The Cumulative Risk of Re-dislocation After Revision THA Performed for Instability Increases Close to 35% at 15 years

被引：63

作者：

Jo, Suenghwan ^{[1
]}

Almonte, Jose H. Jimenez ^{[1
]}

Sierra, Rafael J. ^{[1
]}

机构：

[1] Mayo Clin, Dept Orthopaed Surg, Rochester, MN 55905 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 07期

关键词：

constrained liner; cumulative Risk; dislocation; large femoral head; instability; revision arthroplasty; TOTAL HIP-ARTHROPLASTY; RECURRENT DISLOCATION; FEMORAL-HEAD; REPLACEMENT; LINER; EPIDEMIOLOGY; COMPONENT; EXCHANGE;

D O I：

10.1016/j.arth.2015.02.001

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：

A retrospective analysis was conducted on 539 hips undergoing revision total hip arthroplasty done for instability to report the cumulative risk and factors associated with re-dislocation and re-revision. The cumulative risk of re-dislocation and re-revision for all cause was 34.5% and 45.9% at 15 years, respectively. Multiple variable analyses revealed history of 2 or more previous surgeries, use of head size less than 36 mm, and cup retention to be risk factors for re-dislocation and re-revision. The use of a constrained liner was protective against re-dislocation but was not associated with a lower re-revision rate. Understanding the risk factors associated with re-dislocation or re-revision may help with perioperative decision making in order to decrease the high failure rate seen in this study. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1177 / 1182

页数：6

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