Asset Details
Do you wish to reserve the book?
The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty – a retrospective cohort-study of 259 cases
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty – a retrospective cohort-study of 259 cases
Do you wish to request the book?
The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty – a retrospective cohort-study of 259 cases
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty – a retrospective cohort-study of 259 cases
2018
Overview
Background
Dislocation following total hip arthroplasty has to date not been resolved satisfactorily. Previous work has shown that using a less-invasive adaption of Bauer’s lateral transgluteal approach with capsular repair significantly reduces dislocation rates in primary total hip arthroplasty. The aim of this retrospective cohort study was to assess whether this approach also helps to reduce the dislocation rate in revision total hip arthroplasty.
Methods
We analyzed revision total hip arthroplasty cases performed between 10/2005 and 12/2013 in our department, classifying capsular repair cases as study group and capsular resection cases as control group. The WOMAC score, the dislocations and the revisions were observed.
Results
A total of 259 cases were included, 100 in the study group and 159 in the control group. In the 12-month follow-up, dislocation rates were significantly lower in the study group (3%,
n
= 3) compared to the control group (21.4%,
n
= 34;
p
= 0.001). Overall follow-up periods were 49 and 79 months, revision frequencies were 10 and 29%, pain improvements were 5.5 compared to 4.4 and the WOMAC global scores averaged 2.0 ± 2.1 and 2.9 ± 2.6 for the study group and the control group, respectively.
Conclusion
The modified, less-invasive, lateral transgluteal approach with capsular repair was accompanied by an 86% reduction in dislocation rates when compared to the conventional technique with capsular resection via the anterolateral Watson-Jones-approach. Capsular repair is possible in about 60% of the revision total hip arthroplasty cases, may be considered as beneficial to avoid dislocation and can therefore be recommended.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Arthroplasty, Replacement, Hip - adverse effects
/ Arthroplasty, Replacement, Hip - trends
/ Complications and side effects
/ Female
/ Hip Dislocation - diagnostic imaging
/ Humans
/ Joint Capsule Release - adverse effects
/ Joint Capsule Release - trends
/ Male
/ Medicine
/ Orthopedics and biomechanics
/ Pain
/ Reoperation - adverse effects
/ Revision
/ Surgeons
/ THA
