Is The Dislocation of Hemiarthroplasty Resolved?

DOI: https://doi.org/10.15417/issn.1852-7434.2024.89.5.1841
Keywords: Hemiarthroplasty, dislocation, reduction, recurrence

Abstract

Introduction: The hip hemiarthroplasty dislocation is a challenging complication due to patient frailty, associated comorbidities, poor bone and soft tissue quality. Materials and Methods: We have studied 28 cases of dislocation after hemiarthroplasty and compared with 56 control patients with one year follow-up. Closed reduction under general anesthesia were made in 26 cases. The study analyzed recurrence episodes of dislocation, considering various factors influencing instability recurrence. Results: Among the 28 patients with dislocation post-hemiarthroplasty, there was an overall mortality 42% within the first 12 months, compared to 21% in the group of patients who did not experience a dislocation episode (p<0.001.) Recurrence following the initial reduction occurred in 12 cases (42%). Cases resulting from trauma had a lower recurrence risk than those occurring spontaneously or with minor with a OR of 11. Similarly, dislocations in patients with moderate to severe cognitive decline had a higher recurrence riskcompared to those without cognitive decline, with an OR of 5.5 Conclusions: Hemiarthroplasty dislocation is associated with a significantly increased mortality rate. While closed reduction under general anesthesia is often considered the preferred management, it is associated with a high failure rate, especially in patients with moderate to severe cognitive decline or with spontaneousdislocations.

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Author Biographies

Firas Nehme Abouzeid, Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Alejandro Mardomingo Alonso, Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Rafael Rubio Quevedo, Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Segundo José Sánchez Gutiérrez, Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Miguel González López, Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain
Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Getafe Getafe, Madrid, Spain

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Published
2024-10-17
How to Cite
Nehme Abouzeid, F., Mardomingo Alonso, A., Rubio Quevedo, R., Sánchez Gutiérrez, S. J., & González López, M. (2024). Is The Dislocation of Hemiarthroplasty Resolved?. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(5), 479-487. https://doi.org/10.15417/issn.1852-7434.2024.89.5.1841
Issue
Vol 89 No 5 (2024): ACARO
Section
Clinical Research
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