Prophylaxis of femoral head dislocation after total hip arthroplasty due to restoring of joint capsule

Authors

  • Volodymyr Filipenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0001-5698-2726
  • Vera Kolesnichenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
  • Volodymyr Mezentsev Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
  • Oleh Ovchynnikov Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

DOI:

https://doi.org/10.15674/0030-59872018287-94

Keywords:

hip joint, arthroplasty, femoral head dislocation, capsule, prophylaxis, treatment, forecast

Abstract

One of the most frequent complications after total hip replacement is femoral head dislocation. To avoid this complication is possible by restoring of joint capsule.

Objective: on the base of retrospective and prospective analysis we determined the efficacy of prophylaxis of femoral head dislocation due to designed method of hip replacement.

Methods: we analyzed retrospectively 94 patients (54 with femoral head dislocation, 40 — without), prospective — 89 (with suggested method of hip replacement with capsule preserving). Quantitative criteria of risk forecasting for femoral head dislocation was made with consistent forecast procedure.

Results: it was shown that the main factor of risk for femoral head dislocation after hip replacement is patient depended. Among them the most frequent are obesity weakness of hip joint muscles (77.8 %), age older than 55 y. o (70.4 %) and non-compliance of orthopaedic mode in the postoperative period with extensive movements in the hip joint (66.7 %). Suggested method of femoral head dislocation method with preserving of joint capsule is effective and proved with clinical and statistical studies.

Conclusions: on the base of retrospective study we found factors of risk for femoral head dislocation after total hip replacement. The most informative forecast signs were repeated (two times and more) closed reduction of head dislocation (I = 1.23), extensive movements ih the hip joint (I = 0.64), femoral head diameter less than 28 mm (I = 0.54). Suggested method of prophylaxis and treatment of femoral head dislocation with preserving of joint capsule can provide favorable result of hip replacement.

Author Biographies

Volodymyr Filipenko, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopaedics 

 

Vera Kolesnichenko, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD 

 

Volodymyr Mezentsev, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopaedics 

 

Oleh Ovchynnikov, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

 

 

