Document Detail


Outcome of treatment for dislocation after primary total hip replacement.
MedLine Citation:
PMID:  19258606     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
R S Kotwal; M Ganapathi; A John; M Maheson; S A Jones
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
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:
Created Date:  2009-03-04     Completed Date:  2009-03-27     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  321-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff CF14 4XW, Wales, UK. rahlktwl@aol.com
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MeSH Terms
Descriptor/Qualifier:
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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