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Updated: May 6, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Dislocation following total hip replacement: causes and cures.

P J Brooks1

  • 1Cleveland Clinic, 9500 Euclid Ave, A-41, Cleveland, Ohio, 44195, USA.

The Bone & Joint Journal
|November 5, 2013
PubMed
Summary
This summary is machine-generated.

Understanding hip dislocation causes is key to prevention after hip replacement surgery. Patient, surgeon, and implant factors, alongside proper planning and education, significantly reduce dislocation risks.

Keywords:
Hip replacementdislocationimpingementmalpositionoffset

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Hip dislocation is a frequent cause of patient and surgeon dissatisfaction after hip replacement.
  • Identifying causative factors is crucial for effective prevention strategies.

Purpose of the Study:

  • To comprehensively review and understand the multifactorial causes of hip dislocation following hip replacement surgery.
  • To provide insights for preventing dislocation through improved surgical techniques and patient management.

Main Methods:

  • Literature review and analysis of patient, surgeon, and implant-related factors contributing to hip dislocation.
  • Examination of biomechanical and technical aspects influencing joint stability post-arthroplasty.

Main Results:

  • Patient factors (age, comorbidities, gender, laxity, revision status, abductor issues, education) and surgeon factors (experience, approach, component positioning, impingement) are significant.
  • Implant design (head-neck region, skirts) and positioning (offset, leg length, liner placement) play a critical role.
  • Late dislocations can occur due to polyethylene wear, soft-tissue disruption, or infection.

Conclusions:

  • Multifactorial understanding of hip dislocation is essential for effective prevention.
  • Meticulous pre-operative planning, accurate component placement, and robust patient education are vital for minimizing dislocation incidence.