Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Dislocation after THA — Risk Factors & Management

Incidence 1–3% after primary THA; higher in revision. Risk factors: posterior approach, malpositioned cup (anteversion 25°, inclination >60°). Patient factors: neuromuscular disease, dementia, noncompliance. Management: closed reduction, bracing; revision for recurrent instability. Prevention: proper cup position, posterior repair, large femoral heads.

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Incidence 1–3% after primary THA; higher in revision. Risk factors: posterior approach, malpositioned cup (anteversion <5° or >25°, inclination >60°). Patient factors: neuromuscular disease, dementia, noncompliance. Management: closed reduction, bracing; revision for recurrent instability. Prevention: proper cup position, posterior repair, large femoral heads.
MCQs

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Question 1

What is the incidence of dislocation after primary total hip arthroplasty (THA)?

Question 2

Which surgical approach is associated with the highest dislocation rate after THA?

Question 3

What is a major modifiable risk factor for dislocation after THA?

Question 4

Which of the following is part of the 'safe zone' for acetabular cup positioning?

Question 5

What is the initial management step upon confirming dislocation of a THA?

Question 6

Which of the following factors is NOT considered a patient-related risk factor for dislocation after THA?

Question 7

What is the recommended management for recurrent dislocation after THA?

Question 8

Which biomechanical principle is crucial for hip stability after THA?

Question 9

Which of the following strategies can help prevent dislocation after THA?

Question 10

What is the most common direction of dislocation following a posterior approach THA?