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International Orthopaedics
Published in: International Orthopaedics 4/2016

01-04-2016 | Original Paper

The effect of acetabular and femoral component version on dislocation in primary total hip arthroplasty

Authors: Takaaki Fujishiro, Takafumi Hiranaka, Shingo Hashimoto, Shinya Hayashi, Masahiro Kurosaka, Taiki Kanno, Takeshi Masuda

Published in: International Orthopaedics | Issue 4/2016

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Abstract

Purpose

The purpose of the present study was to: (1) investigate the variation of both acetabular and femoral component version in a large series of consecutive primary THA patients, and (2) to better define the associations of acetabular and femoral component alignment and clinical factors with subsequent hip dislocation in those patients.

Methods

We analyzed CT scans of 1,555 consecutive primary THAs and measured version of the components. We also documented the frequency and direction of subsequent dislocation as well as femoral head size, posterior tissue repair, any history of previous hip surgery, and gender.

Results

The dislocation rate after THA was 3.22 %. The dislocation risk was 1.9 times higher if cup anteversion was not between 10° and 30°. Compared to hips that did not dislocate, those that experienced anterior dislocation had a significantly greater combined anteversion; those that dislocated posteriorly had a significantly smaller combined anteversion. Hips with previous rotational acetabular osteotomy or head size smaller than 28 mm correlated with an increased dislocation rate.

Conclusion

The dislocation risk could be higher if cup anteversion was not between 10° and 30°. Greater combined anteversion could be a risk factor of anterior dislocation, and posterior dislocation could be more common in smaller combined anteversion.
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Metadata
Title
The effect of acetabular and femoral component version on dislocation in primary total hip arthroplasty
Authors
Takaaki Fujishiro
Takafumi Hiranaka
Shingo Hashimoto
Shinya Hayashi
Masahiro Kurosaka
Taiki Kanno
Takeshi Masuda
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 4/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-015-2924-2

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