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The analysis of posterior soft tissue repair durability after total hip arthroplasty in primary osteoarthritis patients

Loiba, Valdemar; Stucinskas, Justinas; Robertsson, Otto LU ; Wingstrand, Hans LU and Tarasevicius, Sarunas (2015) In HIP International 25(5). p.420-423
Abstract
Background and purpose: The posterior soft tissue repair is 1 of the preventing factors for dislocation after total hip arthroplasty (THA). The aim of our study was to analyse THA patients with posterior soft tissue repair in terms of suture durability, time of suture failure and correlate the changes in leg length and offset postoperatively to suture durability. Methods: A total of 37 consecutive THA patients operated for osteoarthritis were included in the study. The posterior repair included reattaching the piriformis, conjoined tendons and posterior capsule to the greater trochanter through 2, 2 mm drill holes with 2 grasping stitches. A metal indicator wire was stitched into the piriformis tendon at distance of 1 cm from the greater... (More)
Background and purpose: The posterior soft tissue repair is 1 of the preventing factors for dislocation after total hip arthroplasty (THA). The aim of our study was to analyse THA patients with posterior soft tissue repair in terms of suture durability, time of suture failure and correlate the changes in leg length and offset postoperatively to suture durability. Methods: A total of 37 consecutive THA patients operated for osteoarthritis were included in the study. The posterior repair included reattaching the piriformis, conjoined tendons and posterior capsule to the greater trochanter through 2, 2 mm drill holes with 2 grasping stitches. A metal indicator wire was stitched into the piriformis tendon at distance of 1 cm from the greater trochanter after the prosthesis had been implanted and the joint reduced. Anteroposterior radiographs were taken immediately after the patients returned from the operating theatre to the intensive care unit, the next day after mobilisation, and at the 5th day of stay and at 3 months postoperatively. Results: Out of 37 THA hips, 6 (16%) had failed immediately after surgery, 25 (68%) at the 1st postoperative day after mobilisation, 2 (5%) at the 5th postoperative day, and 1 (3%) repairs had failed at 3 months after THA. In the remaining 3 hips no failure occurred. Interpretation: We conclude that posterior soft tissue repair in THA often fails and suggest that new posterior soft tissue repair methods be developed. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Hip osteoarthritis, Hip arthroplasty, Posterior approach, Posterior soft, tissue repair
in
HIP International
volume
25
issue
5
pages
420 - 423
publisher
Wichtig Editore
external identifiers
  • wos:000366476800006
  • scopus:84944450957
ISSN
1724-6067
DOI
10.5301/hipint.5000232
language
English
LU publication?
yes
id
fde9373a-97e7-4f30-814d-03377fe6b50f (old id 8559991)
date added to LUP
2016-02-08 07:20:51
date last changed
2017-07-30 03:11:13
@article{fde9373a-97e7-4f30-814d-03377fe6b50f,
  abstract     = {Background and purpose: The posterior soft tissue repair is 1 of the preventing factors for dislocation after total hip arthroplasty (THA). The aim of our study was to analyse THA patients with posterior soft tissue repair in terms of suture durability, time of suture failure and correlate the changes in leg length and offset postoperatively to suture durability. Methods: A total of 37 consecutive THA patients operated for osteoarthritis were included in the study. The posterior repair included reattaching the piriformis, conjoined tendons and posterior capsule to the greater trochanter through 2, 2 mm drill holes with 2 grasping stitches. A metal indicator wire was stitched into the piriformis tendon at distance of 1 cm from the greater trochanter after the prosthesis had been implanted and the joint reduced. Anteroposterior radiographs were taken immediately after the patients returned from the operating theatre to the intensive care unit, the next day after mobilisation, and at the 5th day of stay and at 3 months postoperatively. Results: Out of 37 THA hips, 6 (16%) had failed immediately after surgery, 25 (68%) at the 1st postoperative day after mobilisation, 2 (5%) at the 5th postoperative day, and 1 (3%) repairs had failed at 3 months after THA. In the remaining 3 hips no failure occurred. Interpretation: We conclude that posterior soft tissue repair in THA often fails and suggest that new posterior soft tissue repair methods be developed.},
  author       = {Loiba, Valdemar and Stucinskas, Justinas and Robertsson, Otto and Wingstrand, Hans and Tarasevicius, Sarunas},
  issn         = {1724-6067},
  keyword      = {Hip osteoarthritis,Hip arthroplasty,Posterior approach,Posterior soft,tissue repair},
  language     = {eng},
  number       = {5},
  pages        = {420--423},
  publisher    = {Wichtig Editore},
  series       = {HIP International},
  title        = {The analysis of posterior soft tissue repair durability after total hip arthroplasty in primary osteoarthritis patients},
  url          = {http://dx.doi.org/10.5301/hipint.5000232},
  volume       = {25},
  year         = {2015},
}