Article: article from journal or magazin.
Factors predisposing to dislocation after primary total hip arthroplasty: a multivariate analysis.
The Journal of Arthroplasty
Publication types: Journal Article
We conducted this study to determine the relative influence of various mechanical and patient-related factors on the incidence of dislocation after primary total hip asthroplasty (THA). Of 2,023 THAs, 21 patients who had at least 1 dislocation were compared with a control group of 21 patients without dislocation, matched for age, gender, pathology, and year of surgery. Implant positioning, seniority of the surgeon, American Society of Anesthesiologists (ASA) score, and diminished motor coordination were recorded. Data analysis included univariate and multivariate methods. The dislocation risk was 6.9 times higher if total anteversion was not between 40 degrees and 60 degrees and 10 times higher in patients with high ASA scores. Surgeons should pay attention to total anteversion (cup and stem) of THA. The ASA score should be part of the preoperative assessment of the dislocation risk.
Adult, Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip/adverse effects, Case-Control Studies, Female, Hip Dislocation/epidemiology, Hip Dislocation/etiology, Hip Prosthesis, Humans, Incidence, Male, Middle Aged, Multivariate Analysis, Prosthesis Failure, Risk Factors
Web of science
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