Abstract
Introduction In an attempt to decrease the incidence of posterior hip dislocation following a posterior approach, a simple capsulorrhaphy was utilized in 255 consecutive primary total hip arthroplasties performed by one surgeon.
Methods All patients were reviewed at a minimum of two years post-operatively and no patient was lost to follow-up. One patient sustained a posterior hip dislocation, while there were no anterior hip dislocations. The dislocation rate of 0.39 is equal to or less than the rates of dislocation reported in the literature using a direct lateral approach.
Conclusions We postulate that this capsular repair creates not only a static restraint but also a capsule and gluteus medius mediated proprioceptive feedback to guard against extremes of internal rotation of the hip.
The abstracts were prepared by Mr Jerzy Sikorski. Correspondence should be addressed to him at the Australian Orthopaedic Association, Ground Floor, William Bland Centre, 229 Macquarie Street, Sydney NSW 2000, Australia.
None of the authors have received any payment or consideration from any source for the conduct of this study.
