Beschreibung:
<jats:title>Abstract</jats:title>
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<jats:title>Aim</jats:title>
<jats:p>Hip hemiarthroplasty is a common orthopaedic procedure for intra-capsular neck of femur fracture. Dislocation is a rare but serious complication with a reportedly high mortality, but the literature and guidance for management is sparse. This study aims to evaluate the prevalence and determine the UK’s current management of dislocated hip hemiarthroplasty.</jats:p>
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<jats:title>Method</jats:title>
<jats:p>A national collaborative was established to undertake a retrospective evaluation of patients aged ≥60 years with dislocation of a hip hemiarthroplasty carried out between January 2015 to December 2020. Eligible patients were identified by a site lead at each participating centre and data including patient demographics, management and mortality was entered on to REDCap for analysis.</jats:p>
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<jats:title>Results</jats:title>
<jats:p>16 centres have been recruited and 137 patients entered: 65% female; average age 84 years and ASA grade 3. Median time to first dislocation was 22 days. Only 25.9% failed initial closed reduction. 57 patients re-dislocated (45.9%) and of these 64.9% had a successful closed reduction, and 46.4% had further dislocation episodes. Only 20% of patients were still alive at the time data entry.</jats:p>
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<jats:title>Conclusions</jats:title>
<jats:p>The initial results show the rate of successful closed reduction of first time dislocation was higher, and the rate of re-dislocation was lower, amongst the SADHemi patients than previously estimated in the limited existing literature. There was more success with second closed reduction than previously reported. Early results suggest a high associated mortality. By expanding the national collaborative to gain more data we hope to further this evaluation and perhaps update the current protocols for management.</jats:p>
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