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It is not known what the best treatment for dislocation of the hip after Total Hip Replacement surgery is. This is because no evidence was found that looked at the treatments for dislocation of the hip after surgery.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

The hip joint is a ball and socket joint. Newborns may have hips that are not in their socket (dislocated) or hips that are improperly formed (dysplasia). Risk factors for hip dysplasia include a family history of a similar problem and female infants delivered in the breech position. The hips of most newborns will be examined clinically after birth and during infancy to determine whether they are stable, unstable or dislocated. Screening for hip dysplasia may prevent the need for late treatment, which is associated with long term hip deformity, gait disturbance and arthritis. However, early screening leads to increased treatment. Treatment may be complicated by damage to the hip due to impairment of the blood supply (avascular necrosis).

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2011

The patella or kneecap is a lens‐shaped bone situated at the front of the knee. It is incorporated into the tendon of the quadriceps muscles of the thigh and moves within a groove at the lower end of the thigh bone (femur). Patellar dislocation occurs when the patella completely moves out of this groove. It typically occurs in young and physically active people with minimal trauma when they twist the bent knee with the foot fixed to the ground, for example, during sporting activities. The most common recurrent symptom reported by people is patella or knee cap instability. It may be associated with abnormal shape of the knee joint bones, weakness of the muscles around the hip or knees or tightness of soft tissues on the outside of the knee.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2015

Bibliographic details: Sarasola Gandariasbeitia K, Zuil Escobar JC.  [Postural control and managements of hip deformities in cerebral palsy: a review]. [Control postural y manejo de deformidades de cadera en la paralisis cerebral: revision.] Fisioterapia 2012; 34(4): 169-175

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Arthroplasty (total hip replacement) involves replacing both the socket in the hip and the thigh side of the joint with an artificial joint. Hemiarthroplasty (partial hip replacement) leaves the socket intact, replacing only the thigh side. This is used for some people with hip fractures. Anterior surgery (from the front) might reduce the risk of dislocation and damaging the sciatic nerve for the leg, while posterior surgery (from the back) may reduce operating time and lower the risk of fracture. However, the review of trials did not find enough evidence to show which type of surgery for hemiarthroplasty is best.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

Many different types of artificial hip joints (arthroplasties) may be used to treat hip fractures, which are breaks (fractures) in the thigh bone (femur) near the hip joint. Differences in these artificial joints include different shapes of the stem set into the bone; the incorporation of a secondary joint (bipolar joint); joints that replace only the ball part of the ball and socket hip joint (hemiarthroplasty) and those that also involve replacing the socket part of the hip joint (total hip replacement). In addition an arthroplasty may be of the press fit type or secured in place within the bone using a filler (bone cement).

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2010

Developmental dysplasia of the hip (DDH) can lead to the later development of chronic pain, osteoarthritis, and limitations in activity. Screening for DDH has been practiced for over 40 years, but recommendations from major professional societies differ.

Evidence Syntheses - Agency for Healthcare Research and Quality (US).

Version: March 2006

In people with osteoarthritis of the hip, there is not enough evidence to be certain about whether the posterior (back) or the lateral (side) approach to total hip replacement surgery is better.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

Total hip arthroplasty (THA) is a common surgical procedure for the treatment of pain and disability cause by osteoarthritis. Following THA, people have usually been provided with equipment, such as raised toilet seats and chairs, and educated to avoid activities that could cause the hip joint to be in a position of bending, twisting or where people cross their legs. These interventions aim to reduce the chances of dislocating the new hip, which is a painful and disabling event. This advice and equipment provision is often led by occupational therapists after a THA. We wanted to find out whether these types of treatments improve a person's recovery following a THA.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2016

BACKGROUND: Subtrochanteric femoral shortening osteotomy is a crucial procedure to prevent nerve injury in total hip arthroplasty for severe developmental dysplasia of the hip. Transverse osteotomy was first applied, and other modified methods have also been reported. Each has its own advantages and limitations, but no definitive conclusions regarding differences in outcomes have been reached to date.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2014

We performed a systematic review of the results of palliative hip surgery in severe cerebral palsy. Individuals with severe cerebral palsy frequently suffer from pain and other impairments because of dislocation or malformation of the hips. When preventive or reconstructive surgery fails, palliative intervention is performed. A number of salvage interventions have been described. We found articles on resection surgery of the femoral head, arthrodesis of the hip joint, and total hip replacement. The published literature does not clearly favor one procedure over the others. The resection arthroplasty technique developed by Castle is reported to yield the best results and fewer complications, and seems to eventually lead to a good outcome.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2013

