scholarly journals Does surgical approach influence the natural history of the unstable total hip replacement?

2021 ◽  
Author(s):  
Charles-Antoine Dion ◽  
Tom Schmidt-Braekling ◽  
Amedeo Falsetto ◽  
Cheryl Kreviazuk ◽  
Paul E. Beaulé ◽  
...  
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Surgical Approach ◽  
Hip Replacement ◽  
Total Hip ◽  
History Of

The natural history of a posteriorly dislocated total hip replacement

1999 ◽  
Vol 14 (8) ◽  
pp. 964-968 ◽  
Author(s):  
Emile Li ◽  
John B. Meding ◽  
Merrill A. Ritter ◽  
E.Michael Keating ◽  
Philip M. Faris
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
History Of

scholarly journals The natural history of unexplained early poor function following total hip replacement

2013 ◽  
Vol 38 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Bruce S. Watson ◽  
Paul J. Jenkins ◽  
James A. Ballantyne
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
History Of

A Proximal Referencing System for the Charnley Low Friction Arthroplasty

2002 ◽  
Vol 12 (3) ◽  
pp. 303-307
Author(s):  
M.D.A. Fletcher ◽  
J.C.J. Webb ◽  
T. Maung
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Hip Replacement ◽  
Recurrent Dislocation ◽  
Soft Tissue Balance ◽  
Low Friction ◽  
Total Hip

Dislocation is a serious complication of total hip arthroplasty occurring in up to 9% of cases. Recurrent dislocation accounts for 4% of revisions in the Swedish Hip Arthroplasty Study. Soft tissue balancing is one of the factors, independent of the surgical approach used, that is involved in producing a stable total hip replacement. We describe a proximal referencing system for use with the Charnley low friction arthrosplasty (LFA), which optimises this factor. The dislocation rate, using this method, is 0.3% (in 333 cases performed by a single surgeon over a 5 year period). This system should prove valuable to orthopaedic surgeons in training, ensuring they achieve correct soft tissue balance in total hip arthroplasty.

scholarly journals Bilateral Total Hip Replacement in Steroid Induced AVN in A Young Patient

2014 ◽  
Vol 13 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Md. Mahbubul Alam ◽  
Bishnu Pada Das ◽  
Aminul Hashan
Keyword(s):  
Young Patient ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Past History ◽  
Medical Science ◽  
Oral Steroid ◽  
Restricted Movement ◽  
Total Hip ◽  
History Of ◽  
Household Activities

A 30 years old female patient presented us with pain, restricted movement of hip and difficulty of walking. She had past history of taking oral Steroid for 6 months for gaining weight. Radiological examination revealed bilateral avascular necrosis of hips with advanced osteoarthritic changes. The patient had sequential Total hip replacement on both sides in 6 weeks interval. Post operatively she was uneventful and after proper exercise and physiotherapy she is maintaining her daily household activities smoothly. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18304 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.205-208

scholarly journals Total hip replacement in patients with history of illicit injecting drug use

2012 ◽  
Vol 132 (7) ◽  
pp. 1037-1044 ◽  
Author(s):  
Karl Wieser ◽  
Patrick O. Zingg ◽  
Michael Betz ◽  
Georg Neubauer ◽  
Claudio Dora
Keyword(s):  
Drug Use ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Injecting Drug Use ◽  
Total Hip ◽  
History Of

scholarly journals 421 Intrapelvic Protrusion of a Femoral Head in A Ceramic-on-Ceramic Total Hip Replacement, A Case Report

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Altell ◽  
E Massa ◽  
M Edwards
Keyword(s):  
Femoral Head ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
External Rotation ◽  
Upper Body ◽  
Range Of Movement ◽  
Total Hip ◽  
Ceramic Femoral Head ◽  
History Of ◽  
Ceramic On Ceramic

Abstract Introduction Ceramic on ceramic bearing in Total Hip Replacement (THR) is associated with a low but evident risk of ceramic linear fracture, which can lead to catastrophic failure if not diagnosed and treated early. Case presentation: A 59-year-old male patient, who underwent a ceramic-on-ceramic THR 8 years ago, presented to our centre with a five-week history of right hip pain, after he suddenly twisted his upper body and felt a sharp pain in his groin. Prior to the injury he had an excellent functional level with the prosthesis. His examination findings confirmed a reduced range of movement with pain in the groin on internal and external rotation. X-ray and CT of the hip confirmed a ceramic liner fracture with protrusion of the femoral head into the pelvis. A revision THR was subsequently performed. Discussion The usual pattern of liner fracture in this type of bearings is that the femoral head stays contained inside the metal cup. In our case, the ceramic femoral head uniquely fractured the liner and passed into the pelvis. To the best of our knowledge, this is the third reported case in literature where a ceramic femoral head protrudes through the metal cup into the pelvis.

Revision for Recurrent Dislocation of Total Hip Replacement

2009 ◽  
Vol 19 (2) ◽  
pp. 109-113 ◽  
Author(s):  
Mark Rogers ◽  
Ashley W. Blom ◽  
Andrew Barnett ◽  
Alexia Karantana ◽  
Gordon C. Bannister
Keyword(s):  
Total Hip Replacement ◽  
Surgical Approach ◽  
Hip Replacement ◽  
Posterior Approach ◽  
Recurrent Dislocation ◽  
Anterior Dislocation ◽  
Operative Strategy ◽  
Total Hip ◽  
Transgluteal Approach ◽  
Revision Tha

Background and purpose Dislocation is one of the commonest complications of total hip arthroplasty with an incidence of between 0.5 and 9.2%. Despite this, little is known of the outcome of treatment strategies for dislocation. The aim of this study was to establish the optimal strategy for the operative management of recurrent dislocation following THA taking account of the surgical approach employed in the replacement that became unstable and the direction of the instability that followed. Methods We reviewed 70 patients who underwent revision surgery for recurrent dislocation after total hip arthroplasty (THA), 38 through the transgluteal (Hardinge) and 32 through the posterior approach. 52 of these followed primary and 18 followed revision THA for reasons other than instability. We recorded the surgical approach, the direction of dislocation and the operative strategy employed for each case. Results We achieved stability in 75% of patients who dislocated after primary and 50% after revision THA. 77% of dislocations performed initially through the transgluteal approach were anterior and 88% through the posterior approach were posterior. Following the transgluteal approach, we stabilised anterior dislocation in 54% of cases. Following the posterior approach we stabilised posterior dislocation in 79%. The most successful operative strategy overall was cup augmentation which conferred stability in 90% of cases. Interpretation Instability after primary total hip replacement is easier to treat (75% chance of success) than after revision total hip replacement (50% chance of success). Although previous studies have shown that the posterior approach has a slightly higher risk of dislocation, this study has shown that achieving stability after a posterior dislocation is more likely than after an anterior dislocation. The outcome of revision for instability depends on the surgical approach used initially, and the direction of dislocation.

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