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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
333
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pubmed:dateCreated |
1997-1-30
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pubmed:abstractText |
The dislocation rate of 3197 Charnley prostheses with 22 mm head in which the surgery was done between 1979 and 1991 in 2 orthopaedic centers was compared with that of 2875 Lubinus prostheses with 32 mm head in which the surgery was done between 1980 to 1991 in 3 other centers. A 1-year followup showed an equal rate of dislocation (2.4%-2.5%) in the 2 groups and included 75% of the 201 dislocated hips. Almost all of the late dislocations occurred with the Charnley prosthesis, resulting in a total dislocation rate of 3.7% compared with 2.9% with the Lubinus prosthesis. Regardless of the type of prosthesis used, there was a higher risk of dislocation in patients with nonhealed hip fractures and in arthroplasties performed by less experienced surgeons. When these 2 variables were removed, the small femoral head was not associated with an increased risk of dislocation. However, there were 77 of 118 (65%) recurrent dislocations in the Charnley group, compared with 37 of 83 (45%) in the Lubinus group, and the relative risk of a dislocated hip arthroplasty becoming recurrent increased by 2.3 times if the small femoral head was used. The number of reoperations also were doubled in this group. Almost 4 times as many dislocations were documented within 2 weeks after surgery after any type of prosthesis inserted through a posterior approach compared with the transtrochanteric approach, but there was no increase in rate of recurrence or revision.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0009-921X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
226-33
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8981900-Aged,
pubmed-meshheading:8981900-Female,
pubmed-meshheading:8981900-Femur Head,
pubmed-meshheading:8981900-Hip Prosthesis,
pubmed-meshheading:8981900-Humans,
pubmed-meshheading:8981900-Logistic Models,
pubmed-meshheading:8981900-Male,
pubmed-meshheading:8981900-Middle Aged,
pubmed-meshheading:8981900-Postoperative Complications,
pubmed-meshheading:8981900-Prosthesis Design,
pubmed-meshheading:8981900-Retrospective Studies
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pubmed:year |
1996
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pubmed:articleTitle |
Dislocations and the femoral head size in primary total hip arthroplasty.
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pubmed:affiliation |
Department of Orthopaedics, Malmö University Hospital, Sweden.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't,
Multicenter Study
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