نوع مقاله : مروری

نویسندگان

مرکز تحقیقات بازسازی مفاصل، بیمارستان امام خمینی، دانشگاه علوم پزشکی و بهداشتی تهران، تهران، ایران.

چکیده

چکیده
تعویض کامل مفصل هیپ یک روش جراحی پیشرفته به منظور کاهش رنج بیماران با درد لگن به دلیل تغییرات تخریبی مفصل است. تعویض کامل مفصل هیپ روشی با کمترین میزان عوارض پس از عمل نظیر ناپایداری لگن است. ناپایداری لگن به دنبال تعویض کامل مفصل هیپ دومین علت عمل مجدد مفصل به دنبال جراحی قبلی است. جابجایی محل پروتز، گیرافتادگی، کاهش کشش بافت نرم پیرامون مفصل و پوشش پلی‌اتیلن از علت‌های جراحی مجدد است. در این مقاله بر آنیم تا علت‌های معمول در ناپایداری لگن را که به دنبال تعویض کامل مفصل هیپ روی می‌دهد در فازهای متعدد بررسی کنیم. همچنین، روش‌های پیشنهادی جهت جلوگیری از ناپایداری لگن به دنبال تعویض کامل هیپ را توصیه می‌کنیم.
 

کلیدواژه‌ها

عنوان مقاله [English]

How to Avoid Instability after Total Hip Arthroplasty, Narrative Review

نویسندگان [English]

  • Mir Mansour Moazen Jamshidi
  • Alireza Moharrami
  • Seyed Mohammad Javad Mortazavi

چکیده [English]

Abstract
Total hip Arthroplasty (THA) is an advanced surgical modality, which reduces hip pain resulting from destruction or degenerative change. THA may be associated with complications, such as instability. Instability is the second common reason for revision surgery. The etiology of instability can be factors like prosthetic malposition, impingement, and low soft tissue tension around the hip and also polyethylene wear. In this paper, we will review the common causes of instability following THA in various phases, and suggest the strategies to prevent instability following THA.
 

کلیدواژه‌ها [English]

  • Keywords Total Hip Arthroplasty
  • Joint Instability
  • Prostheses and Implants
  • Bone Malalignment
  • Hip Joint
  1. References

