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Review Question - QID 6050

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QID 6050 (Type "6050" in App Search)
A 68-year-old woman who underwent a right total hip arthroplasty 1 year ago has dislocated her hip five times since surgery. Radiographs show a retroverted acetabular component. What is the best treatment for this patient?

Use a constrained acetabular liner

3%

20/795

Revise the femoral component to provide greater femoral offset

1%

6/795

Revise the femoral head from a 28-mm head size to a 36-mm head size

2%

12/795

Revise the acetabular component to 15 degrees of anteversion and 45 degrees of abduction

95%

753/795

Perform a greater trochanteric osteotomy to improve soft-tissue tension

0%

2/795

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The most common cause of recurrent dislocation following total hip arthroplasty continues to be component malposition. Component malposition should be addressed prior to any other treatment options, such as increasing soft-tissue tension with increased femoral offset or greater trochanteric advancement. A larger femoral head size may help, but correcting the component malposition should give more predictable results. A retroverted acetabular component should be revised to 15 degrees to 20 degrees of anteversion, matching the patient’s anatomy with an abduction angle close to 45 degrees.

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