Dynamics of hip joint effusion after posterior soft tissue repair in total hip arthroplasty

International Orthopaedics
Sarunas TaraseviciusHans Wingstrand

Abstract

Dislocation after total hip replacement is more common in the early, postoperative period. Postoperative intraarticular haematoma and remaining seroma fluid and/or weakened posterior soft tissue wall may be contributing factors. Our purpose was to compare and follow with sonography the resorption of the postoperative volume of intraarticular fluid/synovial oedema after total hip arthroplasty (THA) with or without posterior soft tissue repair. Thirty-three consecutive patients with hip osteoarthritis were admitted for THA. All of them received the same type of cemented implant. Patients were randomised for posterior soft tissue repair or not. Sonography, measuring the anterior capsular distension, indicating the volume of intraarticular fluid/synovial oedema in the prosthetic hip joints, was performed after six and 12 months in all patients. At six months postoperatively greater capsular distension, i.e., remaining volume of intraarticular fluid/synovial oedema, was observed in the group with posterior soft tissue repair than in the group without. After one year the capsular distension had decreased in both groups and there was no significant difference between the groups. Our results show that posterior soft tissue repair after...Continue Reading

References

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Citations

Sep 25, 2007·Der Orthopäde·F MazoochianV Jansson
Jan 27, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·D ZhangZ Xiang
Nov 22, 2012·Magnetic Resonance Imaging Clinics of North America·Talia Friedman, Theodore T Miller
Mar 6, 2007·Veterinary Surgery : VS·Alexander StarkeJürgen Rehage
Aug 25, 2021·British Medical Bulletin·Luca MirandaNicola Maffulli

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