| Is the dislocation rate higher after bipolar hemiarthroplasty in patients with neuromuscular diseases? | |
MedLine Citation:
|
PMID: 22015999 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Patients with neuromuscular disease reportedly have a higher incidence of postoperative dislocation after bipolar hemiarthroplasty. Although the literature has focused on a high prevalence of preoperative neurologic conditions in patients who had dislocations after bipolar hemiarthroplasties, the relative incidence of dislocation in patients with neuromuscular disease and without is unclear. QUESTIONS/PURPOSES: We therefore (1) asked whether the incidence of postoperative dislocation after bipolar hemiarthroplasty was greater in patients with neuromuscular disease than for those without, and (2) whether function differed between the two groups, and (3) explored potential risk factors for dislocation in two groups. METHODS: We retrospectively reviewed 190 patients who underwent bipolar hemiarthroplasties for fracture of the femoral neck between 1996 and 2008. Of the 190 patients, 42 had various neuromuscular diseases and 148 had no history of neuromuscular disease. Intraoperative stability was tested and posterior soft tissue repair was performed in all patients. We determined the incidence of dislocation, postoperative leg length discrepancy, and femoral offset in patients with or without neuromuscular disease. RESULTS: The incidence of dislocation was 2.6% in all patients. We observed similar rates of dislocation in the two groups: 4.8% (two of 42 hips) in patients with neuromuscular disease and 2.0% (three of 148 hips) in patients without neuromuscular disease. CONCLUSIONS: In femoral neck fractures in patients with neuromuscular disease, careful preoperative management and operative technique such as a posterior soft tissue repair might decrease the risk of postoperative dislocation; therefore, we consider the bipolar hemiarthroplasty a reasonable treatment option. LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence. |
Authors:
|
Kuen Tak Suh; Dae Woong Kim; Hong Seok Lee; Yoon Jae Seong; Jung Sub Lee |
Related Documents
:
|
22763989 - The bilag2004-pregnancy index is reliable for assessment of disease activity in pregnan... 21775389 - Patients using vitamin k antagonists show increased levels of coronary calcification: a... 21951199 - Comparison of spermatic vein histology in patients with and without varicocele. 21943939 - Arrhythmic manifestations in patients with congenital left ventricular aneurysms and di... 9191559 - Comparison of two assays for measuring ldl cholesterol. 22223429 - Hyponatremia, hypernatremia, and mortality in patients with chronic kidney disease with... 8002689 - Carotid stenosis in patients with atrial fibrillation. prevalence, risk factors, and re... 19061799 - Skeletal and dental components of class ii correction with the bionator and removable h... 19350119 - Microparticle-linked tissue factor activity and increased thrombin activity play a pote... |
Publication Detail:
|
Type: Journal Article Date: 2011-10-21 |
Journal Detail:
|
Title: Clinical orthopaedics and related research Volume: 470 ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2012 Apr |
Date Detail:
|
Created Date: 2012-03-06 Completed Date: 2012-05-16 Revised Date: 2013-06-27 |
Medline Journal Info:
|
Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
|
Languages: eng Pagination: 1158-64 Citation Subset: AIM; IM |
Affiliation:
|
Department of Orthopaedic Surgery, Pusan National University School of Medicine, Beomeo-ri, Mulgeum-eup, Yangsan 626-770, Korea. kuentak@pusan.ac.kr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Arthroplasty, Replacement, Hip / adverse effects*, methods Dislocations / etiology*, radiography Female Femoral Neck Fractures / radiography, surgery* Hip Dislocation / epidemiology*, etiology, radiography Humans Incidence Male Middle Aged Neuromuscular Diseases / complications*, radiography, surgery Retrospective Studies Risk Factors |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Is the medial wall of the intercondylar notch useful for tibial rotational reference in unicompartme...
Next Document: Mortality rates are similar after hip fractures for rural and urban patients.