efficacy of an abduction brace in preventing initial dislocation in the early postoperative period after primary total hip arthroplasty功效的绑架撑在预防术后早期的初始位错的初次全髋置换术后.pdfVIP

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efficacy of an abduction brace in preventing initial dislocation in the early postoperative period after primary total hip arthroplasty功效的绑架撑在预防术后早期的初始位错的初次全髋置换术后.pdf

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efficacy of an abduction brace in preventing initial dislocation in the early postoperative period after primary total hip arthroplasty功效的绑架撑在预防术后早期的初始位错的初次全髋置换术后

Surgical Science, 2012, 3, 131-135 /10.4236/ss.2012.33026 Published Online March 2012 (http://www.SciRP.org/journal/ss) Efficacy of an Abduction Brace in Preventing Initial Dislocation in the Early Postoperative Period after Primary Total Hip Arthroplasty 1 1 1 1 2 Yoshinori Ishii , Hideo Noguchi , Mitsuhiro Takeda , Junko Sato , Yoichiro Domae 1Ishii Orthopaedic and Rehabilitation Clinic, Saitama, Japan 2Department of Orthopaedic Surgery, Shibata Prefectural Hospital, Niigata, Japan Email: ishii@sakitama.or.jp Received November 27, 2011; revised January 15, 2012; accepted January 28, 2012 ABSTRACT We hypothesized that a hip brace may prevent the initial dislocation in the early postoperative period after total hip ar- throplasty (THA). We performed a prospective evaluation of the efficacy of a brace in preventing dislocation in 54 pri- mary THAs in 43 patients. All of the patients wore braces for 3 weeks postoperatively. The occurrence of dislocation was evaluated six months postoperatively. There were no cases of dislocation while wearing a brace, while two poste- rior dislocations occurred 8 and 12 days postoperatively while picking something up from the floor without a brace in so-called provocative positions. The results of this study suggest that a hip brace helps patients to recognize careless provocative positions and prevents the initial hip dislocation in this period instead of usual postoperative management for an average of 6 weeks after discharge, such as a high toilet seat, restricted hip flexion in the activities of daily living, use of a reacher or grabber, an abduction pillow, and a high chair.