Post-operative complications following total hip arthroplasty for trauma: A multicentre cohort study comparing dual mobility with conventional acetabular bearings
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Le résumé fourni par la source
Aims: Dislocation of a total hip replacement is a serious complication after total hip arthroplasty (THA). Dislocation rates are higher when surgery is performed following trauma. Our study compares post-operative dislocation rates between conventional acetabular bearing (CAB) and dual mobility acetabular bearing (DMB) THA performed for neck of femur fracture alongside post-operative periprosthetic fracture, revision and mortality. Methods: A retrospective multicentre cohort study at 9 hospital trusts in the United Kingdom of all THA performed for neck of femur fracture between March 2018 and February 2019. Results: peri-prosthetic fracture rate was 6 (2%) and overall mortality was 9.8% (29) with no significant difference between cohorts for any outcome. The posterior approach (PA) was favoured 82% (242) vs the lateral approach (LA) 18% (53) with the PA used more often in patients undergoing DMB 96% (102) vs CAB 74% (140) p = 0.001. Patients approached posteriorly at the time of their index procedure were significantly less likely to sustain a simple dislocation following a DMB 0 (0%) vs. CAB 8 (5.7%) p = 0.015. Conclusion: Our study demonstrates that the risk of dislocation following THA for trauma is more than four times higher than when conventional bearings are used compared to dual mobility acetabular components. This effect is most pronounced when the PA is utilised for the index procedure. The use of these bearings does not impact mortality, peri-prosthetic fracture or revision rate. We would encourage the use of dual mobility acetabular bearings in patients undergoing THA for fracture via a PA.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Post-operative complications following total hip arthroplasty for trauma: A multicentre cohort study comparing dual mobility with conventional acetabular bearings
- Date Crossref
- 01/06/2023
- Éditeur
- Scientific Scholar
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Health Education North West pays non établi dans la noticeÉtablissement de santé
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Lancashire Teaching Hospitals NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Blackpool Teaching Hospitals NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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University Hospitals of Morecambe Bay NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Bolton NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Stockport NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Morcambe Bay Hospitals (Barrow) pays non établi dans la noticeÉtablissement de santé
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Morcambe Bay Hospitals (Lancaster) pays non établi dans la noticeÉtablissement de santé
Health Education North West, Lancashire Teaching Hospitals NHS Foundation Trust et Blackpool Teaching Hospitals NHS Foundation Trust, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.