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18 June 2022: Review Articles

Narrative Review of the Mechanism of Hip Prosthesis Dislocation and Methods to Reduce the Risk of Dislocation

Maciej Kostewicz 1ABEF* , Grzegorz Szczęsny 1AEF , Wiesław Tomaszewski 2E , Paweł Małdyk 1E

DOI: 10.12659/MSM.935665

Med Sci Monit 2022; 28:e935665

Table 1 Summary of patient-dependent factors that predispose to implant dislocation.

Numbers\the sectionPatients-dependent factors that predispose to THA dislocation
1.Insubordinate, alcohol, drug abused – corresponds with brawls
2.Patients with neurologic and psychiatric disorders, including epilepsy, dementia, disorientation, ataxia, impaired consciousness, coma and delusions. Also - paresis and nerve palsy affecting the lower limb that impairs muscular balance of the pelvic girdle
3.Undertaking professional risky activities that promote injuries to the hip joint:
4.Very active amateur sportsmen
5.Bedridden patients that have an advanced muscular atrophy due to persistent disuse (lack of congruency of the hip joint)
6.Lumbosacral pathology
7.THA with low-diameter femoral head
8.Technical errors in THA – inexperienced surgeon
9.Advanced age (includes several of the factors mentioned above)
10.Obesity (BMI >30 kg/m)

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750