Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Jurkutat, J; Zajonz, D; Sommer, G; Schleifenbaum, S; Möbius, R; Grunert, R; Hammer, N; Prietzel, T.
The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty - a retrospective cohort-study of 259 cases.
BMC Musculoskelet Disord. 2018; 19(1):314-314
Doi: 10.1186/s12891-018-2242-0
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Hammer Niels
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- 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. 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. 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. 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.
- Find related publications in this database (using NLM MeSH Indexing)
- Arthroplasty, Replacement, Hip - adverse effects
- Arthroplasty, Replacement, Hip - trends
- Cohort Studies -
- Female -
- Follow-Up Studies -
- Hip Dislocation - diagnostic imaging
- Hip Dislocation - etiology
- Humans -
- Joint Capsule Release - adverse effects
- Joint Capsule Release - trends
- Male -
- Reoperation - adverse effects
- Reoperation - trends
- Retrospective Studies -
- Risk Factors -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Capsular repair
- Dislocation
- Revision
- THA