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Total Hip Arthroplasty in Multiple Sclerosis.

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  • 1Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg.

Zeitschrift Fur Orthopadie Und Unfallchirurgie
|November 15, 2019
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This summary is machine-generated.

Total hip arthroplasty (THA) in multiple sclerosis patients poses risks like dislocation and fractures. Specialized implants and osteological evaluation are recommended to improve outcomes and reduce revision rates.

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Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Biomedical Engineering

Background:

  • Systemic neurological diseases increase total hip arthroplasty (THA) complication risks, including dislocation, infection, gait issues, and fractures.
  • Limited research exists on THA specifically for multiple sclerosis (MS) patients, though higher revision rates are noted.

Purpose of the Study:

  • To review current literature on total hip arthroplasty (THA) in patients with multiple sclerosis (MS).
  • To identify specific risks and potential solutions for THA in MS patients.

Main Methods:

  • Literature review of existing studies on THA in MS patients.
  • Analysis of complication rates, revision rates, and implant choices.

Main Results:

  • Multiple sclerosis (MS) patients undergoing THA face elevated risks, particularly dislocation and periprosthetic fractures.
  • Increased revision rates in MS patients are partly attributed to dislocations.
  • Specialized implants, like tripolar acetabular systems, may enhance dislocation safety.

Conclusions:

  • THA in MS patients requires careful consideration due to neurological deficits and osteoporosis.
  • Preoperative osteological assessment and tailored treatment are crucial for preventing fractures.
  • Implants offering enhanced dislocation stability and individualized perioperative management are recommended for better THA outcomes in MS.