image-free cup navigation and without stem navigation. Orthop Rev. 2012;4:e33.CrossRef

12.

Meftah M, Yadav A, Wong AC, Ranawat AS, Ranawat CS. A novel method for accurate and reproducible functional cup positioning in total hip arthroplasty. J Arthroplasty. 2013;28:1200–5.PubMedCrossRef

13.

Queally JM, Abdulkarim A, Mulhall KJ. Total hip replacement in patients with neurological conditions. J Bone Joint Surg Br. 2009;91:1267–73.PubMed

14.

Peters CL, McPherson E, Jackson JD, et al. Reduction in early dislocation rate with large-diameter femoral heads in primary total hip arthroplasty. J Arthroplasty. 2007;22(6 Suppl 2):140.PubMedCrossRef

15.

Rodriguez JA, Rathod PA. Large diameter heads: is bigger always better? J Bone Joint Surg Br. 2012;94(11 Suppl A):52–4.PubMed

16.

Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978;60:217–20.PubMed

17.

Archbold HAP, Mockford B, Molloy D, et al. The transverse acetabular ligament, an aid to acetabular component placement during total hip arthroplasty. J Bone Joint Surg Br. 2006;88:883.PubMed

18.

Widmer KH, Zurfluh B. Compliant positioning of total hip components for optimal range of motion. J Orthop Res. 2004;22:815–21.PubMedCrossRef

19.

• Garbuz DS, Masri BA, Duncan CP, Greidanus NV, Bohm ER, Petrak MJ, et al. The Frank Stinchfield Award: dislocation in revision THA: do large heads (36 and 40 mm) result in reduced dislocation rates in a randomized clinical trial? Clin Orthop Relat Res. 2012;470:351–6. This paper demonstrates nicely, that in revision scenarios, larger head sizes as 36 mm or 40 mm are able to reduce the dislocation rates. This was compared with a 32 mm comparative patient cohort. In the same time, there was no different in quality of life measures in both groups. PubMedCrossRef

20.

Gaines RJ, Hardenbrook M. Closed reduction of a dislocated total hip arthroplasty with a constrained acetabular component. Am J Orthop. 2009;38:523–5.PubMed

21.

Schafer SJ, Anglen JO. The East Baltimore Lift: a simple and effective method for reduction of posterior hip dislocations. J Orthop Trauma. 1999;13:56–7.PubMedCrossRef

22.

Amstutz HC, Kody MH. Dislocation and subluxation. In Amstutz HC, editor. Hip arthroplasty. Churchill Livingstone, New York; 1991.

23.

DeLee JC. Fracture and dislocation of the hip. In Rockwood CA, Green DP, Bucholz RW, editors. Fractures in adults. 3^rd edition. JB Lippincott, Philadelphia; 1991.

24.

Wheeless CR. Dislocations and fracture dislocations of the hip. In: Wheeless’ Textbook of Orthopaedics (on line), www.wheelessonline.com.

25.

Skoff HD. Posterior hip dislocation, a new technique for reduction. Orthop Rev. 1986;15:405–9.PubMed

26.

Vosburgh CL, Vosburgh JB. Closed reduction for total hip arthroplasty dislocation. The Tulsa Technique. J Arthroplasty. 1995;10:693–4.PubMedCrossRef

27.

Bourne RB, Mehin R. The dislocating hip: what to do, what to do. J Arthroplasty. 2004;19(4 Suppl 1):111–4.PubMedCrossRef

28.

Grazioli A, Ek ET, Rüdiger HA. Biomechanical concept and clinical outcome of dual mobility cups. Int Orthop. 2012;36:2411–8.PubMedCrossRef

Titel: Dislocation after total hip arthroplasty
verfasst von: A. Zahar
A. Rastogi
D. Kendoff
Publikationsdatum: 01.12.2013
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2013
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-013-9187-6

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Dislocation after total hip arthroplasty

Abstract

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

Lever-Sign-Test hilft beim Verdacht auf Kreuzbandriss

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

Update Orthopädie und Unfallchirurgie

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2013

The bright future for total ankle replacements

Squeaking: Current knowledge and how to avoid it

Direct anterior approach to THR: what it is and what it is not

Approach and treatment of the adult acquired flatfoot deformity

Complications of total hip arthroplasty: periprosthetic fractures of the acetabulum

Thrombembolic complications after total ankle replacement

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

Lever-Sign-Test hilft beim Verdacht auf Kreuzbandriss

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

Update Orthopädie und Unfallchirurgie