Simplifying the Hip-Spine Relationship for Total Hip Arthroplasty: When Do I Use Dual-Mobility and Why Does It Work?

Research output: Contribution to journalArticle

Abstract

Recent data indicate that the contemporary prevalence of dislocation after primary total hip arthroplasty is up to 5- to 10-fold greater in those patients with spinal deformities that lead to stiffness and/or significant pelvic tilt. Moreover, the interplay between the hip and spine is complex, dynamic, and changes over the lifetime of a patient. Finally, the interplay is not fully understood. As such, consideration should be given to the use of dual-mobility constructs in this cohort of patients given the increased effective head size, combined with the dual articulation before hard impingement.

Original languageEnglish (US)
Pages (from-to)S74-S75
JournalJournal of Arthroplasty
Volume34
Issue number7
DOIs
StatePublished - Jul 1 2019

Fingerprint

Arthroplasty
Hip
Spine
Head

Keywords

  • dislocation
  • pelvic tilt
  • primary total hip arthroplasty
  • spine
  • stiffness

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

@article{a5a222687e3740cbbff5b12aeb03ed39,
title = "Simplifying the Hip-Spine Relationship for Total Hip Arthroplasty: When Do I Use Dual-Mobility and Why Does It Work?",
abstract = "Recent data indicate that the contemporary prevalence of dislocation after primary total hip arthroplasty is up to 5- to 10-fold greater in those patients with spinal deformities that lead to stiffness and/or significant pelvic tilt. Moreover, the interplay between the hip and spine is complex, dynamic, and changes over the lifetime of a patient. Finally, the interplay is not fully understood. As such, consideration should be given to the use of dual-mobility constructs in this cohort of patients given the increased effective head size, combined with the dual articulation before hard impingement.",
keywords = "dislocation, pelvic tilt, primary total hip arthroplasty, spine, stiffness",
author = "Matthew Abdel",
year = "2019",
month = "7",
day = "1",
doi = "10.1016/j.arth.2019.01.021",
language = "English (US)",
volume = "34",
pages = "S74--S75",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "7",

}

TY - JOUR

T1 - Simplifying the Hip-Spine Relationship for Total Hip Arthroplasty

T2 - When Do I Use Dual-Mobility and Why Does It Work?

AU - Abdel, Matthew

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Recent data indicate that the contemporary prevalence of dislocation after primary total hip arthroplasty is up to 5- to 10-fold greater in those patients with spinal deformities that lead to stiffness and/or significant pelvic tilt. Moreover, the interplay between the hip and spine is complex, dynamic, and changes over the lifetime of a patient. Finally, the interplay is not fully understood. As such, consideration should be given to the use of dual-mobility constructs in this cohort of patients given the increased effective head size, combined with the dual articulation before hard impingement.

AB - Recent data indicate that the contemporary prevalence of dislocation after primary total hip arthroplasty is up to 5- to 10-fold greater in those patients with spinal deformities that lead to stiffness and/or significant pelvic tilt. Moreover, the interplay between the hip and spine is complex, dynamic, and changes over the lifetime of a patient. Finally, the interplay is not fully understood. As such, consideration should be given to the use of dual-mobility constructs in this cohort of patients given the increased effective head size, combined with the dual articulation before hard impingement.

KW - dislocation

KW - pelvic tilt

KW - primary total hip arthroplasty

KW - spine

KW - stiffness

UR - http://www.scopus.com/inward/record.url?scp=85060860135&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060860135&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2019.01.021

DO - 10.1016/j.arth.2019.01.021

M3 - Article

C2 - 30722981

AN - SCOPUS:85060860135

VL - 34

SP - S74-S75

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 7

ER -