References

  1. Vakulenko, V. M., Vakulenko, A. V., & Nedelko, A. A. (2014). Dislocations after total hip arthroplasty. Travma, 15(3),47–55.
  2. Gubler, E. V. (1978). Computational methods of analysis and recognition pathological processes. Moscow: Medicine.
  3. Zagorodniy, N. V. (2012). Total hip arthroplasty. Foundations and practices (pp. 503–545). Moscow: GEOTAR-Media.
  4. Loskutov, A. E., & Oleynik, A. E. (2006). Total hip arthroplasty: achievements and prospects. Diagnostic and treatment, 1–2, 136–140.
  5. Filippenko, V. A., Tankut, A. V. Tankut, V. A., & Zhigun, A. I. (2010). Complications after total hip arthroplasty. Ortopaedics, traumatology and Prosthetics, 2, 11–16. doi: https://doi.org/10.15674/0030-59872010211-16.
  6. Filipenko, V. A., Mezentsev, V. O., & Ovchynnikov, O. M. (2017). The method of total hip arthroplasty. Ukraine. Pat. 119607 UA.
  7. Filipenko, V. A., Mezentsev, V. O., & Ovchynnikov, O. M. (2017). The method of total hip arthroplasty. Ukraine. Pat. 119611 UA.
  8. Pokrovskiy, V. I., & Briko, N. I. (2012). General epidemiology with basics evidence-based medicine. A guide to practical occupations. Moscow: GEOTAR-Media.
  9. Filipenko, V. A., Tankut, V. O., Mezentsev, V. O., & Ovchynnikov, O. M. (2017). The causes of the dislocations of implant head after primary hip arthroplasty. Trauma, 18(1), 27–32. doi:https://doi.org/10.22141/1608-1706.1.18.2017.95587
  10. Haiko, H. V., Herasymenko, S. I., Poluliakh, M. V., & Torchynskyi, V. P. (2006). Condition and prospects of joint arthroplasty. Abstracts of XIV congress of orthopedists-traumatologists of Ukraine (pp. 423–425). Odesa.
  11. Seagrave, K. G., Troelsen, A., Malchau, H., Husted, H., & Gromov, K. (2016). Acetabular cup position and risk of dislocation in primary total hip arthroplasty. Acta Orthopaedica, 88(1), 10-17. doi:https://doi.org/10.1080/17453674.2016.1251255
  12. Arac, S., Boya, H., Ozcan, O., & Oztekin, H. (2006). Anterior Capsular Repair in Total Hip Arthroplasty Performed for Late-Presenting Displaced Femoral Neck Fractures. HIP International, 16(3), 198-201. doi:https://doi.org/10.1177/112070000601600303
  13. Bentley, G. (2014). European Surgical Orthopaedics and Traumatology: The EFORT Textbook (рр. 2495–2511). Springer.
  14. Hughes, A. W., Clark, D., Carlino, W., Gosling, O., & Spencer, R. F. (2015). Capsule repair may reduce dislocation following hip hemiarthroplasty through a direct lateral approach. The Bone & Joint Journal, 97-B(1), 141-144. doi:https://doi.org/10.1302/0301-620x.97b1.34038
  15. Dargel, J., Oppermann, J., Brüggemann, G., & Eysel, P. (2014). Dislocation following total hip replacement. Deutsches Aerzteblatt Online. doi:10.3238/arztebl.2014.0884
  16. Lewinnek, G. E., Lewis, J. L., Tarr, R., Compere, C. L., & Zimmerman, J. R. (1978). Dislocations after total hip-replacement arthroplasties. The Journal of Bone & Joint Surgery, 60(2), 217-220. doi:https://doi.org/10.2106/00004623-197860020-00014
  17. White, R. E., Forness, T. J., Allman, J. K., & Junick, D. W. (2001). Effect of Posterior Capsular Repair on Early Dislocation in Primary Total Hip Replacement. Clinical Orthopaedics and Related Research, 393, 163-167. doi:https://doi.org/10.1097/00003086-200112000-00019
  18. Hamilton, W. G., & McAuley, J. P. (2004). Evaluation of the unstable total hip arthroplasty. Instructional course lectures, 53, 87–92.
  19. Brown, T., Elkins, J., Pedersen, D., & Callaghan J. (2014). Impingement and dislocation in total hip arthroplasty: mechanisms and consequences. Iowa Orthopedic Journal, 34, 1–15.
  20. Ko, C., Law, S., & Chiu, K. (2001). Enhanced soft tissue repair using locking loop stitch after posterior approach for hip hemiarthroplasty. The Journal of Arthroplasty, 16(2), 207-211. doi:https://doi.org/10.1054/arth.2001.20539
  21. Mihalko, W. M., & Whiteside, L. A. (2004). Hip mechanics after posterior structure repair in total hip arthroplasty. Clinical Orthopaedics and Related Research, 420, 194-198. doi:https://doi.org/10.1097/00003086-200403000-00027
  22. Osmani, O., & Malkani, A. (2004). Posterior capsular repair following total hip arthroplasty: a modified technique. Orthopedics, 27(6), 553–555.
  23. Pellicci, P. M., Bostrom, M., & Poss, R. (1998). Posterior approach to total hip replacement using enhanced posterior soft tissue repair. Clinical Orthopaedics and Related Research, 355, 224-228. doi:https://doi.org/10.1097/00003086-199810000-00023
  24. Suh, K. T., Park, B. G., & Choi, Y. J. (2004). A posterior approach to primary total hip arthroplasty with soft tissue repair. Clinical Orthopaedics and Related Research, 418, 162-167. doi:https://doi.org/10.1097/00003086-200401000-00026
  25. Abdel, M. P., Von Roth, P., Jennings, M. T., Hanssen, A. D., & Pagnano, M. W. (2015). What safe zone? The vast majority of dislocated THAs are within the lewinnek safe zone for acetabular component position. Clinical Orthopaedics and Related Research, 474(2), 386-391. doi:https://doi.org/10.1007/s11999-015-4432-5

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How to Cite

Filipenko, V., Kolesnichenko, V., Mezentsev, V., & Ovchynnikov, O. (2023). Prophylaxis of femoral head dislocation after total hip arthroplasty due to restoring of joint capsule. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 87–94. https://doi.org/10.15674/0030-59872018287-94

Issue

No. 2 (2018)

Section

ORIGINAL ARTICLES

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Copyright (c) 2018 Volodymyr Filipenko, Vera Kolesnichenko, Volodymyr Mezentsev, Oleh Ovchynnikov

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