2 research outputs found
Simultaneous bilateral dual mobility total hip arthroplasty dislocation in a patient with hepatic encephalopathy: A case report
Luxaci贸; Mobilitat dual; Encefalopatia hep脿ticaDislocaci贸n; Movilidad dual; Encefalopat铆a hep谩ticaDislocation; Dual mobility; Hepatic encephalopathyIntroduction and importance
Dislocation is a severe complication after total hip arthroplasty (THA). It is one of the most common reasons for failure and revision surgery. This is the first case of a documented simultaneous bilateral dual mobility (DM) THA dislocation.
Case presentation
A forty-nine-year-old man presented with bilateral hip pain, immobility and deformity. X-ray images demonstrated simultaneous bilateral posterior THA dislocation. Previously, the patient had presented atraumatic dislocations recurrently. When he was thoroughly re-interrogated, he complained of uncontrolled and generalized muscle contractions, which were compatible with myoclonus due to hepatic encephalopathy (HE). Multidisciplinary treatment was performed satisfactorily to control myoclonus symptomatology and to prevent dislocation.
Clinical discussion
Patient鈥檚 most important risk factor was a neuromuscular disorder, which we initially gave little notice and undervalued. HE is a serious but reversible syndrome, observed in patients with liver dysfunction. It leads to a wide spectrum of neuropsychiatric abnormalities. Management is based on prevention of episodes, avoiding the underlying triggers.
Due to the high risk for dislocation of our patient, we decided to use DM cups bilaterally. This system has demonstrated lower rates of dislocation.
Conclusion
This case report reminds us that a careful evaluation through meticulous history and physical examination are mandatory when faced with recurrent instability. Furthermore, prevention of dislocation is vastly preferable to treating this challenging complication. High-risk patients should be identified, and appropriate surgical approach, technique and implants have to be collectively used to reach a strategy that mitigates and ideally prevents dislocation
Cross-cultural adaptation for the Spanish population of the modified Harris score for functional and symptomatic hip joint assessment
Adaptaci贸n; Cadera; EscalaAdaptaci贸; Maluc; EscalaAdaptation; Hip; ScaleAntecedente y objetivos
La Escala de Harris modificada es una de las escalas m谩s utilizadas para la valoraci贸n funcional de los pacientes en la patolog铆a de cadera. Sin embargo, no existe una adaptaci贸n transcultural para la sociedad espa帽ola. Por tanto, este estudio se plantea obtener una adaptaci贸n transcultural para la poblaci贸n espa帽ola de la escala de cadera de Harris modificada.
Materiales y m茅todos
Para la adaptaci贸n transcultural se utiliz贸 el m茅todo de Beaton que incluye: 2 traducciones al idioma espa帽ol; revisi贸n por expertos de las 2 versiones provisionales y obtenci贸n de una 煤nica versi贸n en espa帽ol; traducci贸n reversa (a ingl茅s) de la versi贸n en espa帽ol; y aplicaci贸n de la versi贸n adaptada. La versi贸n adaptada fue aplicada en 2 ocasiones a 100 pacientes, con un periodo de separaci贸n de 6 meses.
Resultados
Entre la aplicaci贸n inicial y final de la versi贸n adaptada no se encontr贸 diferencias cl铆nicamente relevantes.
Conclusiones
Se obtuvo una traducci贸n y adaptaci贸n transcultural para la poblaci贸n espa帽ola de la escala de cadera de Harris modificada, la misma que deber铆a ser aplicada a la poblaci贸n espa帽ola y a todos los pa铆ses hispanohablantes, mientras no cuenten con una versi贸n adaptada para la poblaci贸n a la que pertenecen.Background and objectives
The modified Harris hip score, is one of the most widely used scales for the functional assessment of hip pathology of the patients. However, there is no cross-cultural adaptation for the Spanish society. Therefore, this study aims to obtain a cross-cultural adaptation of the modified Harris hip score for the Spanish population.
Materials and methods
For the cross-cultural adaptation the Beaton method was used, which includes: 2 translations into Spanish; expert review of the 2 provisional versions and obtaining a single Spanish version; reverse translation (into English) of the Spanish version; and application of the adapted version. The adapted version was applied twice to 100 patients, 6 months apart.
Results
Between the initial and final application of the adapted version, no clinically relevant differences were found.
Conclusions
A cross-cultural translation and adaptation of the modified Harris hip score for the Spanish population was obtained, which should be applied to the Spanish population and to all Spanish-speaking countries, as long as they do not have an adapted version for the population to which they belong