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...

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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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spelling 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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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
dc.relation.citationEndPage.none.fl_str_mv 141
dc.relation.citationIssue.none.fl_str_mv 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
dc.relation.uri.spa.fl_str_mv 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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