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A multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective study

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dc.creatorAmado, Omarspa
dc.creatorBautista, Mariaspa
dc.creatorMoore, Josespa
dc.creatorBonilla, Guillermospa
dc.creatorJimenez, Nicolasspa
dc.creatorLlinás, Adolfospa
dc.date.accessioned2020-05-25T23:56:03Z
dc.date.available2020-05-25T23:56:03Z
dc.date.created2018spa
dc.description.abstractIntroduction: 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. © 2016eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.jcot.2016.11.004
dc.identifier.issn9765662
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22306
dc.language.isoengspa
dc.publisherElsevier B.V.spa
dc.relation.citationEndPage141
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage137
dc.relation.citationTitleJournal of Clinical Orthopaedics and Trauma
dc.relation.citationVolumeVol. 9
dc.relation.ispartofJournal of Clinical Orthopaedics and Trauma, ISSN:9765662, Vol.9, No.2 (2018); pp. 137-141spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85006873321&doi=10.1016%2fj.jcot.2016.11.004&partnerID=40&md5=de980bd14b02ac5da766f0bee4c6d149spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAgedspa
dc.subject.keywordArticlespa
dc.subject.keywordClinical protocolspa
dc.subject.keywordCohort analysisspa
dc.subject.keywordControlled studyspa
dc.subject.keywordFemalespa
dc.subject.keywordFemoral headspa
dc.subject.keywordFollow upspa
dc.subject.keywordHip arthroplastyspa
dc.subject.keywordHip dislocationspa
dc.subject.keywordHip osteoarthritisspa
dc.subject.keywordHumanspa
dc.subject.keywordJoint instabilityspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMedical documentationspa
dc.subject.keywordMedical recordspa
dc.subject.keywordPatient educationspa
dc.subject.keywordPeroperative carespa
dc.subject.keywordPostoperative periodspa
dc.subject.keywordPriority journalspa
dc.subject.keywordProspective studyspa
dc.subject.keywordSoft tissuespa
dc.subject.keywordTissue repairspa
dc.subject.keywordArthroplastyspa
dc.subject.keywordCombined modality therapyspa
dc.subject.keywordHipspa
dc.subject.keywordHip dislocationspa
dc.subject.keywordPrevention and controlspa
dc.subject.keywordReplacementspa
dc.titleA multimodal approach prevents instability after total hip arthroplasty: A 1 year follow-up prospective studyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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