A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study
Introduction: Joint dislocation is one of the most frequent complications after hip arthroplasty. Multiple strategies have demonstrated ability to prevent instability when used in isolation, but the effect when more than one intervention is implemented has not been measured. The purpose of this stud...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2018
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22306
- Acceso en línea:
- https://doi.org/10.1016/j.jcot.2016.11.004
https://repository.urosario.edu.co/handle/10336/22306
- Palabra clave:
- Aged
Article
Clinical protocol
Cohort analysis
Controlled study
Female
Femoral head
Follow up
Hip arthroplasty
Hip dislocation
Hip osteoarthritis
Human
Joint instability
Major clinical study
Male
Medical documentation
Medical record
Patient education
Peroperative care
Postoperative period
Priority journal
Prospective study
Soft tissue
Tissue repair
Arthroplasty
Combined modality therapy
Hip
Hip dislocation
Prevention and control
Replacement
- Rights
- License
- Abierto (Texto Completo)
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b69314f5-722d-4a36-9495-7cf3e931e69d-121cf2470-0b29-4e48-b7e9-2c04b655e67d-1386cb96c-f783-4cb8-9e94-848ad2ecea3d-1e063cba6-ccfc-49f9-8016-65934d3e53f3-147c49836-8c5c-424e-9994-066fb5141512-1ce38f41e-e9ac-423c-bcac-45e62e5be396-12020-05-25T23:56:03Z2020-05-25T23:56:03Z2018Introduction: Joint dislocation is one of the most frequent complications after hip arthroplasty. Multiple strategies have demonstrated ability to prevent instability when used in isolation, but the effect when more than one intervention is implemented has not been measured. The purpose of this study is to assess the rate of dislocation after implementation of a protocol of combined strategies for prevention of instability. Materials and methods: Consecutive patients undergoing primary total hip replacement for hip osteoarthritis between February 2012 and June 2014 were included. A multimodal protocol including patient education, use of large femoral heads, posterior soft-tissue repair, and intraoperative adjustment of limb length and hip offset was applied. Dislocation episodes were documented trough medical records review and a telephonic follow-up at 3 and 12 months after surgery. Results: During the period of study 331 patients were included, mean age was 66 years and 68.8% were females. Only 0.91% of patients were lost to follow-up. Eighty-nine percent of patients received all interventions. Cumulative dislocation rate at 3 months was 0.60% and 0.90% at 12 months. Conclusions: The implementation of a multimodal protocol for prevention of prosthesis instability produces a low rate of dislocation, which compares favorably with benchmarks. We recommend the use of a combination of multiple interventions to prevent this complication. © 2016application/pdfhttps://doi.org/10.1016/j.jcot.2016.11.0049765662https://repository.urosario.edu.co/handle/10336/22306engElsevier B.V.141No. 2137Journal of Clinical Orthopaedics and TraumaVol. 9Journal of Clinical Orthopaedics and Trauma, ISSN:9765662, Vol.9, No.2 (2018); pp. 137-141https://www.scopus.com/inward/record.uri?eid=2-s2.0-85006873321&doi=10.1016%2fj.jcot.2016.11.004&partnerID=40&md5=de980bd14b02ac5da766f0bee4c6d149Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURAgedArticleClinical protocolCohort analysisControlled studyFemaleFemoral headFollow upHip arthroplastyHip dislocationHip osteoarthritisHumanJoint instabilityMajor clinical studyMaleMedical documentationMedical recordPatient educationPeroperative carePostoperative periodPriority journalProspective studySoft tissueTissue repairArthroplastyCombined modality therapyHipHip dislocationPrevention and controlReplacementA multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective studyarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Amado, OmarBautista, MariaMoore, JoseBonilla, GuillermoJimenez, NicolasLlinás, AdolfoORIGINAL1-s2-0-S0976566216302211-main.pdfapplication/pdf241485https://repository.urosario.edu.co/bitstreams/2adb99c1-7751-4ef5-b54c-c24289064b58/download570eee6b7829f24b1a11b9aab154f51cMD51TEXT1-s2-0-S0976566216302211-main.pdf.txt1-s2-0-S0976566216302211-main.pdf.txtExtracted texttext/plain30136https://repository.urosario.edu.co/bitstreams/7d7167b2-e367-4709-9a0f-ee4107b406a7/download1a8cfc0173bd1d52f0bf51778557b6d2MD52THUMBNAIL1-s2-0-S0976566216302211-main.pdf.jpg1-s2-0-S0976566216302211-main.pdf.jpgGenerated Thumbnailimage/jpeg4680https://repository.urosario.edu.co/bitstreams/303ad872-b4ad-4093-8f05-7e4895d19d1a/download948a6da46375e64eae9c3f9559748aedMD5310336/22306oai:repository.urosario.edu.co:10336/223062022-05-02 07:37:20.354758https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co |
dc.title.spa.fl_str_mv |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study |