Although developmental dysplasia of the hip (DDH) is a relatively common disorder, its aetiology remains elusive. The authors undertook a systematic review to determine whether there is an association between DDH and vaginal or caesarean delivery for singleton breech infants. The review focussed on cohort studies which provided risk estimates for DDH in breech-presenting infants, as a function of mode of delivery. Nine cohort studies with 35,139 infants were found. In the short-term, breech infants delivered through caesarean section had a significantly lower risk (13.5% less) for DDH: 5.95%, versus 6.88% (weighted values) in the vaginal delivery group (p = 0.008) {RR = 0.87 (95% CI 0.78-0.97)}. This might be mediated by the reduced stretch of the hip capsule, due to the absence of increased uterine pressure, which normally occurs in the active phase of labour. This pleads for the hypothesis that the mode of delivery is the critical factor promoting dislocation, not the breech presentation itself. Long-term data were not available, so that the overall effectiveness of caesarean section compared to vaginal delivery could not be established.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

INTRODUCTION: Developmental dysplasia of the hip (DDH) is one of the most commonly diagnosed and treated paediatric orthopaedic conditions.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2014

PURPOSE: Displaced femoral neck fractures in healthy elderly patients have traditionally been managed with hemiarthroplasty (HA). Recent data suggest that total hip arthroplasty (THA) may be a better alternative.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Hip fracture is a common problem in people aged ≥ 60 years. The annual rate of hip fracture in women in the UK has been reported to be exponentially distributed and to be 20 per 10,000, 38 per 10,000 and 73 per 10,000 at 65, 70 and 75 years of age, respectively. Only 5% of fractures occur in men and women under the age of 60 years. Owing to increasingly ageing populations, the absolute number of hip fractures is expected to rise. Half of all hip fractures are displaced intracapsular fractures, i.e. unstable fractures in which the blood supply to the femoral head may be impaired, affecting the rate of fracture healing. The treatment for displaced intracapsular fractures is currently determined by the mobility and functional demands of the patient. There is no consensus regarding the optimal treatment for individuals who are cognitively intact and have high pre-fracture mobility or function: the two options are hemiarthroplasty (HA) or total hip arthroplasty (THA).

NIHR Health Technology Assessment programme: Executive Summaries - NIHR Journals Library.

Version: 2011

Study found that patients’ hip function and their general quality of life improved after having either total hip replacement (THR) or resurfacing arthroplasty (RS), with certain types of THR showing some benefit over others. More hip RSs had to be revised than THRs with costs for RS higher than those for THR.

Health Technology Assessment - NIHR Journals Library.

Version: January 2015

Minimal incision total hip replacement (THR) is performed with significant variations between surgeons but approaches fall into two main groups. Of these, the 'double-incision' or 'two-incision' approach is novel and specific to minimally invasive hip surgery, whereas the single mini-incision approach is a development of traditional anterolateral and posterior approaches. Minimal incision techniques can be used for all the main categories of hip prostheses. Although shorter incisions may result in less muscle dissection, they may also reduce visualisation at operation, leading to potential risks that the placement of the prosthesis will be sub-optimal and may, therefore, lead to a higher rate of revisions than might be expected with standard THR.

NIHR Health Technology Assessment programme: Executive Summaries - NIHR Journals Library.

Version: 2008

Hip fracture is a common problem in people aged > 60 years. The treatment options for individuals with high pre-fracture mobility, function and independence are hemiarthroplasty (HA) and total hip arthroplasty (THA).

Health Technology Assessment - NIHR Journals Library.

Version: October 2011

The model suggested that a particular strategy (systematic antibiotics, antibiotic impregnated cement and conventional ventilation) would prevent many deep infections and save the NHS the most money

Health Technology Assessment - NIHR Journals Library.

Version: July 2016

Although hip fracture is predominantly a phenomenon of later life, it may occur at any age in people with osteoporosis or osteopenia, and this guidance is applicable to adults across the age spectrum. Skills in its management have, however been accrued, researched and reported especially by collaborative teams specialising in the care of older people (using the general designation ‘orthogeriatrics’). These skills are applicable in hip fracture irrespective of age, and the guidance includes recommendations that cover the needs of younger patients by drawing on such skills in an organised manner.

NICE Clinical Guidelines - National Clinical Guideline Centre (UK).

Version: 2011

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