[Risk factors for dislocation of a cementless total hip endoprosthesis--a statistical analysis].
OBJECTIVE
This retrospective study aimed at the statistical identification of risk factors for dislocation for a certain cementless hip endoprothesis.


METHODS
At our department 2605 primary total hip arthroplasties were performed between 1987 and 1997. In 40 patients (1.5%) a dislocation occurred. These patients were compared with a control group matched in number.


RESULTS
No difference was found in both groups with respect to age, height, weight, body-mass index, and diagnosis. A tendency was found that more males were involved in the dislocation group. There were more previous operations found in this group (p = 0.005). Also significant was the fact, that patients in the dislocation group more often had epidural anaesthesia (p = 0.02), more often the implantation of the smaller 28-mm head (vs. 32 mm) (p = 0.02), and a higher inclination angle of the acetabular component (p = 0.02). No difference was found in terms of the surgeons experience, the postoperative leg length, femoral offset, medialisation, cranialisation and antetorsion of the acetabular component.


CONCLUSIONS
Dislocation after total hip arthroplasty is a multifactorial complication. With the use of the Alloclassic/Zweymüller total hip endoprothesis, a higher risk for dislocation was found for patients with previous hip surgery, the use of the smaller endoprosthesis head, a high acetabular inclination angle, and in the use of epidural anaesthesia.
Giurea
A
A
Universitätsklinik für Orthopädie Wien.
Zehetgruber
H
H
Funovics
P
P
Grampp
S
S
Karamat
L
L
Gottsauner-Wolf
F
F
D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements; D019544:Equipment Failure Analysis; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors
D001843:Bone Cements