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Open Access 01-12-2018 | Research article

The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty – a retrospective cohort-study of 259 cases

Authors: Julia Jurkutat, Dirk Zajonz, Gerald Sommer, Stefan Schleifenbaum, Robert Möbius, Ronny Grunert, Niels Hammer, Torsten Prietzel

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.

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Title: The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty – a retrospective cohort-study of 259 cases
Authors: Julia Jurkutat
Dirk Zajonz
Gerald Sommer
Stefan Schleifenbaum
Robert Möbius
Ronny Grunert
Niels Hammer
Torsten Prietzel
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-018-2242-0

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The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty – a retrospective cohort-study of 259 cases

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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