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Relaxed hip precautions do not increase early dislocation rate following total hip arthroplasty

Journal of the American Academy of Orthopedic Surgeons May 13, 2020

Brown ML, et al. - This research was sought to ascertain whether relaxed hip precautions after primary total hip arthroplasty (THA) done via a posterolateral approach resulted in a higher early dislocation rate compared with standard hip precautions. In December 2016, the hip precaution protocol was changed from standard to relaxed at the institution for all patients with THA. The early dislocation rate was ascertained (within 3 months postoperatively) for both cohorts and controlled for selected demographic and surgical details. Five-hundred ninety-seven primary THAs were included in the standard precaution group and the relaxed precaution group included 692 hips. The data imply that well-trained, high-volume surgeons may potentially relax hip precautions prescribed to the patients after primary THA done via a posterolateral technique without subjecting individuals to a markedly higher incidence of dislocation. Nevertheless, unlike previous studies, for dislocation risk, this study controlled for femoral head size, which is a well-known confounder.

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