{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:28:23Z","timestamp":1787243303290,"version":"build-2736575974"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to analyze the setting for dislocations and redislocations after primary and revision total hip arthroplasty (THA), identify risk factors and optimize treatment.\\r\\nMethods: This study included 56 patients with a dislocated hip following THA (n=5,205) between 1984 and 2005 and a matched control group (n=55). Hospital charts and radiographs of all patients in both groups were analyzed. Thirty-one patients in the study group were followed both clinically and radiologically. \\r\\nResults: The dislocation rate after primary THA was 1.1% (56\/5,205) and the redislocation rate after a first occurrence was as high as 39%. There was a positive correlation between the time intervals from the surgery to first dislocation and from the first dislocation to second dislocation (r=0.4). Most of the primary dislocations occurred within a short period of time after surgery, thus favoring consecutive dislocations. Female gender, as well as revision arthroplasty, was associated with a higher incidence of dislocations. No relation was found between the orientation of the acetabular cup and dislocation.\\r\\nConclusion: To prevent redislocations after the first occurrence, we suggest thorough evaluation of possible technical faults which should be addressed surgically. Considering the high redislocation rate, we also advocate a stringent conservative treatment regime especially after the first THA dislocation.\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada primer ve revizyon total kal\u00e7a protezi (TKP) sonras\u0131 ilk \u00e7\u0131k\u0131k ve tekrarlayan \u00e7\u0131k\u0131k olgular\u0131ndaki risk fakt\u00f6rlerini de\u011ferlendirmek ve uygun tedavi yakla\u015f\u0131m\u0131n\u0131 belirlemek ama\u00e7land\u0131.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya 1984-2005 y\u0131llar\u0131 aras\u0131nda TKP yap\u0131lm\u0131\u015f (n=5.205) ve sonras\u0131nda kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131 g\u00f6r\u00fclen 56 hasta ve bu grupla e\u015fle\u015ftirilen 55 hastal\u0131k bir kontrol grubu dahil edildi. Her iki grubun hastane \u00e7izelgeleri ve radyografileri incelendi. \u00c7al\u0131\u015fma grubundan 31 hasta klinik ve radyolojik olarak takip edildi.\\r\\nBulgular: Primer TKP sonras\u0131 \u00e7\u0131k\u0131k g\u00f6r\u00fclme oran\u0131 %1.1 (56\/5,205) iken, bu hastalar\u0131n %39\u2019u gibi y\u00fcksek bir oranda da tekrarlayan \u00e7\u0131k\u0131k g\u00f6zlendi. Ameliyatla ilk \u00e7\u0131k\u0131k aras\u0131nda ge\u00e7en s\u00fcre ile, ilk \u00e7\u0131k\u0131k ile \u00e7\u0131k\u0131\u011f\u0131n tekrarlamas\u0131 aras\u0131nda ge\u00e7en s\u00fcre aras\u0131nda pozitif bir korelasyon saptand\u0131 (r=0.4). Primer \u00e7\u0131k\u0131klar\u0131n \u00e7o\u011fu ameliyattan k\u0131sa bir s\u00fcre sonra meydana geldi\u011finden sonraki \u00e7\u0131k\u0131klara da zemin haz\u0131rlam\u0131\u015f oldular. Revizyon artroplastisi ve kad\u0131n cinsiyetin \u00e7\u0131k\u0131k g\u00f6r\u00fclme riskini artt\u0131rd\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. Asetabuler kab\u0131n oryantasyonu ile \u00e7\u0131k\u0131k aras\u0131nda bir ili\u015fki saptanmad\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: \u0130lk \u00e7\u0131k\u0131k sonras\u0131 tekrarlayan \u00e7\u0131k\u0131klar\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan cerrahi giri\u015fim gerektirecek olas\u0131 teknik sorunlar\u0131n ciddi \u015fekilde de\u011ferlendirilmesi gerekti\u011fini d\u00fc\u015f\u00fcn\u00fcyoruz. Y\u00fcksek n\u00fcks oranlar\u0131 dikkate al\u0131nd\u0131\u011f\u0131nda, \u00f6zellikle ilk TKP \u00e7\u0131k\u0131\u011f\u0131 sonras\u0131 s\u0131k\u0131 bir konservatif tedavi uygulanmal\u0131d\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2013.2978","type":"journal-article","created":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T04:05:01Z","timestamp":1367208301000},"page":"96-103","source":"Crossref","is-referenced-by-count":44,"title":["Dislocation after total hip arthroplasty: risk factors and treatment options"],"prefix":"10.5152","volume":"47","author":[{"given":"Ulf","family":"Gunther Leichtle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Ina Leichtle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferdane","family":"Taslaci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Reize","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"W\u00fcnschel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2698\/2653","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:25:35Z","timestamp":1763465135000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2013,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2013.2978","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}