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Instability Following Total Hip Arthroplasty

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Book cover European Instructional Lectures

Part of the book series: European Instructional Lectures ((EICL,volume 12))

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Abstract

Dislocation of total hip arthroplasty (THA) is a severe and challenging complication. Orthopaedic surgeons should therefore know the risk factors for instability and follow the principles of correct implant positioning, proper soft tissue treatment as well as appropriate patient information.

If dislocation occurs, all potential reasons for the instability must be analyzed by appropriate clinical examination and imaging. Therapeutic alternatives depend on the type of dislocation, the temporal pattern, and the aetiology. Anterior dislocations – especially in the early post-operative period – can respond to conservative measures, if there is no gross malpositioning of components or severe soft tissue damage. Posterior dislocations as well as late dislocations, however, show a tendency to recur more often. Several options of surgical therapy are available (i.e. partial exchange of femoral head and/or acetabular liner or revision arthroplasty with complete exchange of stem and/or cup). It is difficult to establish clear treatment algorithms as there is not enough evidence from the literature. However, a reasonable outcome can be achieved if the therapeutic strategy addresses the underlying pathology.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University Hospital Carl Gustav Carus Dresden, Fetscher Street 74, D-01307, Dresden, Germany

    Klaus-Peter Günther M.D., Stephan Kirschner, Maik Stiehler & Albrecht Hartmann

  2. Medical Faculty, Technical University Dresden, Fetscher Street 74, D-01307, Dresden, Germany

    Klaus-Peter Günther M.D., Stephan Kirschner, Maik Stiehler & Albrecht Hartmann

Authors
  1. Klaus-Peter Günther M.D.
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  2. Stephan Kirschner
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  4. Albrecht Hartmann
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Correspondence to Klaus-Peter Günther M.D. .

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Editors and Affiliations

  1. Royal National Orthopaedic Hospital Trus, Brockley Hill, Stanmore, HA 7 4LP, Middlesex, United Kingdom

    George Bentley

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Günther, KP., Kirschner, S., Stiehler, M., Hartmann, A. (2012). Instability Following Total Hip Arthroplasty . In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 12. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27293-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-27293-6_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-27292-9

  • Online ISBN: 978-3-642-27293-6

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