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Updated: Feb 24 2025

THA Dislocation

Images
  • summary
  • Epidemiology
  • Etiology
  • Presentation
  • Imaging
  • Treatment
    • Nonoperative
      • closed reduction and immobilization
        • indications
          • two-thirds of early dislocations can be treated with closed reduction and immobilization
        • technique
          • immobilize with hip spica cast, hip abduction brace, or knee immobilizer
    • Operative
      • polyethylene exchange
        • indications
          • stable well-aligned implants with extensive polyethylene wear thought to be sole reason for dislocation
      • revision THA
        • indications
          • indicated if 2 or more dislocations with evidence of
            • implant malalignment
              • vertical acetabular component
              • acetabular retroversion
            • implant failure
          • techniques
            • see below
      • conversion to hemiarthroplasty with larger femoral head
        • indications
          • for soft tissue deficiency or dysfunction
          • contraindicated if acetabular bone is compromised
          • older technique rarely used with development of dual mobility implants
      • resection arthroplasty
        • indications
          • when all options have been exhausted
          • significant bone loss and soft tissue deficiency
          • psychiatric patients who are dislocating for secondary gain
  • Technique
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Recon | THA Dislocation
  • Recon
  • - THA Dislocation
13:25 min
10/15/2019
953 plays
5.0
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Question Session⎪THA Dislocation, Adult Osteomyelitis & Osteoporotic Vertebral Compression Fractures
  • Recon
  • - THA Dislocation
31:41 min
11/6/2019
76 plays
0.0
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