Dislocation of the Austin Moore hemiarthroplasty: is closed manipulation justified?
In a retrospective study the outcome of 13 patients who underwent manipulation under anaesthesia (MUA) following dislocation of an Austin Moore hemiarthroplasty was determined. Nine patients died within 4 weeks of an MUA. Seven patients had a successful MUA, two patients without further complication. Six patients had an unsuccessful MUA. Four patients were discharged from hospital. The outcome following MUA of a dislocated uncemented hemiarthroplasty is poor. Subjecting elderly patients to an anaesthetic for a closed manipulation is a procedure of little clinical benefit. We were unable to define any selection criteria to improve the result.
Maxwell
H A
HA
Stockport Infirmary, UK.
Turner
P G
PG
D000368:Aged; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D006617:Hip Dislocation / Q000628:therapy*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D011475:Prosthesis Failure; D012189:Retrospective Studies; D016896:Treatment Outcome