Prevention of early dislocation rate after total hip arthroplasty with posterior capsulotendinous repair
- VernacularTitle:后方关节囊修补预防全髋关节置换术后早期脱位
- Author:
Yongjiang LI
;
Licheng ZHANG
;
Guojing YANG
- Publication Type:Journal Article
- Keywords:
Capsulotendinous repair;
Posterolateral approach;
Arthroplasty;
Replacement;
Hip
- From:
Orthopedic Journal of China
2006;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate the clinical results and significance and mechanism of early dislocation rate after total hip arthroplasty following the posterolateral approach with posterior capsulotendinous repaired.[Method]The incidence of early dislocation and the prosthetic range of rotation motion among 212 consecutive primary THAs with the posterior capsule and the short external rotators which had been sutured to the medius tendon was reviewed retrospectively,and was compared to the results of 486 consecutive unilateral primary THAs with a complete posterior capsulectomy.[Result]During a 6 months to 5 years(3.7 years in average)following-up,there were significant differences between two groups.In patients with posterior capsulotendinous repair,two of 224 primary total hip arthroplasty(0.9%) had an early posterior dislocation.In patients with a complete posterior capsulectomy,27 of 486 primary total hip arthroplasty(5.6%) had an early dislocation.The difference was statistically significant(x~2=8.51,P
