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Archives of Orthopaedic and Trauma Surgery

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18.02.2021 | Orthopaedic Surgery

Outcome and risk factors of failures associated with revision total hip arthroplasty for recurrent dislocation

verfasst von: Christian Klemt, Wenhao Chen, Georges Bounajem, Venkatsaiakhil Tirumala, Liang Xiong, Young-Min Kwon

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2022

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Abstract

Introduction

Recurrent dislocation represents the third most common cause of revision surgery after total hip arthroplasty (THA). However, there is a paucity of information on the outcome of revision total hip arthroplasty for recurrent dislocation. In this study, we investigated (1) clinical outcomes of patients that underwent revision THA for recurrent dislocation, and (2) potential risk factors associated with treatment failure in patients who underwent revision total hip arthroplasty for recurrent dislocation.

Methods

We retrospectively reviewed 211 consecutive cases of revision total hip arthroplasty for recurrent dislocation, 81 implanted with a constrained liner and 130 with a non-constrained liner with a large-diameter femoral head (> 32 mm). Patient- and implant-related risk factors were analyzed in multivariate regression analysis.

Results

At 4.6-year follow-up, 32 of 211 patients (15.1%) underwent re-revision surgery. The most common causes for re-revision included infection (14 patients) and dislocation (10 patients). Kaplan–Meier analysis demonstrates a 5-year survival probability of 77% for patients that underwent revision THA for recurrent dislocation. Osteoporosis, obesity (BMI ≥ 40), spine disease and abductor deficiency are independent risk factors for failure of revision surgery for recurrent dislocation. Liner type (constrained vs. non-constrained) was found not to be associated with failure of revision THA for recurrent dislocation (p = 0.44).

Conclusion

This study suggests that THA revision for recurrent dislocation is associated with a high re-revision rate of 15% at mid-term follow-up. Osteoporosis, obesity (BMI ≥ 40) spine disease and abductor deficiency were demonstrated to be independent risk factors for failure of revision THA for recurrent dislocation.

Level of evidence

Level III, case–control retrospective analysis.

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Titel: Outcome and risk factors of failures associated with revision total hip arthroplasty for recurrent dislocation
verfasst von: Christian Klemt
Wenhao Chen
Georges Bounajem
Venkatsaiakhil Tirumala
Liang Xiong
Young-Min Kwon
Publikationsdatum: 18.02.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2022
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-021-03814-2

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Outcome and risk factors of failures associated with revision total hip arthroplasty for recurrent dislocation