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Evaluation of the rate of post-operative dislocation in patients with ipsilateral valgus knee deformity after primary total hip arthroplasty

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Abstract

Purpose

There is scant literature on the evaluation of dislocation after total hip arthroplasty (THA) in patients with ipsilateral valgus knee deformity. This study aimed to investigate the post-operative dislocation rate in patients with valgus knee deformity who underwent ipsilateral THA and identify whether ipsilateral valgus knee deformity increases the dislocation rate after THA.

Methods

We retrospectively reviewed patients with valgus knee deformity who underwent ipsilateral THA in our institution from January 2016 to December 2018. Each hip with ipsilateral valgus knee deformity was matched with a hip without valgus knee deformity according to sex, affected side, and date of surgery. The primary outcome was the dislocation rate after THA. Univariate analyses were initially used to compare data between the dislocation group and the non-dislocation group. Independent risk factors for dislocation were determined using multivariate logistic regression.

Results

There were 257 THAs with ipsilateral valgus knee deformity (valgus knee group) and 257 THAs without valgus knee deformity (control group). The valgus knee group showed a significantly higher dislocation rate than the control group (9.7% versus 1.6%, p < 0.001). Older age (p = 0.020) and malposition of the acetabular cup (p = 0.048) were independent risk factors of post-operative dislocation.

Conclusion

Patients with valgus knee deformity have a higher risk of dislocation after ipsilateral THA. If ipsilateral THA and total knee arthroplasty must be performed successively, total knee arthroplasty may have an earlier priority than THA.

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Funding

This work was supported by the 1.3.5 project for disciplines of excellence, West China Hospital, Sichuan University (ZYJC18039); and the Regional Innovation & Cooperation program of the Science & Technology Department of Sichuan Province (No. 2021YFQ0028).

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Author notes

  1. Hao Li and Jin-Wei Xie contributed equally to this work.

Authors and Affiliations

  1. Department of Orthopaedics, West China Hospital, Sichuan University, 37# Wuhou Guoxue Road, Chengdu, China

    Hao Li, Jin-Wei Xie, Zi-Chuan Ding, Ming-Cheng Yuan, Ya-Hao Lai & Zong-Ke Zhou

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  1. Hao Li
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  2. Jin-Wei Xie
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Contributions

All authors contributed to the study’s conception and design. Material preparation, data collection, and analysis were performed by Jin-Wei Xie, Zi-Chuan Ding, Ming-Cheng Yuan, Ya-Hao Lai, and Zong-Ke Zhou. The first draft of the manuscript was written by Hao Li, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Zong-Ke Zhou.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the institutional review board.

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Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Li, H., Xie, JW., Ding, ZC. et al. Evaluation of the rate of post-operative dislocation in patients with ipsilateral valgus knee deformity after primary total hip arthroplasty. International Orthopaedics (SICOT) 46, 1507–1514 (2022). https://doi.org/10.1007/s00264-022-05372-7

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