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Updated: Apr 18, 2026

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

Jens Dargel1, Johannes Oppermann, Gert-Peter Brüggemann

  • 1Department of Orthopedics and Trauma Surgery, University Hospital of Cologne, Institute of Biomechanics and Orthopedics, German Sport University Cologne.

Deutsches Arzteblatt International
|January 20, 2015
PubMed
Summary
This summary is machine-generated.

Total hip replacement dislocation is a common complication, occurring in up to 2% of patients within a year. Prevention involves careful patient selection, optimal surgical technique, and patient adherence to movement restrictions to minimize trauma.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total hip replacement (THR) is a successful procedure with a notable complication rate.
  • Dislocation of the total hip endoprosthesis occurs in approximately 2% of patients within the first year post-surgery.
  • Understanding prevention and treatment strategies is crucial for minimizing patient trauma.

Purpose of the Study:

  • To review the incidence, risk factors, and management of total hip endoprosthesis dislocation.
  • To provide guidance for orthopedic surgeons on preventing and treating hip dislocation after replacement surgery.

Main Methods:

  • Selective literature search of Medline database.
  • Analysis of international endoprosthesis registry annual reports.

Main Results:

  • Dislocation rates vary: 0.2%-10% annually for primary THR, up to 28% for revised joints.
  • Patient factors (age, neurological disease, compliance) and surgical factors (implant position, soft-tissue tension, surgeon experience) influence risk.
  • Conservative treatment is suitable for first-time dislocations without clear cause; operative revision is recommended for mechanical instability to prevent recurrence.

Conclusions:

  • Hip endoprosthesis dislocation is a significant source of patient distress and should be prevented.
  • Preoperative risk assessment and meticulous surgical technique are paramount.
  • Optimal outcomes require attention to implant positioning, soft-tissue balance, and surgeon expertise.