Z Orthop Unfall
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
1  Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg
2  Department of Osteology and Biomechanics IOBM, University Medical Center Hamburg-Eppendorf, Hamburg
,
Tobias Schmidt
2  Department of Osteology and Biomechanics IOBM, University Medical Center Hamburg-Eppendorf, Hamburg
3  Department of Orthopedics and Traumatology, Reinbek Hospital St Adolf Stift, Reinbek
,
Andreas Niemeier
1  Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg
3  Department of Orthopedics and Traumatology, Reinbek Hospital St Adolf Stift, Reinbek
› Author Affiliations
Further Information

Publication History

Publication Date:
14 November 2019 (online)

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.