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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Evaluation of Risk Factors Influencing Instability after Total Hip Replacement
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Evaluation of Risk Factors Influencing Instability after Total Hip Replacement

机译：评估影响总髋关节置换后不稳定的风险因素

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Total hip arthroplasty has been successful in relieving pain arising from hip joint diseases and maintains functional stability of hip joint. Instability can be rephrased as subluxation or dislocation of femoral head from the acetabulum. The study has been undertaken to find out causes related to instability after Total Hip Replacement (THR).Aim: To evaluate preoperative, intraoperative and postoperative risk factors influencing instability after THR.Materials and Methods: This retrospective study was carried out from June 2013 to June 2019. Preoperative, postoperative and six months follow-up data was recorded in the questionnaire. A total of eight patients were included in the group having postoperative dislocation and 122 patients were in normal THR group. Clinical outcome was measured using Harris Hip score. Data analysis was done by using Statistical Package for the Social Sciences (SPSS) software version 17.0 and parametric tests like paired t-test, Analysis of Variance (ANOVA) were used.Results: Majority of the patients in the study were in the age group of 31-40 years and 41-50 years (27.69% each) with total mean age of 41.14±12.40 years. About 77.69% were male and 22.31% were female. Mean Harris hip score of the total population was 74.73±5.35. Dislocation post THR was observed in 8 (6.15%) and all these patients were males. Six (75%) patients in hip dislocation group were chronic alcoholics while 41 (33.61%) in non-dislocation group were alcoholics and incidence of dislocation and alcoholism was statistically significant. Capsulectomy was done in 50% patients of hip dislocation group and 16.39% of non-dislocation group thus capsulectomy appears as a significant risk factor for postoperative hip dislocation.Conclusion: The incidence of hip instability after THR was 6.15%. Alcohol addiction was identified as a statistically significant independent preoperative risk factor. It was observed that capsulectomy was a significant risk factor for hip dislocation.
机译：总髋关节关节成形术成功地取消了髋关节疾病引起的疼痛，并保持髋关节的功能稳定性。不稳定性可以被重建为来自髋臼的股骨头的子旋律或脱位。已经进行了该研究以发现与总髋关节替换后的不稳定有关的原因（Thr）。目的：评估影响缺乏稳定性的术前，术中和术后风险因素。材料和方法：这项回顾性研究是从2013年6月到2019年6月开始。术前，术后和六个月的后续数据被记录在调查问卷中。在术后脱位术术后，共有八名患者，122名患者正常。使用Harris Hip评分测量临床结果。数据分析是通过使用统计包来使用统计包，用于社会科学（SPSS）软件版本17.0和参数测试，如配对T检验，使用差异分析（ANOVA）。结果：研究中的大多数患者进入年龄组31-40岁至41-50岁（每年27.69％），平均年龄为41.14±12.40岁。大约77.69％是男性，22.31％是女性。平均总人口的哈里斯髋关节得分为74.73±5.35。在8（6.15％）中观察到脱位后Thr，所有这些患者都是男性。六（75％）髋关节脱位组患者是慢性酗酒者，而非脱位组41（33.61％）是酗酒者，脱位和酗酒的发病率有统计学意义。胶囊切除术在50％的髋关节脱位组患者中进行，16.39％的非脱位组，因此胶囊切除术术语术后髋关节脱位的显着危险因素。结论：THR后髋关节不稳定的发生率为6.15％。含酒精成瘾被鉴定为统计学上显着的独立术前危险因素。观察到胶囊切除术是髋关节脱位的显着危险因素。

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