Head dislocation after hip joint arthroplasty: modern view (literature review)
Keywords:hip replacement, dislocation of the femoral head, classification, prevention, treatment
AbstractHip arthroplasty is the most effective method for the treatment of severe stages of coxarthrosis, the hip injury and their consequences. The number of hip replacements throughout the world is increasing every year. In Ukraine, such operations are necessary in 150 000 patients per year. Among the complications of hip arthroplasty the most frequent and require repeated surgical procedures are dislocations of the femoral head. During the primary arthroplasty they occur in 0.5–10 % of cases, after revision surgery the risk of their occurrence increases to 10–25 %. Dislocations of femoral head associated with intense pain, a significant deterioration in the functional and mental status of the patient. The article presents the existing classification (for a cause type (mechanism) and time of dislocation), prevention and treatment (conservative and surgical). The main stages of care: emergency, medical and surgical treatments are reviewed. Separately medical tactic is presented for primary and recurrent dislocation of the femoral head. The methods of hip joint fixation after reduction of dislocation and surgical treatment methods (replacement of the head and/or linera implant, revision surgery with complete replacement of the legs and/or cup) are studied. The authors systematized contemporary data about dislocation of the femoral head to determine the main features of classification, prevention and treatment of this complication. It emphasizes the importance of determining the causes of dislocation of the femoral head, preoperative preparation and the choice of optimal tactics of treatment of this disease and its prevention as a basis to prevent the occurrence of dislocation.
Vakulenko VM, Vakulenko AV, Nedelko AA. Dislocations after total hip replacement. Travma. 2014;15:3: 35–9. (in Russian)
Zagorodniy NV. Endoprotezirovaniye tazobedrennogo sustava. Osnovy i praktika. Moskow: GEOTAR-Media. 2012. 704 р. (in Russian)
Zakharyan NG. Vyvikhi posle totalnogo endoprotezirovaniya tazobedrennogo sustava: abstract. dis. the candidate of medical sciences. Moskow. 2008. 17 p. (in Russian)
Kuzmin II. Metodologicheskiye osnovy profilaktiki i lecheniya oslozhneniy pri endoprotezirovanii tazobedrennogo sustava: abstract. dis. the doctor of medical sciences. Moskow. 2010. 40 p. (in Russian)
Loskutov АЕ. Preduprezhdeniye oshibok i oslozhneniy pri endoprotezirovanii tazobedrennogo sustava s primeneniyem polusfericheskikh zapressovyvayemykh chashek. Orthopaedics, Traumatology and Prosthetics. 2003;2:126–9. (in Russian)
Nadeyev AA, Ivannikov SV. Hip arthroplasty in Russia: Construction philosophy, implant overview, rational selection. Moskow: BINOM. Laboratoriya znaniy. 2006.18 р. (in Russian)
Filipenko VA, Tankut VA, Tankut OV, Zhigun AI. Complications of hip-joint arthroplasty. Orthopaedics, Traumatology and Prosthetics. 2010;2:14–9. doi: http:10.15674/0030- 59872010211-16. (in Russian)
Gaiko GV, Torchinsky VP, Sulima OM, Pidgayetsky VM, Osadchuk TI, Kalashnikov OV, Nizalov TV, Galuzynsky AA, Kozak RA. Mistakes and сomplications of revision prosthetics in patients with aseptic loosening of acetabular component of femoral endoprosthesis. Trauma. 2014;15(1):59–63. (in Ukrainian)
Gerasymenko SI, Polulyakh MV, Roi IV, Gerasymenko AS, Pavlova TV, Zamorskyi YuH, Kudrin AP. Prevention of dislocation of the femoral component of endoprosthesis after total hip arthroplasty in patients with rheumatoid arthritis. Trauma. 2015;16(6):48–53. (in Ukrainian)
Gayko GV, Gerasimenko SІ, Polulyakh MV, Torchinskiy VP. Stan ta perspektivi endoprotezuvannya suglobіv: abstract book of XIV symposium of orthopedіcs and traumatologіst of Ukraine. Odesa. 2006. рр. 423–5. (in Ukrainian)
Tikhilov RM, Shapovalov VM. Rukovodstvo po endoprotezirovaniyu tazobedrennogo sustava. Saint Petersburg: RNIITO. 2008. 322 р. (in Russian)
Filipenko VA, Tankut AV. Evolution of the problem of joint grafting. International Medical Journal. 2009;15,1(57):70–4.
Bal BS, Haltom D, Aleto T, Barrett M. Early complications of primary total hip replacement performed with a two-incision minimally invasive technique. J Bone Joint Surg Am. 2005;87(11): 2432–8. doi: 10.2106/JBJS.D.02847
Bentley G. European Instructional lectures. The EFORT Textbook. Springer, 2014, рр. 2495–511.