    1. Lavernia CJ, Iacobelli DA, Brooks L, Villa JM. The cost–utility of total hip arthroplasty: earlier intervention, improved economics. The Journal of arthroplasty. 2015;30(6):945-9.
    2. Chang RW, Pellissier JM, Hazen GB. A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. Jama. 1996;275(11):858-65.
    3. Mahomed NN, Barrett JA, Katz JN, Phillips CB, Losina E, Lew RA, et al. Rates and outcomes of primary and revision total hip replacement in the United States medicare population. J Bone Joint surg. 2003;85(1):27-32.
    4. Kärrholm J. The Swedish hip arthroplasty register (www. shpr. se). Acta orthopaedica. 2010;81(1):3.
    5. Association AO. National joint replacement registry. Annual Report Adelaide: AOA. 2010.
    6. Lee BP, Berry DJ, Harmsen WS, Sim FH. Total hip arthroplasty for the treatment of an acute fracture of the femoral neck. Long-term results. J Bone Joint surg. 1998;80(1):70-5.
    7. Jo S, Almonte JHJ, Sierra RJ. The cumulative risk of re-dislocation after revision THA performed for instability increases close to 35% at 15 years. The Journal of arthroplasty. 2015;30(7):1177-82.
    8. Dudda M, Gueleryuez A, Gautier E, Busato A, Röder C. Risk factors for early dislocation after total hip arthroplasty: a matched case-control study. Journal of orthopaedic surgery. 2010;18(2):179-83.
    9. Van Stralen G, Struben P, Van Loon C. The incidence of dislocation after primary total hip arthroplasty using posterior approach with posterior soft-tissue repair. Archives of orthopaedic and trauma surgery. 2003;123(5):219-22.
    10. Kwon MS, Kuskowski M, Mulhall KJ, Macaulay W, Brown TE, Saleh KJ. Does surgical approach affect total hip arthroplasty dislocation rates? Clinical Orthopaedics and Related Research (1976-2007). 2006;447:34-8.
    11. Tsukada S, Wakui M. Lower dislocation rate following total hip arthroplasty via direct anterior approach than via posterior approach: five-year-average follow-up results. The open orthopaedics journal. 2015;9:157.
    12. Kwon MS, Kuskowski M, Mulhall KJ, Macaulay W, Brown TE, Saleh KJ. Does Surgical Approach Affect Total Hip Arthroplasty Dislocation Rates? Clinical Orthopaedics and Related Research (1976-2007). 2006;447.
    13. Ji H-M, Kim K-C, Lee Y-K, Ha Y-C, Koo K-H. Dislocation After Total Hip Arthroplasty: A Randomized Clinical Trial of a Posterior Approach and a Modified Lateral Approach. The Journal of Arthroplasty. 2012;27(3):378-85.
    14. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. The Journal of bone and joint surgery American volume. 1978;60(2):217-20.
    15. Lazennec J-Y, Boyer P, Gorin M, Catonné Y, Rousseau MA. Acetabular anteversion with CT in supine, simulated standing, and sitting positions in a THA patient population. Clinical Orthopaedics and Related Research®. 2011;469(4):1103-9.
    16. Tiberi III JV, Antoci V, Malchau H, Rubash HE, Freiberg AA, Kwon Y-M. What is the fate of total hip arthroplasty (THA) acetabular component orientation when evaluated in the standing position? The Journal of arthroplasty. 2015;30(9):1555-60.
    17. Bartz RL, Noble PC, Kadakia NR, Tullos HS. The effect of femoral component head size on posterior dislocation of the artificial hip joint. J Bone Joint surg. 2000;82(9):1300.
    18. Schoof B, Jakobs O, Schmidl S, Lausmann C, Fensky F, Beckmann J, et al. Anterior iliopsoas impingement due to a malpositioned acetabular component-effective relief by surgical cup reorientation. Hip International. 2017;27(2):128-33.
    19. Eickmann T, Manaka M, Clarke IC, Gustafson A, editors. Squeaking and neck-socket impingement in a ceramic total hip arthroplasty. Key Engineering Materials; 2003: Trans Tech Publ.
    20. Widmer K-H. The Impingement-free, Prosthesis-specific, and Anatomy-adjusted Combined Target Zone for Component Positioning in THA Depends on Design and Implantation Parameters of both Components. Clinical Orthopaedics and Related Research®. 2020;478(8):1904-18.
    21. Charles MN, Bourne RB, Davey JR, Greenwald AS, Morrey BF, Rorabeck CH. Soft-tissue balancing of the hip: the role of femoral offset restoration. J Bone Joint surg. 2004;86(5):1078-88.
    22. Ogawa T, Takao M, Hamada H, Sakai T, Sugano N. Soft tissue tension is four times lower in the unstable primary total hip arthroplasty. International orthopaedics. 2018;42(9):2059-65.
    23. Bourne RB, Rorabeck CH. Soft tissue balancing: the hip. The Journal of arthroplasty. 2002;17(4):17-22.
    24. Pritchett J, Bortel D. Parkinson's disease and femoral neck fractures treated by hemiarthroplasty. Clinical orthopaedics and related research. 1992(279):310.
    25. Lazennec JY, Kim Y, Pour AE. Total hip arthroplasty in patients with Parkinson disease: improved outcomes with dual mobility implants and cementless fixation. The Journal of arthroplasty. 2018;33(5):1455-61.
    26. Bell R, Schatzker J, Fornasier V, Goodman S. A study of implant failure in the Wagner resurfacing arthroplasty. The Journal of bone and joint surgery American volume. 1985;67(8):1165-75.
    27. Bankston BA, Cates H, Ritter MA, Keating ME, Faris PM. Polyethylene Wear in Total Hip Arthroplasty. Clinical Orthopaedics and Related Research®. 1995;317.
    28. Dorr LD, Wolf AW, Chandler R, Conaty JP. Classification and treatment of dislocations of total hip arthroplasty. Clinical orthopaedics and related research. 1983(173):151-8.
    29. Ali Khan M, Brakenbury P, Reynolds I. Dislocation following total hip replacement. The Journal of bone and joint surgery British volume. 1981;63(2):214-8.
    30. Pulido L, Restrepo C, Parvizi J. Late instability following total hip arthroplasty. Clinical medicine & research. 2007;5(2):139-42.
    31. Parvizi J, Wade FA, Rapuri V, Springer BD, Berry DJ, Hozack WJ. Revision hip arthroplasty for late instability secondary to polyethylene wear. Clinical Orthopaedics and Related Research®. 2006;447:66-9.

    32.          Orozco F, Hozack WJ. Late dislocations after cementless total hip arthroplasty resulting from polyethylene wear. The Journal of Arthroplasty. 2000;15(8):1059-63.