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International Orthopaedics
Published in: International Orthopaedics 8/2013

01-08-2013 | Original Paper

Late dislocation is associated with recurrence after total hip arthroplasty

Authors: Takashi Itokawa, Yasuharu Nakashima, Takuaki Yamamoto, Goro Motomura, Masanobu Ohishi, Satoshi Hamai, Mio Akiyama, Masanobu Hirata, Daisuke Hara, Yukihide Iwamoto

Published in: International Orthopaedics | Issue 8/2013

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Abstract

Purpose

This study was conducted to examine the risk factors for recurrent dislocation after total hip arthroplasty (THA) and test the hypothesis that late dislocations are associated with recurrence.

Methods

A total of 1,250 hips in 1,017 patients were retrospectively reviewed. All operations were performed through the posterolateral approach with posterior soft tissue repair. An early or late dislocation was defined as a dislocation occurring before or after one year postoperatively, respectively.

Results

Dislocation occurred in 36 hips (2.9 %) and 20 of them experienced recurrence. Recurrent dislocations were observed in ten out of 25 hips (40.0 %) with early dislocation; however, ten out of 11 hips (90.9 %) with late dislocation experienced recurrence (p = 0.0046). Multivariate analysis revealed that late dislocation was significantly associated with recurrence with odds ratio of 5.94 per year. Seven in 20 hips with recurrent dislocation required surgical treatment.

Conclusion

Late dislocation significantly contributed to the development of recurrent dislocations.
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Metadata
Title
Late dislocation is associated with recurrence after total hip arthroplasty
Authors
Takashi Itokawa
Yasuharu Nakashima
Takuaki Yamamoto
Goro Motomura
Masanobu Ohishi
Satoshi Hamai
Mio Akiyama
Masanobu Hirata
Daisuke Hara
Yukihide Iwamoto
Publication date
01-08-2013
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 8/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-1921-6

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