Online ISSN: 2515-8260

Management of Dislocated Total Hip Replacement overview guidelines.

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Mustafa Mohamed Mustafa Eljiru1 ,Yousef Mohamed MohamedKhaira2 ,Reda Hussein Elkady3 ,and Mohamed Ismael AbdelrhmanKotb4

Abstract

Background:The hip joint is multi-axial, and synovial ball and socket variety, in general, it can be said that; in all joints, stability and range of movement are in inverse proportion to each other; the hip joint provides a remarkable example of a high degree of both. Its stability is largely the result of the adaptation of the articulating surfaces of acetabulum and femoral head to each other and its great range of mobility results from the femur having a neck that is much narrower than the equatorial diameter of the head.Total Hip Replacement (THA) dislocation is defined as the complete loss of articulation contact between two artificial joint components. Postoperative dislocation is still the most common early complication after THA and one of the most common causes of early revision of primary THA.THA dislocation can be caused by 3 mechanisms or a combination of 2 mechanisms .Depending on the mechanical cause 3 dislocation directions can be observed, even though dislocation direction and component positioning are not necessarily related, the direction of dislocation of THR is usually posterior (77%) ,while anterior (23%) whereas superior or lateral dislocation has also been described.

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