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The Prosthetic Hip Dislocation Study

Guy's and St Thomas' NHS Foundation Trust Orthopaedics & Trauma 2019 25 Apr 2026 82 views

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Background

Why this project was needed

Prosthetic hip dislocation (PHD) is a serious and morbid complication following total hip replacement and hemiarthroplasty. There are currently no national or local guidelines governing the management of this condition, and significant variation exists in practice. PHDs result in repeated hospital admissions, clinic appointments and patient morbidity, placing considerable burden on an already pressured health service. This national audit aimed to characterise current management and develop a standardised protocol.

Aims

What the project set out to achieve

To improve care for patients who suffer prosthetic hip dislocations by characterising current management, identifying practice variation, and developing a streamlined national management protocol.

Objectives

Specific measurable steps

  1. Retrospectively review all episodes of THR and hemiarthroplasty dislocation at GSTT from January to June 2019.
  2. Document acute and long-term management strategies used.
  3. Collect anonymous consultant opinion questionnaire data on PHD management preferences.
  4. Compare findings against published literature to establish a framework for a national management protocol.

Discussion

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