Total Hip Arthroplasty in Multiple Sclerosis

Nico Maximilian Jandl; Tobias Schmidt; Andreas Niemeier

doi:10.1055/a-1004-3366

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2020; 158(02): 188-193
DOI: 10.1055/a-1004-3366

Review/Übersicht

Georg Thieme Verlag KG Stuttgart · New York

Total Hip Arthroplasty in Multiple Sclerosis

Article in several languages: English | deutsch

Nico Maximilian Jandl

¹Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg

²Department of Osteology and Biomechanics IOBM, University Medical Center Hamburg-Eppendorf, Hamburg

,

Tobias Schmidt

²Department of Osteology and Biomechanics IOBM, University Medical Center Hamburg-Eppendorf, Hamburg

³Department of Orthopedics and Traumatology, Reinbek Hospital St Adolf Stift, Reinbek

,

Andreas Niemeier

¹Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg

³Department of Orthopedics and Traumatology, Reinbek Hospital St Adolf Stift, Reinbek

› Author Affiliations

Abstract

Systemic neurological disease represents a risk factor for complications after total hip arthroplasty (THA), especially for dislocation, infections, gait disorders and fall-related periprosthetic fractures. There is little specific literature on total hip arthroplasty in patients with multiple sclerosis. However, increased revision rates have been reported, which are in part due to dislocations. Implants with increased dislocation safety, e.g. tripolar acetabular systems, can represent a reasonable alternative. Due to gait disorders and a higher prevalence of osteoporosis, specific osteological evaluation and treatment should be considered to prevent periprosthetic fractures. This short review summarizes the current literature on total hip arthroplasty in patients with multiple sclerosis.

Key words

total hip arthroplasty - total hip replacement - MS - multiple sclerosis

Full Text

References

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