| Outcome of treatment for dislocation after primary total hip replacement. | |
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MedLine Citation:
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PMID: 19258606 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We have studied the natural history of a first episode of dislocation after primary total hip replacement (THR) to clarify the incidence of recurrent dislocation, the need for subsequent revision and the quality of life of these patients. Over a six-year period, 99 patients (101 hips) presented with a first dislocation of a primary THR. A total of 61 hips (60.4%) had dislocated more than once. After a minimum follow-up of one year, seven patients had died. Of the remaining 94 hips (92 patients), 47 underwent a revision for instability and one awaits operation (51% in total). Of these, seven re-dislocated and four needed further surgery. The quality of life of the patients was studied using the Oxford Hip Score and the EuroQol-5 Dimension (EQ-5D) questionnaire. A control group of patients who had not dislocated was also studied. At a mean follow-up of 4.5 years (1 to 20), the mean Oxford Hip Score was 26.7 (15 to 47) after one episode of dislocation, 27.2 (12 to 45) after recurrent dislocation, 34.5 (12 to 54) after successful revision surgery, 42 (29 to 55) after failed revision surgery and 17.4 (12 to 32) in the control group. The EuroQol-5 dimension questionnaire revealed more health problems in patients undergoing revision surgery. |
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Authors:
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R S Kotwal; M Ganapathi; A John; M Maheson; S A Jones |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 91 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-04 Completed Date: 2009-03-27 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 321-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff CF14 4XW, Wales, UK. rahlktwl@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip / adverse effects*, methods Dislocations / etiology, surgery* Female Follow-Up Studies Hip Joint / surgery* Hip Prosthesis Humans Joint Instability / etiology, surgery Male Middle Aged Prosthesis Failure Quality of Life Recurrence Reoperation / methods, rehabilitation Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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