Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty

 

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dc.contributor.advisor Maqungo, Sithombo en_ZA
dc.contributor.author Shituleni, Sibasthiaan Gometomab en_ZA
dc.date.accessioned 2016-02-05T07:25:11Z
dc.date.available 2016-02-05T07:25:11Z
dc.date.issued 2015 en_ZA
dc.identifier.citation Shituleni, S. 2015. Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/16788
dc.description Includes bibliographical references en_ZA
dc.description.abstract Background: Dislocation is one of the most common orthopaedic complications after primary total hip arthroplasty (THA). The reported dislocation rate in elective THR is 5 - 8%. This number increases up to 22% for THA done for neck of femur fractures. Larger femoral head sizes increase the head-neck ratio and range of motion before impingement, therefore reducing the dislocation rate. Due to the reported increase in dislocation for trauma, some surgeons prefer to do a hemi-arthroplasty or open reduction and internal fixation (ORIF). Methods: A retrospective review of all THA done for neck of femur fractures during 2006 - 2012 was undertaken at a large referral hospital. Records were reviewed for patient related and surgical risk factors. We excluded all pathological fractures, extra-capsular fractures and failed ORIF. Results: A total of 96 cases were identified as suitable for analysis. Average age at surgery was 73.2 years (range 30 - 81). Delay to surgery was 5.3 days (range 1 - 63). Average follow up period was 18.3 months (range 3 months - 4.3years). Four patients (4.3%) had a confirmed dislocation. The four patients who had confirmed dislocation had the following characteristics, 28 mm femoral head size, age over 60 years, 2 posterior approaches and 3 females, although not statistically significant. Conclusion: The outcomes of THR in patients with neck of femur fractures can be favourable and provide good long-term prosthesis survival. We report on low dislocation rate post total hip replacement for intra-capsular neck of femur fractures. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Orthopaedic Surgery en_ZA
dc.subject.other Neck of femur fractures en_ZA
dc.subject.other total hip replacement en_ZA
dc.subject.other dislocation rate en_ZA
dc.subject.other risk factors en_ZA
dc.title Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Health and Rehabilitation Sciences en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MMed en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Shituleni, S. G. (2015). <i>Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences. Retrieved from http://hdl.handle.net/11427/16788 en_ZA
dc.identifier.chicagocitation Shituleni, Sibasthiaan Gometomab. <i>"Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2015. http://hdl.handle.net/11427/16788 en_ZA
dc.identifier.vancouvercitation Shituleni SG. Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2015 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/16788 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Shituleni, Sibasthiaan Gometomab AB - Background: Dislocation is one of the most common orthopaedic complications after primary total hip arthroplasty (THA). The reported dislocation rate in elective THR is 5 - 8%. This number increases up to 22% for THA done for neck of femur fractures. Larger femoral head sizes increase the head-neck ratio and range of motion before impingement, therefore reducing the dislocation rate. Due to the reported increase in dislocation for trauma, some surgeons prefer to do a hemi-arthroplasty or open reduction and internal fixation (ORIF). Methods: A retrospective review of all THA done for neck of femur fractures during 2006 - 2012 was undertaken at a large referral hospital. Records were reviewed for patient related and surgical risk factors. We excluded all pathological fractures, extra-capsular fractures and failed ORIF. Results: A total of 96 cases were identified as suitable for analysis. Average age at surgery was 73.2 years (range 30 - 81). Delay to surgery was 5.3 days (range 1 - 63). Average follow up period was 18.3 months (range 3 months - 4.3years). Four patients (4.3%) had a confirmed dislocation. The four patients who had confirmed dislocation had the following characteristics, 28 mm femoral head size, age over 60 years, 2 posterior approaches and 3 females, although not statistically significant. Conclusion: The outcomes of THR in patients with neck of femur fractures can be favourable and provide good long-term prosthesis survival. We report on low dislocation rate post total hip replacement for intra-capsular neck of femur fractures. DA - 2015 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty TI - Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty UR - http://hdl.handle.net/11427/16788 ER - en_ZA


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