Muscular and neurologic function in patients with recurrent dislocation after total hip arthroplasty: a matched controlled study of 65 patients using dual-energy X-ray absorptiometry and postural stability tests.

Twenty-two patients with recurrent dislocation after primary total hip arthroplasty (THA) were compared with 43 randomly selected, stratified THA patients without dislocation with regard to radiographic cup position; body composition of bone, fat, and muscle (lean body mass) as determined by dual-energy x-ray absorptiometry; strength in abduction and adduction; range of motion; balance; and vibration sense. Balance and sensitivity to vibration were impaired in the patients with dislocation. No differences were found in any other variables except a subset of tall men in the dislocation group.

[1]  John Charnley,et al.  Low Friction Arthroplasty of the Hip , 1979 .

[2]  H. Fredin,et al.  Influence of surgical approach on dislocations after Charnley hip arthroplasty. , 1995, The Journal of arthroplasty.

[3]  B F Morrey,et al.  Instability after total hip arthroplasty. , 1992, The Orthopedic clinics of North America.

[4]  H. Fredin,et al.  Patient characteristics in dislocations after primary total hip arthroplasty. 60 patients compared with a control group. , 1995, Acta orthopaedica Scandinavica.

[5]  B F Morrey,et al.  Dislocations after total hip arthroplasty. , 1982, The Journal of bone and joint surgery. American volume.

[6]  M. A. Ali Khan,et al.  Dislocation following total hip replacement. , 1981, The Journal of bone and joint surgery. British volume.

[7]  A. Cotten,et al.  Causes of dislocation of total hip arthroplasty. CT study of component alignment. , 1994, The Journal of bone and joint surgery. British volume.

[8]  M. B. Coventry.  Late dislocations in patients with Charnley total hip arthroplasty. , 1985, The Journal of bone and joint surgery. American volume.

[9]  G. Selvik,et al.  Space Orientation of Total Hip Prosthesis , 1986, Acta radiologica: diagnosis.

[10]  H. Lindberg,et al.  Recurrent and non-recurrent dislocation following total hip arthroplasty. , 1982, Acta orthopaedica Scandinavica.

[11]  R. McLaren.  Prosthetic hip angulation. , 1973, Radiology.

[12]  B F Morrey,et al.  Operative correction of an unstable total hip arthroplasty. , 1992, The Journal of bone and joint surgery. American volume.

[13]  D. Robertson,et al.  Clinical correlates of sway in old age--sensory modalities. , 1982, Age and ageing.

[14]  J. Goldberg,et al.  Standardised method of determining vibratory perception thresholds for diagnosis and screening in neurological investigation. , 1979, Journal of neurology, neurosurgery, and psychiatry.

[15]  H. Lindberg,et al.  Radiologic Evaluation of the Position of the Acetabular Component of the Total Hip Prosthesis , 1982, Acta radiologica: diagnosis.

[16]  D. McCollum,et al.  Dislocation after total hip arthroplasty. Causes and prevention. , 1990, Clinical orthopaedics and related research.

[17]  L. Munuera,et al.  Dislocation in low-friction arthroplasty. , 1992, The Journal of arthroplasty.

[18]  J P Conaty,et al.  Classification and treatment of dislocations of total hip arthroplasty. , 1983, Clinical orthopaedics and related research.

[19]  A. Duquennoy,et al.  CAUSES OF DISLOCATION OF TOTAL HIP ARTHROPLASTY , 1994 .

[20]  R B Mazess,et al.  Dual-energy x-ray absorptiometry for total-body and regional bone-mineral and soft-tissue composition. , 1990, The American journal of clinical nutrition.

[21]  J. Lewis,et al.  Dislocations after total hip-replacement arthroplasties. , 1978, The Journal of bone and joint surgery. American volume.

[22]  R. Poss,et al.  Dislocation in total hip arthroplasties. , 1980, Clinical orthopaedics and related research.

[23]  H. Fredin,et al.  THE PROGNOSIS AND TREATMENT OF DISLOCATED TOTAL HIP ARTHROPLASTIES WITH A 22 MM HEAD , 1997 .

[24]  D. Murray.  The definition and measurement of acetabular orientation. , 1993, The Journal of bone and joint surgery. British volume.

[25]  K E Marks,et al.  A ten-year follow-up of one hundred consecutive Müller curved-stem total hip-replacement arthroplasties. , 1982, The Journal of bone and joint surgery. American volume.