title |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study |
spellingShingle |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study Aged Article Clinical protocol Cohort analysis Controlled study Female Femoral head Follow up Hip arthroplasty Hip dislocation Hip osteoarthritis Human Joint instability Major clinical study Male Medical documentation Medical record Patient education Peroperative care Postoperative period Priority journal Prospective study Soft tissue Tissue repair Arthroplasty Combined modality therapy Hip Hip dislocation Prevention and control Replacement |
title_short |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study |
title_full |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study |
title_fullStr |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study |
title_full_unstemmed |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study |
title_sort |
A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study |
dc.subject.keyword.spa.fl_str_mv |
Aged Article Clinical protocol Cohort analysis Controlled study Female Femoral head Follow up Hip arthroplasty Hip dislocation Hip osteoarthritis Human Joint instability Major clinical study Male Medical documentation Medical record Patient education Peroperative care Postoperative period Priority journal Prospective study Soft tissue Tissue repair Arthroplasty Combined modality therapy Hip Hip dislocation Prevention and control Replacement |
topic |
Aged Article Clinical protocol Cohort analysis Controlled study Female Femoral head Follow up Hip arthroplasty Hip dislocation Hip osteoarthritis Human Joint instability Major clinical study Male Medical documentation Medical record Patient education Peroperative care Postoperative period Priority journal Prospective study Soft tissue Tissue repair Arthroplasty Combined modality therapy Hip Hip dislocation Prevention and control Replacement |
description |
Introduction: Joint dislocation is one of the most frequent complications after hip arthroplasty. Multiple strategies have demonstrated ability to prevent instability when used in isolation, but the effect when more than one intervention is implemented has not been measured. The purpose of this study is to assess the rate of dislocation after implementation of a protocol of combined strategies for prevention of instability. Materials and methods: Consecutive patients undergoing primary total hip replacement for hip osteoarthritis between February 2012 and June 2014 were included. A multimodal protocol including patient education, use of large femoral heads, posterior soft-tissue repair, and intraoperative adjustment of limb length and hip offset was applied. Dislocation episodes were documented trough medical records review and a telephonic follow-up at 3 and 12 months after surgery. Results: During the period of study 331 patients were included, mean age was 66 years and 68.8% were females. Only 0.91% of patients were lost to follow-up. Eighty-nine percent of patients received all interventions. Cumulative dislocation rate at 3 months was 0.60% and 0.90% at 12 months. Conclusions: The implementation of a multimodal protocol for prevention of prosthesis instability produces a low rate of dislocation, which compares favorably with benchmarks. We recommend the use of a combination of multiple interventions to prevent this complication. © 2016 |
publishDate |
2018 |
dc.date.created.spa.fl_str_mv |
2018 |
dc.date.accessioned.none.fl_str_mv |
2020-05-25T23:56:03Z |
dc.date.available.none.fl_str_mv |
2020-05-25T23:56:03Z |
dc.type.eng.fl_str_mv |
article |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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http://purl.org/coar/resource_type/c_6501 |
dc.type.spa.spa.fl_str_mv |
Artículo |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1016/j.jcot.2016.11.004 |
dc.identifier.issn.none.fl_str_mv |
9765662 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/22306 |
url |
https://doi.org/10.1016/j.jcot.2016.11.004 https://repository.urosario.edu.co/handle/10336/22306 |
identifier_str_mv |
9765662 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
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141 |
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No. 2 |
dc.relation.citationStartPage.none.fl_str_mv |
137 |
dc.relation.citationTitle.none.fl_str_mv |
Journal of Clinical Orthopaedics and Trauma |
dc.relation.citationVolume.none.fl_str_mv |
Vol. 9 |
dc.relation.ispartof.spa.fl_str_mv |
Journal of Clinical Orthopaedics and Trauma, ISSN:9765662, Vol.9, No.2 (2018); pp. 137-141 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85006873321&doi=10.1016%2fj.jcot.2016.11.004&partnerID=40&md5=de980bd14b02ac5da766f0bee4c6d149 |
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Elsevier B.V. |
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