Total Hip Replacement in Unreduced Hip Dislocation

1999 ◽  
Vol 34 (1) ◽  
pp. 17 ◽  
Author(s):  
Chang Hyun Cho ◽  
Myung Chul Yoo ◽  
Yoon Je Cho ◽  
Yong Wook Lee ◽  
Hyung Gu Kwon
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Total Hip

Hip

2021 ◽  
pp. 179-191
Keyword(s):  
Heterotopic Ossification ◽  
Avascular Necrosis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Total Hip ◽  
Hip Arthrodesis ◽  
Practice Questions

This chapter contains practice questions based on a broad range of orthopaedic topics that may be encountered within the ‘Adult Pathology’ station of the FRCS (Trauma and Orthopaedics) viva examination. The hip topics covered include: osteoarthritis, total hip replacement, avascular necrosis, hip arthrodesis, hip dislocation, and heterotopic ossification as well as other conditions.

scholarly journals Effect of articular capsule repair on postoperative dislocation after primary total hip replacement by the anterolateral approach

2019 ◽  
Vol 47 (10) ◽  
pp. 4787-4797
Author(s):  
Yiran Lu ◽  
Zongming Wu ◽  
Xianzhong Tang ◽  
Mengzhen Gu ◽  
Bo Hou
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Anterolateral Approach ◽  
Total Hip ◽  
Articular Capsule ◽  
School Of Medicine ◽  
Chi Squared ◽  
Postoperative Dislocation ◽  
Capsule Repair

Objective Artificial hip dislocation is one of the most serious complications following total hip replacement. This study was performed to assess articular capsule repair in primary total hip replacement with the anterolateral approach (Watson-Jones incision) and its effect on postoperative dislocation. Methods Patients who underwent primary total hip replacement by the anterolateral approach in Tongren Hospital of Shanghai Jiao Tong University School of Medicine from June 2007 to June 2014 were retrospectively analyzed. The patients were divided into the repair and dissection groups based on the articular capsule repair status during surgery. Postoperative dislocation rates were compared between the two groups using the chi-squared test. Results The repair and dissection groups comprised 137 and 248 patients, respectively. All patients were followed up for 6 months to 5 years (average, 3.75 years). The mean age, sex, disease composition, and follow-up time were not significantly different between the two groups. Early postoperative dislocation occurred in 1 hip (0.7%) in the repair group and 13 hips (5.2%) in the dissection group. Conclusions During the anterolateral approach for primary total hip replacement, articular capsule repair may reduce the occurrence of early postoperative dislocation of the hip joint.

scholarly journals A new anterolateral surgical approach for total hip replacement

Joints ◽  
2016 ◽  
Vol 04 (03) ◽  
pp. 148-152
Author(s):  
Giovanni Grano ◽  
Maria Pavlidou ◽  
Alberto Todesco ◽  
Augusto Palermo ◽  
Luigi Molfetta
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Case Series ◽  
Hip Dislocation ◽  
Harris Hip Score ◽  
Anterolateral Approach ◽  
X Rays ◽  
Level Of Evidence ◽  
Total Hip

Purpose: the purpose of the present paper is to present the short-term results of a “detachment-free” (DF) anterolateral approach for primary total hip replacement (THR) performed in a large series of patients. Methods: two hundred patients submitted to primary THR were retrospectively reviewed for the present study. In all cases, the surgery was performed using a minimally invasive DF anterolateral approach, which entails no disconnection of tendons and no muscle damage. The study population consisted of 96 men (48%) and 104 women (52%), with an average age of 69.4 years (range 38-75). Clinical and radiographic follow-up was performed after 12 months. Results: the clinical results, evaluated using the Harris Hip Score, were excellent in 95% of the cases and good in 5%; no cases had fair or poor results. X-rays taken at 3, 6 and 12 months after surgery did not show heterotopic ossification, mobilization of the prosthetic components, or hip dislocation. No infections, deep vein thrombosis, or failure of the gluteal muscles were reported. Conclusions: the DF anterolateral approach for THR proved safe and provided effective results at shortterm follow-up. Level of evidence: Level IV, therapeutic case series.

scholarly journals Total hip replacement in congenital high hip dislocation following iliofemoral monotube distraction

2010 ◽  
Vol 35 (5) ◽  
pp. 639-645 ◽  
Author(s):  
Johannes Holinka ◽  
Martin Pfeiffer ◽  
Jochen G. Hofstaetter ◽  
Richard Lass ◽  
Rainer I. Kotz ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Total Hip

scholarly journals Outcome of dual mobility total hip arthroplasty in patients who are at high risk for dislocation

2021 ◽  
Author(s):  
Basavaraj S. Kyavater ◽  
Rafeeq M. D. ◽  
Sathish Kumar ◽  
Hemanth P. Hallinalli
Keyword(s):  
High Risk ◽  
Total Hip Arthroplasty ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Dual Mobility ◽  
Total Hip ◽  
A Prospective Study

<p><strong>Background: </strong>Dislocation after total hip arthroplasty (THA) remains a major concern, because it is reported to range from 1% to 5%. The concept of dual mobility articulation was developed in 1970 by Bousquet to decrease dislocation risk. Several studies have looked at the outcome of dual mobility articulation in primary THA and in revision THA.<strong></strong></p><p><strong>Methods: </strong>This is a prospective study of 33 patients undergoing dual mobility THA during 24 months period from October 2017 to September 2019. Patients undergoing total hip replacement (THR) to have dual mobility cup (DMC) were those at high risk of dislocation. Patients were followed up for a mean period of 18 months.<strong></strong></p><p><strong>Results: </strong>33 patients (mean age 67 years) underwent DMC THA. 27 patients underwent primary hip replacement. The follow-up of our cases has ranged from 13 months to 3 years with a mean follow-up of 18 months. none of the patients had hip dislocation.</p><p><strong>Conclusions</strong>: The DMC is an effective solution for the management of high-risk cases undergoing total hip replacement to reduce the incidence of postoperative instability.</p>

scholarly journals Functional outcome after total hip replacement following 30 years neglected posterior hip dislocation: a rare case report

2020 ◽  
Vol 8 (3) ◽  
pp. 1152
Author(s):  
Ivander Purvance ◽  
Wayan Suryanto Dusak ◽  
Gusti Ngurah Putra Stanu ◽  
Ni Made Puspa Dewi Astawa
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dislocation ◽  
Soft Tissue Release ◽  
Leg Length ◽  
Skeletal Traction ◽  
Total Hip ◽  
Rare Case Report ◽  
History Of ◽  
The Right

Neglected traumatic dislocations of the hip is one of disabling condition in lower extremity which are seldom found in adults. However, in developing countries, neglected-unreduced traumatic dislocations are not uncommon. Total hip replacement (THR) still remains a recommendation for the treatment of neglected hip dislocation which occurs more than 3 months. A 45- years-old female came to the outpatient clinic complaining pain on her right hip with history of trauma 30 years before, but instead of seeking medical treatment, she went to bonesetter instead. On physical examination, there is 5 cm leg length discrepancy, and the patient walked with limping gait. Conventional x-ray confirmed persistent dislocation of the right hip. A soft tissue release procedure and femoral neck osteotomy with skeletal traction was done before, followed by delayed THR two months after. The patient’s functional status was improved, and the HHS score increased from 48 to 87. The patient had no pain or significant complaints, except for a finding of mild residual Trendelenburg gait.

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