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Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty
Includes bibliographical references
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
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Department of Health and Rehabilitation Sciences
2016
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| _version_ | 1867614366240604160 |
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| access_status_str | Open Access |
| author | Shituleni, Sibasthiaan Gometomab |
| author2 | Maqungo, Sithombo |
| author_browse | Maqungo, Sithombo Shituleni, Sibasthiaan Gometomab |
| author_facet | Maqungo, Sithombo Shituleni, Sibasthiaan Gometomab |
| author_sort | Shituleni, Sibasthiaan Gometomab |
| collection | Thesis |
| description | Includes bibliographical references |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/16788 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:50:54.035Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Health and Rehabilitation Sciences |
| publisherStr | Department of Health and Rehabilitation Sciences |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/16788 Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty Shituleni, Sibasthiaan Gometomab Maqungo, Sithombo Orthopaedic Surgery Neck of femur fractures total hip replacement dislocation rate risk factors Includes bibliographical references Background: Dislocation is one of the most common orthopaedic complications after primary total hip arthroplasty (THA). The reported dislocation rate in elective THR is 5 - 8%. This number increases up to 22% for THA done for neck of femur fractures. Larger femoral head sizes increase the head-neck ratio and range of motion before impingement, therefore reducing the dislocation rate. Due to the reported increase in dislocation for trauma, some surgeons prefer to do a hemi-arthroplasty or open reduction and internal fixation (ORIF). Methods: A retrospective review of all THA done for neck of femur fractures during 2006 - 2012 was undertaken at a large referral hospital. Records were reviewed for patient related and surgical risk factors. We excluded all pathological fractures, extra-capsular fractures and failed ORIF. Results: A total of 96 cases were identified as suitable for analysis. Average age at surgery was 73.2 years (range 30 - 81). Delay to surgery was 5.3 days (range 1 - 63). Average follow up period was 18.3 months (range 3 months - 4.3years). Four patients (4.3%) had a confirmed dislocation. The four patients who had confirmed dislocation had the following characteristics, 28 mm femoral head size, age over 60 years, 2 posterior approaches and 3 females, although not statistically significant. Conclusion: The outcomes of THR in patients with neck of femur fractures can be favourable and provide good long-term prosthesis survival. We report on low dislocation rate post total hip replacement for intra-capsular neck of femur fractures. 2016-02-05T07:25:11Z 2016-02-05T07:25:11Z 2015 Master Thesis Masters MMed http://hdl.handle.net/11427/16788 eng application/pdf Department of Health and Rehabilitation Sciences Faculty of Health Sciences University of Cape Town |
| spellingShingle | Orthopaedic Surgery Neck of femur fractures total hip replacement dislocation rate risk factors Shituleni, Sibasthiaan Gometomab Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty |
| thesis_degree_str | Master's |
| title | Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty |
| title_full | Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty |
| title_fullStr | Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty |
| title_full_unstemmed | Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty |
| title_short | Displaced intracapsular neck of femur fractures: dislocation rate after total hip arthroplasty |
| title_sort | displaced intracapsular neck of femur fractures dislocation rate after total hip arthroplasty |
| topic | Orthopaedic Surgery Neck of femur fractures total hip replacement dislocation rate risk factors |
| url | http://hdl.handle.net/11427/16788 |
| work_keys_str_mv | AT shitulenisibasthiaangometomab displacedintracapsularneckoffemurfracturesdislocationrateaftertotalhiparthroplasty |