title: Factors predisposing to dislocation of the Thompson hemiarthroplasty: 22 dislocations in 338 patients.
abstract: In a series of 338 patients, we have retrospectively analyzed technical and anatomical factors, which may predispose to a dislocation of the Thompson hemiprosthesis. 22 patients (7%) had at least 1 dislocation during the 6-month follow-up. The most significant independent factor predisposing to dislocation was the use of a posterior approach (dislocation rate 16%). We examined the radiographs and data on operations in the 22 patients, using 79 random patients without dislocation as controls. Factors correlating with an increase in the incidence of dislocation were the length of the residual femoral neck > 0.5 cm in short patients (< 165 cm), and considerable change in the postoperative offset of the hip. Acetabular measurements showed no correlation to the dislocation. Our findings suggest that the main factors predicting dislocation are technical and not related to anatomical measurements.
authors.affiliation: Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, Finland. jarkko.pajarinen@hus.fi
authors.forename: Jarkko
authors.initials: J
authors.lastname: Pajarinen
authors.forename: Vesa
authors.initials: V
authors.lastname: Savolainen
authors.forename: Ilkka
authors.initials: I
authors.lastname: Tulikoura
authors.forename: Jan
authors.initials: J
authors.lastname: Lindahl
authors.forename: Eero
authors.initials: E
authors.lastname: Hirvensalo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012189:Retrospective Studies; D012307:Risk Factors