Instability after total hip arthroplasty

被引:6
作者
Colwell, Clifford W., Jr. [1 ]
机构
[1] Scripps Clin, Shiley Ctr Orthopaed Res & Educ, 11025 North Torrey Pines Rd,Suite 140, La Jolla, CA 92037 USA
来源
CURRENT ORTHOPAEDIC PRACTICE | 2009年 / 20卷 / 01期
关键词
head size; hip dislocation; prevention; surgical approach;
D O I
10.1097/BCO.0b013e3181926d7d
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This review focuses on the prevention of postoperative instability and describes current operative options that have the potential to significantly reduce the risk of instability and the necessity of post-dislocation management. The latest research findings are presented to improve the readers' grasp of this complex issue. Increasing evidence supports the use of larger femoral heads as the promising preventive material currently available, meticulous posterior capsular repair when a posterior approach is used, hip resurfacing and higher offset. Future research is needed to more precisely determine the risk of instability associated with the use of postoperative patient restrictions and exercises, minimal incision surgery and computer-assisted navigation. Instability after total hip arthroplasty is troublesome for the patient and challenging for the surgeon. This review provides the surgeon with an opportunity to thoroughly understand the factors that may contribute to instability after total hip arthroplasty, the operative strategies that can be used to prevent and treat postoperative instability and the necessity of developing a plan for optimally preventing and managing dislocation.
引用
收藏
页码:8 / 14
页数:7
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