Clinical results after revision and primary total hip arthroplasty

Retpen, Jens B; Varmarken, Jens-Erik; Stürup, Jens; Olsen, Carsten Smith; Sølund, K; Jensen, Jørgen Steen

doi:10.1016/s0883-5403(89)80030-0

Cited by 22 publications

(7 citation statements)

References 19 publications

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“…The incidence of minor calcar fractures or perforation of the femur was 2.9%. The dislocation rate in our series of revisions (5.8%) compared very well with that of Repten et al [17]. The incidence of intraoperative femoral fractures is to a great extent dependent on the surgeon and surgical technique, while the incidence of postoperative dislocation is often beyond the surgeon's control as it depends more on scarring, the quality of the musculature and laxity of the tissues.…”

Section: Discussionsupporting

confidence: 84%

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The clinical and radiological results of revision of low friction arthroplasty in the elderly

Raut

Siney

Wroblewski

1995

International Orthopaedics

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We assessed 130 patients (138 hips) who were more than 70 years old at the time of revision arthroplasty and had a minimum follow-up of 4 years. The average follow-up was for 7 years 3 months. The clinical results were excellent or satisfactory in 95.6% of the cases. Systemic complications developed postoperatively in 47 patients (34.1%). Radiographically, 95.6% had a well-fixed, stable stem while 91.3% had a stable socket. Seven hips (5.1%) required re-revision. Analysis revealed a 96.5% survival of the arthroplasty at 8 years.

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Section: Discussionsupporting

confidence: 84%

“…Repten et al [17] state that the rate of local complications such as intraoperative fractures of the femoral shaft and postoperative dislocation after revision surgery, is significantly high. Their fracture incidence was 16% with a dislocation rate of 6%.…”

Section: Discussionmentioning

confidence: 99%

The clinical and radiological results of revision of low friction arthroplasty in the elderly

Raut

Siney

Wroblewski

1995

International Orthopaedics

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“…Higher complication rates (5) and poorer health-related quality of life outcomes (6–7) have been reported following joint replacement revisions, compared with primary arthroplasty. These are likely reflective of higher comorbidity and poorer general health in revision candidates and at least partially explains the higher mortality rate for surgical revision procedures.…”

Section: Discussionmentioning

confidence: 99%

Early Postoperative Mortality Following Joint Arthroplasty: A Systematic Review

Singh¹,

Kundukulam²,

Riddle³

et al. 2011

J Rheumatol

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Objective To perform a systematic review of 30- and 90-day mortality rates in patients undergoing hip or knee arthroplasties. Methods Five databases were searched for English-language studies of mortality in hip or knee arthroplasties and the following data were extracted: patient characteristics (age, gender, ethnicity), arthroplasty characteristics (unilateral vs bilateral, hip vs knee), system factors (hospital volume and surgeon volume), year of study, etc… Mortality rates were compared across variable categories; proportions were compared using relative risk ratios and 95% confidence intervals. Results Out of 650 titles and abstracts, 80 studies qualified for data inclusion. 35%, 34% and 31% studies provided 30-, 90- and >90-day mortality rates. Overall 30-day mortality rates published across all types of arthroplasties were 0.3%, 90-day: 0.7%. For those reports with specific rates, 30-day mortality was significantly higher in men than women (1.8% vs 0.4%; relative risk (RR): 3.93, 95% confidence interval (CI), 3.30–4.68) and bilateral vs unilateral procedures (0.5% vs 0.3%; RR, 1.6, 95% CI:1.49–1.72), but no differences were noted by the underlying diagnosis of osteoarthritis vs rheumatoid arthritis (0.4% vs 0.3%; RR 0.77, 95% CI:0.48–1.24). 90-day mortality showed non-significant trends favoring women, osteoarthritis as the underlying diagnosis, and unilateral procedures. Conclusions Several demographic and surgical factors were associated with higher 30-day mortality rates following knee and hip arthroplasties. More studies are needed to examine the effect of body mass index, comorbidities, and other modifiable factors, in order to identify interventions designed to lower mortality rates following arthroplasty procedures.

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“…Dislocation is among the leading causes of failure after primary and revision total hip arthroplasty (THA) [1][2][3][4], with reported dislocation rates after primary THA of 1.7-4.8 % [1,[4][5][6][7]. Notably, dislocation is more frequent after revision THA, with rates ranging from 5.1 % to 27 % [2,3,5,8].…”

Section: Introductionmentioning

confidence: 99%

“…Notably, dislocation is more frequent after revision THA, with rates ranging from 5.1 % to 27 % [2,3,5,8]. Although most dislocations can be managed with conservative treatment, recurrent dislocation substantially impairs a patient's activities of daily living, and such cases frequently require surgical interventions.…”

Section: Introductionmentioning

confidence: 99%