An Analysis of the Reason of Dislocation of the Joint after the Primary Total Hip Arthroplasty

Abstract

Abstract:

Objective：To investigate the causes of dislocation of the joint after the first total hip replacement. Methods：A
retrospective review and analysis was performed of the medical records of 432 patients（469 hips）who had the primary total hip
replacement in the first afflicted hospital of Dali University from January 2011 to December 2015 in order to explore the causes of
dislocation of the joint after the first replacement. Results：Of the 432 patients（469 hips）, 17（17 hips）had postoperative dislocation,
including 14 cases of early dislocation in which 3 cases（21.4%）were caused by patients, 6 cases（42.9%）by the operation and 5
cases（35.7%）by improper position of patients, and 3 cases of late dislocation in which 2 cases were traumatic dislocation and 1 case
of unknown reason. Conclusion：Dislocation after the first total hip replacement can be caused by patients, surgery and postoperative
factors among which the surgical factor is the main cause of early dislocation.

Key words: total hip replacement, dislocation, causes

CLC Number:

R687.4

Zhao Chang, Li Hong, Hu Zhifu, Sun Zhe, Sun Chaojun. An Analysis of the Reason of Dislocation of the Joint after the Primary Total Hip Arthroplasty[J]. , 2017, 2(8): 35-40.

References

〔1〕MORREYBF. Dislocation，inMorreyBF，AnKN（eds）：Re?
constructivesurgeryofthejoints，ed2〔M〕. NewYrk，oNY：
Churchill-Livingstone，1996：1247-1260.
〔2〕邓磊，刘沂. 全髋关节置换术的并发症及其处理（三）全
髋置换术后脱位〔J〕. 中国骨肿瘤病，2004，3（2）：90-94.
〔3〕DORRLD，WANZ. Causes of and treatment protocol for instability
of total hip replacement〔J〕. Clin Orthop Relat Res，
1998（355）：l44-151．
〔4〕吕明，周一新，柳剑，等. 髋臼假体角度的定义、测量方法
和临床意义〔J〕. 中国骨与关节外科，2013，6（1）：73-79.
〔5〕LEWINNEK G E，LEWIS J L，TARR R，et al. Dislocations
after to talhip replacement arthroplasties〔J〕. J Bone Joint
Surg Am，1978，60（2）：217-220.
〔6〕宋树春，陈成亮，潘玉林，等.全髋关节置换术后早期脱
位的病因及防治〔J〕.中国矫形外科杂志，2003，11（18）：
加页7-加页8.
〔7〕NEWINGTONDP，BANNISTERGC，FORDYCEM.Primary
total hip replacement inpatients over 80 years of age〔J〕. J
Bone Joint Surg（Br），1990，72-B（3）：450-452.
〔8〕冯永洪，臧学慧. 全髋关节置换术早期并发脱位的多因
素Logistic回归分析〔J〕. 广东医学，2007，28（7）：1082-
1084．
〔9〕严广斌.股骨偏心距〔J〕.中华关节外科杂志（电子版），
2013，7（5）：740.
〔10〕MORREY B F. Dificult complications after hip replace?
ment〔J〕. Clin Orthop，1997，344（12）：179-187.
〔11〕刘荆陵，袁仕炜，童伟林，等. 股骨颈骨折行人工髋关节
置换的偏心距调整与术后相关并发症分析〔J〕.医学临
床研究，2010，27（7）：1251-1253.
〔12〕DORR L D. Acetabular cup position the imperative of get?
ting it right〔J〕. Orthopedics，2008，31（9）：898-899.
〔13〕JOLLES B M，ZANGGER P，LEYVRAZ P F. Factors pre?
disposing to dislocation after primary total hip arthroplas?
ty：a multivariate analysis〔J〕. J Arthroplasty，2002，17：
282-288．
〔14〕JAMESON S S，LEES D. Lower rates of dislocation with
increased femoral head size after primary total hip replace?
ment〔J〕. J Surg（Br），2011，93B：876-880.
〔15〕VALEN B. Dislocation of hip prostheses〔J〕. Tidsskr Nor
Laegeforen，2013，133（11）：1197-1199.
〔16〕罗肖，陈敬忠，张怀学，等.髋关节置换术后发生早期脱
位的危险因素分析〔J〕.局解手术学杂志，2014，23（1）：
46-48.

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