Berry DJ. Risk factors for dislocation after total hip arthroplasty: results of a long term analysis Proceedings of 9th BIOLOX Symposium: Bioceramics in joint arthroplasty. 2004, рр. 137–8.
Bourne RB. Etiology of total hip arthroplasty dislocation. Proceedings of annual meeting of AAOS. 2007. 43 р.
Enocson A, Tidermark J, Torncvist H, Lapidus LJ. Dislocation of hemiarthroplasty after femoral neck fracture: better outcome after the anterolateral approach in a prospective cohort study on 739 consecutive hips. Acta Orthop. 2008;79:(2):211–7. doi: 10.1080/17453670710014996.
Greene ME. Who should have total hip replacement? University of Gothenburg, USA, 2015. 71 p.
Guyen O. Constrained liners, dual mobility or large diameter heads to avoid dislocation in total hip arthroplasty. EFORT Open Rev. 2016;1:197–204. doi: 10.1302/2058-5241.1.000054.
Sadr Azodi O, Adami J, Lindström D, Eriksson KO, Wladis A, Bellocco R. High body mass index is associated with increased risk of implant dislocation following primary total hip replacement: 2106 patients followed for up to 8 years. Acta Orthop. 2008; 79(1):141–7. doi: 10.1080/17453670710014897
Kalteis T, Handel M, Bäthis H, Perlick L, Tingart M, Grifka J. Imageless navigation for insertion of the acetabular compo¬nent in total hip arthroplasty: is it as accurate as CT-based navigation? J Bone Joint Surg Br. 2006;88(2):163–7. doi: 10.1302/0301-620X.88B2.17163.
Maloney WJ. Dislocation of the implant head. Proceedings of annual meeting of AAOS. 2007. 39 р.
Oehy J, Bider K. Design parameter to improve range of motion (ROM) in total hip arthroplasty. Proceedings of 9th BIOLOX Symposium: Bioceramics in joint arthroplasty. 2004. рр. 149–56.
Kotwal RS, Ganapathi M, John A, Maheson M, Jones SA. Outcome of treatment for dislocation after primary total hip replacement. J Bone Joint Surg Br. 2009;91(3):321–6. doi: 10.1302/0301-620X.91B3.21274
Parratte S, Argenson JA. Validation and usefulness of a computer-assisted cup-positioning system in total hip arthroplasty. A prospective, randomized, controlled study. J Bone Joint Surg Am. 2007:89(3):494– 9. doi: 10.2106/JBJS.F.00529
Pitto RP, Young S, Graves S. Management of total hip arthroplasty dislocation down-under. Proceedings of annual meeting of AAOS. 2007. 49 р.
Loiba V, Stucinskas J, Robertsson O, Wingstrand H, Tarasevicius S. The analysis of posterior soft tissue repair durability after total hip arthroplasty in primary osteoarthritis patients. Hip Int. 2015;25(5):420–3. doi: 10.5301/hipint.5000232
Fujishiro T, Hiranaka T, Hashimoto S, Hayashi S, Kurosaka M, Kanno T, Masuda T. The effect of acetabular and femoral component version on dislocation in primary total hip arthroplasty. Int Orthop. 2016;40(4):697–702. doi: 10.1007/s00264-015-2924-2
Grammatopoulos G, Thomas GE, Pandit H, Beard DJ, Gill HS, Murray DW The effect of orientation of the acetabular component on outcome following total hip arthroplasty with small diameter hard-on-soft bearings. Bone Joint J. 2015;97-B(2):164–72. doi: 10.1302/0301-620X.97B2.34294
Abdel MP, Cross MB, Yasen AT, Haddad FS. The functional and financial impact of isolated and recurrent dislocation after total hip arthroplasty. Bone Joint J. 2015;97-B(8):1046–9. doi: 10.1302/0301-620X.97B8.34952
Angelo FD, Murena L, Zatti G, Cherubino P. The unstable total hip replacement. Indian J Orthop. 2008;42(3):252–9. doi: 10.4103/0019-5413.39667
Wong K. Sivan M, Matthews G. Flexion reminder device to discourage recurrent posterior dislocation of a total hip replacement: a case report. J Med Case Rep. 2008;2:250. doi: 10.1186/1752- 1947-2-250
Zwartele RE, Brand R, Doets HC. Increased risk of dislocation after primary total hip arthroplasty in inflammatory arthritis. Acta Orthop Scand. 2004;75(6):684–90.
Copyright (c) 2017 Volodymyr Filipenko, Volodymyr Tankut, Volodymyr Mezentsev, Oleh Ovchynnikov
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available after 6 months from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.
Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.
The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).