ArticleThe bone & joint journal2022
Treatment patterns and clinical and economic burden of hip dislocation following primary total hip arthroplasty in England.
Article in The bone & joint journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Revision for dislocation and all-causes following primary total hip replacement using 36-mm versus 32-mm femoral heads on polyethylene liners: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Dual mobility versus standard cups in total hip replacement for displaced femoral neck fractures (Duality): an international, multicentre, randomised, controlled, superiority trial.Lancet (London, England) · 2026Trial
- Optimizing initial biomechanical strength ("Time Zero") of posterior repair in total hip arthroplasty: a biomechanical comparison of suture materials and knot configurations.Archives of orthopaedic and trauma surgery · 2026Article
- The Hana Table Can Be Used for Successful and Safe Closed Reduction of Anterior and Posterior Total Hip Dislocations, Even in Prolonged Dislocation up to 36 Hours.Arthroplasty today · 2026Article
- Early dislocation in primary total hip arthroplasty: Evaluation of treatment options following closed reduction.World journal of orthopedics · 2026Review
- Life's Essential 8 and Parkinson's Disease Risk: A Cross-Sectional Study Based on NHANES Data (2005-2018).Revista de neurologia · 2025Article
- An MRI-based radiomics framework for early identification and progression stratification in knee osteoarthritis: data from the osteoarthritis initiative.BMC musculoskeletal disorders · 2025Article
- Comparison of Short-Term Outcomes and Survivorship of Three Modular Dual Mobility Implants in Primary Total Hip Surgery.Journal of clinical medicine · 2025Article
- A Novel "Personalized Safe Zone" for Acetabular Cup Placement During Total Hip Arthroplasty in Patients With Spinopelvic Pathology: Concept, Construction, and Clinical Application.Orthopaedic surgery · 2025Article
- Dislocation incidence and risk factors following direct anterior primary total hip arthroplasty: a consecutive, single-surgeon cohort.BMC musculoskeletal disorders · 2025Article
- Relationship between weight-to-waist index and post-stroke depression.World journal of psychiatry · 2025Article
- Spinopelvic Motion Evaluation in Patients Undergoing Total Hip Arthroplasty and Patient-Specific Target for Acetabular Cup Placement.Journal of personalized medicine · 2024Article
- Deep Circumflex Iliac Artery-vascularized Iliac Bone Graft for Femoral Head Osteonecrosis: Computed Tomography Anatomical Study.Journal of reconstructive microsurgery · 2024Article
- Dislocation of primary total hip arthroplasty: Analysis of risk factors and preventive options.World journal of orthopedics · 2024Review
- Early Readmission and Revision After Total Joint Arthroplasty: An Analysis of Cause and Cost.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- The True Dislocation Incidence following Elective Total Hip Replacement in Sweden: How Does It Relate to the Revision Rate?Journal of clinical medicine · 2024Article
- Association between dietary inflammatory index and Parkinson's disease from National Health and Nutrition Examination Survey (2003-2018): a cross-sectional study.Frontiers in neuroscience · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study was to estimate the clinical and economic burden of dislocation following primary total hip arthroplasty (THA) in England.
methodsThis retrospective evaluation used data from the UK Clinical Practice Research Datalink database. Patients were eligible if they underwent a primary THA (index date) and had medical records available 90 days pre-index and 180 days post-index. Bilateral THAs were excluded. Healthcare costs and resource use were evaluated over two years. Changes (pre- vs post-THA) in generic quality of life (QoL) and joint-specific disability were evaluated. Propensity score matching controlled for baseline differences between patients with and without THA dislocation.
resultsAmong 13,044 patients (mean age 69.2 years (SD 11.4), 60.9% female), 191 (1.5%) had THA dislocation. Two-year median direct medical costs were £15,333 (interquartile range (IQR) 14,437 to 16,156) higher for patients with THA dislocation. Patients underwent revision surgery after a mean of 1.5 dislocations (1 to 5). Two-year costs increased to £54,088 (IQR 34,126 to 59,117) for patients with multiple closed reductions and a revision procedure. On average, patients with dislocation had greater healthcare resource use and less improvement in EuroQol five-dimension index (mean 0.24 (SD 0.35) vs 0.44 (SD 0.35); p < 0.001) and visual analogue scale (0.95 vs 8.85; p = 0.038) scores, and Oxford Hip Scores (12.93 vs 21.19; p < 0.001).
conclusionThe cost, resource use, and QoL burden of THA dislocation in England are substantial. Further research is required to understand optimal timing of revision after dislocation, with regard to cost-effectiveness and impact on QoL. Cite this article:
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