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Total hip arthroplasty in patients with neuromuscular imbalance.

Abstract Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation. In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival. Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication. Cite this article: Bone Joint J 2018;100-B(1 Supple A):17-21.
PMID
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Authors

Mayor MeshTerms

Arthroplasty, Replacement, Hip

Postural Balance

Keywords

Complex hip

Neurological imbalance

Neuromuscular imbalance

Journal Title the bone & joint journal
Publication Year Start




PMID- 29292335
OWN - NLM
STAT- MEDLINE
DCOM- 20180104
LR  - 20180104
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 1 Supple A
DP  - 2018 Jan
TI  - Total hip arthroplasty in patients with neuromuscular imbalance.
PG  - 17-21
LID - 10.1302/0301-620X.100B1.BJJ-2017-0571.R1 [doi]
AB  - Patients with neuromuscular imbalance who require total hip arthroplasty (THA)
      present particular technical problems due to altered anatomy, abnormal bone
      stock, muscular imbalance and problems of rehabilitation. In this systematic
      review, we studied articles dealing with THA in patients with neuromuscular
      imbalance, published before April 2017. We recorded the demographics of the
      patients and the type of neuromuscular pathology, the indication for surgery,
      surgical approach, concomitant soft-tissue releases, the type of implant and
      bearing, pain and functional outcome as well as complications and survival.
      Recent advances in THA technology allow for successful outcomes in these
      patients. Our review suggests excellent benefits for pain relief and good
      functional outcome might be expected with a modest risk of complication. Cite
      this article: Bone Joint J 2018;100-B(1 Supple A):17-21.
CI  - (c)2018 The British Editorial Society of Bone & Joint Surgery.
FAU - Konan, S
AU  - Konan S
AD  - University College London Hospitals NHS Trust, 250 Euston Road, London NW1 2BU,
      UK.
FAU - Duncan, C P
AU  - Duncan CP
AD  - Vancouver General Hospital, University of British Columbia, Vancouver, BC V5Z
      4E3, Canada.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - *Arthroplasty, Replacement, Hip/instrumentation/methods
MH  - Humans
MH  - Neuromuscular Diseases/*complications/physiopathology
MH  - Osteoarthritis, Hip/complications/*surgery
MH  - Postoperative Complications/etiology
MH  - *Postural Balance
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Complex hip
OT  - Neurological imbalance
OT  - Neuromuscular imbalance
EDAT- 2018/01/03 06:00
MHDA- 2018/01/05 06:00
CRDT- 2018/01/03 06:00
PHST- 2017/05/08 00:00 [received]
PHST- 2017/06/08 00:00 [accepted]
PHST- 2018/01/03 06:00 [entrez]
PHST- 2018/01/03 06:00 [pubmed]
PHST- 2018/01/05 06:00 [medline]
AID - 100-B/1_Supple_A/17 [pii]
AID - 10.1302/0301-620X.100B1.BJJ-2017-0571.R1 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 Jan;100-B(1 Supple A):17-21. doi:
      10.1302/0301-620X.100B1.BJJ-2017-0571.R1.