Results of reoperation for hip dislocation: The big picture

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Hip instability remains a costly complication of primary (3%) and revision (10%) procedures. In those with well-oriented components, instability may be anticipated in about 70% from advancement of the trochanter. Articular reorientation readily is affected by the use of modular cups with elevated rims. This has proven to be an effective strategy both to lessen the likelihood of an initial dislocation after both primary and revision procedures. It has also proven to be an effective strategy to treat the unstable implant, especially if cup orientation has been defined as the primary problem. Larger head sizes in the range of low-friction arthroplasty, such as 32 mm, are not any more stable than 22-mm diameter implants. Anatomic-sized heads as used in bipolar devices are effective in treating established instability in up to 90% of instances. The most popular current option is that of the constrained head/cup articulation. Good short-term results have revealed success in more than 90%. However, the effectiveness is design dependent, and the long-term effectiveness understandably is questioned as reports of mechanical failure begin to emerge.

Original languageEnglish (US)
Pages (from-to)94-101
Number of pages8
JournalClinical Orthopaedics and Related Research
Issue number429
DOIs
StatePublished - Dec 2004
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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