“All 192 patients underwent a total hip replacement through the high-risk algorithm, with dual mobility implants being used in 143 of the cases.”
“We found that patients with a spinal fusion of greater than three levels were patients that were the highest risk. There are also cumulative risks, such as a spinal fusion of one or two levels combined with a stiff spine. These high-risk patients need specific targets for their hip replacement, found out through a far more detailed preop workup than previously performed. Some of them also need use of computer navigation or even a dual mobility prosthesis to help mitigate the risk.”
“The biggest recommendation is really a thorough preop workup including a standing and sitting X-ray of the pelvis and also the lumbar spine. This will help to determine through the algorithm which patients are at risk.”
The study has been submitted for publication.
