TY - JOUR AU - Jandl, Nico Maximilian; Schmidt, Tobias; Niemeier, Andreas TI - Total Hip Arthroplasty in Multiple Sclerosis SN - 1864-6697 SN - 1864-6743 PY - 2020 JO - Z Orthop Unfall JF - Zeitschrift für Orthopädie und Unfallchirurgie LA - DE VL - 158 IS - 02 SP - 188 EP - 193 ET - 2019/11/14 DA - 2020/04/08 KW - total hip arthroplasty KW - total hip replacement KW - MS KW - multiple sclerosis AB - 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. PB - Georg Thieme Verlag KG DO - 10.1055/a-1004-3366 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1004-3366 ER -