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Archives of Orthopaedic and Trauma Surgery

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01-02-2015 | Hip Arthroplasty

Minimal invasive posterior total hip arthroplasty: are 6 weeks of hip precautions really necessary?

Authors: Tom Schmidt-Braekling, Wenzel Waldstein, Erol Akalin, Pablo Benavente, Brett Frykberg, Friedrich Boettner

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2015

Abstract

Introduction

Postoperative hip dislocations have been reported in 0.5 to 10.6 % of patients after primary posterolateral total hip arthroplasty (THA). Hip precautions are currently recommended for 6 weeks postoperatively to reduce early dislocation and facilitate healing of the posterior soft tissue repair.

Materials and methods

To determine the impact of a modified 4-week precaution protocol on the dislocation rate, 698 consecutive patients (797 hips) operated by a single surgeon between September 2008 and December 2012 were retrospectively evaluated. All patients had a standard THA using a minimal invasive posterior approach with posterior soft tissue repair and 28–36-mm head size. 98.7 % of the patients were available for follow-up.

Results

There were eight (1 %) dislocations in 797 hips in the first 12 months after surgery with 4 weeks of hip precautions. The average time to dislocation was 7.5 weeks after surgery (range 1.0–16.9 weeks); two dislocations (25 %) took place in the first 4 weeks.

Conclusions

Shortening the time of posterolateral hip precautions from 6 to 4 weeks after surgery does not increase the risk of postoperative dislocation.

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Title: Minimal invasive posterior total hip arthroplasty: are 6 weeks of hip precautions really necessary?
Authors: Tom Schmidt-Braekling
Wenzel Waldstein
Erol Akalin
Pablo Benavente
Brett Frykberg
Friedrich Boettner
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 2/2015
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-014-2146-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Minimal invasive posterior total hip arthroplasty: are 6 weeks of hip precautions really necessary?

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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