{"title":"全髋关节置换术中的不稳定性：文献综述","authors":"Daisuke Takahashi, Tomohiro Shimizu, Takuji Miyazaki, Takuya Ogawa, Norimasa Iwasaki","doi":"10.1016/j.jjoisr.2023.03.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To introduce prevention and treatment methods for instability after total hip arthroplasty (THA) on the basis of the results of several recent studies.</p></div><div><h3>Methods</h3><p>We comprehensively summarized and evaluated the results of several studies on the frequency, causes, countermeasures, and treatments after THA.</p></div><div><h3>Results</h3><p>We found that surgeon experience, mobility of the lumbosacral spine, and femoral head size influence the dislocation rate after THA, and that dual-mobility acetabular components, lipped liners, and intraoperative support systems, including navigation and robotics, can decrease the dislocation rate.</p></div><div><h3>Conclusions</h3><p>Dual-mobility and lipped liners improve stability after THA; however, their indications should be carefully considered. Judicious use of postoperative mobility restriction may benefit some patients.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 92-96"},"PeriodicalIF":0.0000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000130/pdfft?md5=59425899024aa1a6f25888dff007b696&pid=1-s2.0-S2949705123000130-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Instability in total hip arthroplasty: A literature review\",\"authors\":\"Daisuke Takahashi, Tomohiro Shimizu, Takuji Miyazaki, Takuya Ogawa, Norimasa Iwasaki\",\"doi\":\"10.1016/j.jjoisr.2023.03.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To introduce prevention and treatment methods for instability after total hip arthroplasty (THA) on the basis of the results of several recent studies.</p></div><div><h3>Methods</h3><p>We comprehensively summarized and evaluated the results of several studies on the frequency, causes, countermeasures, and treatments after THA.</p></div><div><h3>Results</h3><p>We found that surgeon experience, mobility of the lumbosacral spine, and femoral head size influence the dislocation rate after THA, and that dual-mobility acetabular components, lipped liners, and intraoperative support systems, including navigation and robotics, can decrease the dislocation rate.</p></div><div><h3>Conclusions</h3><p>Dual-mobility and lipped liners improve stability after THA; however, their indications should be carefully considered. Judicious use of postoperative mobility restriction may benefit some patients.</p></div>\",\"PeriodicalId\":100795,\"journal\":{\"name\":\"Journal of Joint Surgery and Research\",\"volume\":\"2 \",\"pages\":\"Pages 92-96\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2949705123000130/pdfft?md5=59425899024aa1a6f25888dff007b696&pid=1-s2.0-S2949705123000130-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Joint Surgery and Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2949705123000130\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Joint Surgery and Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949705123000130","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Instability in total hip arthroplasty: A literature review
Purpose
To introduce prevention and treatment methods for instability after total hip arthroplasty (THA) on the basis of the results of several recent studies.
Methods
We comprehensively summarized and evaluated the results of several studies on the frequency, causes, countermeasures, and treatments after THA.
Results
We found that surgeon experience, mobility of the lumbosacral spine, and femoral head size influence the dislocation rate after THA, and that dual-mobility acetabular components, lipped liners, and intraoperative support systems, including navigation and robotics, can decrease the dislocation rate.
Conclusions
Dual-mobility and lipped liners improve stability after THA; however, their indications should be carefully considered. Judicious use of postoperative mobility restriction may benefit some patients.
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