Total hip arthroplasty and sexual activity: a systematic review.

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Abstract

[Indexed for MEDLINE] 10. Bone Joint J. 2018 Jan;100-B(1 Supple A):17-21. doi: 10.1302/0301-620X.100B1.BJJ-2017-0571.R1. Total hip arthroplasty in patients with neuromuscular imbalance. Konan S(1), Duncan CP(2). Author information: (1)University College London Hospitals NHS Trust, 250 Euston Road, London NW1 2BU, UK. (2)Vancouver General Hospital, University of British Columbia, Vancouver, BC V5Z 4E3, Canada. Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation. In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival. Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication. Cite this article: Bone Joint J 2018;100-B(1 Supple A):17-21. ©2018 The British Editorial Society of Bone & Joint Surgery. DOI: 10.1302/0301-620X.100B1.BJJ-2017-0571.R1 PMCID: PMC6424437