Purse-string capsule repair to reduce proximal femoral arthroplasty dislocation for tumor--a novel technique with results.
Hip joint dislocation is the most common complication after proximal femoral arthroplasty with a large endoprosthesis. Average dislocation rates are around 15%. In an attempt to decrease dislocations after proximal femoral arthroplasty for tumor resections, we devised a novel closure of the hip capsule. This technique uses a 3-mm cottony Dacron suture placed about the hip capsule in a circumferential, purse-string manner. Thirty-nine patients received hip hemiarthroplasty with purse-string capsular closure. Seven patients were lost to follow-up, leaving 36 patients available for analysis. One patient dislocated (2.8%). We believe this technique is useful in preventing dislocation in patients undergoing proximal femoral arthroplasty for oncologic disease.
Henderson
Eric R
ER
Department of Orthopaedic Surgery, University of South Florida, Tampa, FL 33612, USA.
Jennings
Jason M
JM
Marulanda
German A
GA
Palumbo
Brian T
BT
Cheong
David
D
Letson
G Douglas
GD
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001859:Bone Neoplasms / Q000601:surgery*; D005260:Female; D005269:Femur / Q000601:surgery; D006617:Hip Dislocation / Q000209:etiology / Q000517:prevention & control*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D017746:Joint Capsule / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D055815:Young Adult