Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (36): 5864-5870.doi: 10.3969/j.issn.2095-4344.2934

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Risk factors for prosthetic dislocation after total hip arthroplasty: recent progress

Zhu Dongming1, Zhang Zhen1, Zhang Jie2, Yan Lianqi3   

  1. 1Dalian Medical University, Dalian 116044, Liaoning Province, China; 2The Second Xiangya Hospital of Central South University, Changsha 410012, Hunan Province, China; 3Joint Surgery Center of Subei People’s Hospital of Jiangsu Province, Yangzhou 225001, Jiangsu Province, China
  • Received:2020-04-11 Revised:2020-04-15 Accepted:2020-05-13 Online:2020-12-28 Published:2020-10-27
  • Contact: Yan Lianqi, Chief physician, Master’s supervisor, Associate professor, Joint Surgery Center of Subei People’s Hospital of Jiangsu Province, Yangzhou 225001, Jiangsu Province, China
  • About author:Zhu Dongming, Master candidate, Dalian Medical University, Dalian 116044, Liaoning Province, China
  • Supported by:
    the Jiangsu Provincial Medical Innovation Team, No. CXTDB2017004

Abstract:

BACKGROUND: Prosthetic dislocation after total hip arthroplasty is a problem faced by joint surgery. With the rapid development of joint surgery techniques, the problem of postoperative prosthetic dislocation has become increasingly important. Research by scholars in and outside China has found that there are potential factors in preoperative evaluation and planning, surgical methods and postoperative rehabilitation leading to the occurrence of postoperative prosthetic dislocation. The understanding of related risk factors is becoming more comprehensive.

OBJECTIVE: To summarize the latest research progress on the risk factors of prosthetic dislocation after total hip arthroplasty, and provide reference for clinical treatment.

METHODS: The computer was used to search CNKI, Wanfang, PubMed and Embase databases from January 1970 to September 2019. The search terms were “total hip arthroplasty, prosthesis, postoperative dislocation, risk factors”. Relevant articles were consulted, and finally 77 literatures were included to analyze the results.

RESULTS AND CONCLUSION: (1) The risk factors for postoperative dislocation after total hip arthroplasty include incomplete preoperative evaluation and planning, unreasonable surgical methods, and unscientific postoperative rehabilitation. (2) The prosthetic dislocation after total hip arthroplasty will seriously affect the surgical effect. Therefore, precautions should be taken in each link before, during and after the operation to avoid the occurrence of dislocation.

Key words: bone, joint, hip, hip arthroplasty, prosthesis, dislocation, rehabilitation, review

CLC Number: