Abstract
Background:Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty. Relocation is traditionally performed under general anaesthesia in the operating...
Highlights
Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty
Complete data were available for 165 of the 202 patients identified; 37 patients were excluded from the study
Successful emergency department (ED) reduction was significantly quicker than both failed reduction in the ED and general anaesthesia in the theatre (p,0.001)
Summary
Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty. Relocation is traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation in the emergency department (ED) has been reported, with a limited success rate of 62%. A study was undertaken to compare door to relocation times for ED sedation and theatre general anaesthesia. Methods: The notes of all patients attending five centres in the south west of England with prosthetic hip dislocation over a 12-month period between 2005 and 2006 were retrospectively reviewed using standardised data collection forms. Results: Successful ED reduction was significantly quicker than failed ED reduction and theatre-based general anaesthesia (2 h 21 min vs 8 h 32 min; p,0.001). No statistical difference was found between failed ED reduction and theatre general anaesthesia. Conclusions: Reduction of dislocated hip prostheses in the ED saves nearly 6 h compared with theatre-based general anaesthesia and is advocated
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