[Hip dislocation following THA].
In the event of a hip dislocation following THA analysis of its mechanism is the main priority. In addition, the time since the operation and the direction of the dislocation need to be taken into account. When the cause of the dislocation is analysed the formation of the neocapsule plays a part at least in the case of early dislocations (within the first 6 weeks after the operation). Most dislocations happen during this postoperative period, and these can usually be treated nonoperatively by closed reduction with only a short period of general anaesthesia. Late dislocations (in the 7th and subsequent postoperative week) generally occur because of malpositioning or migration of the components of the prosthesis and quite often do need operative treatment. Dislocation after implantation of a total hip replacement is a serious complication; it should be treated quickly, and initially it confronts the operator with many unanswered questions, from the causes to their treatment.
Mazoochian
F
F
Orthopädische Klinik und Poliklinik, LMU München, Klinikum Grosshadern, München, Deutschland.
Pietschmann
M F
MF
Hocke
S
S
Fottner
A
A
V Schulze-Pellengahr
C
C
Jansson
V
V
D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000706:statistics & numerical data*; D019544:Equipment Failure Analysis / Q000706:statistics & numerical data; D025981:Hip Injuries / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D015994:Incidence; D004204:Joint Dislocations / Q000453:epidemiology*; D011474:Prosthesis Design; D011475:Prosthesis Failure