Diagnosis of the failed total hip replacement

Aqil, Adeel; Shah, Nikhil

doi:10.1016/j.jcot.2019.11.003

Cited by 14 publications

(4 citation statements)

References 51 publications

(36 reference statements)

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“…A typical history of the patient banging/striking the foot firmly on the ground several times to relieve the pain is characteristic of loosening. Progressive loss of length may indicate a weakening of the trunk and subsidence (Aqil & Shah, 2020).…”

Section: Name and Year Of Research Research Title Research Resultsmentioning

confidence: 99%

Revision Rates and Causes in Total Hip Replacement: A Systematic Review

Ceelvin Lengkong

2024

JWS

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Total hip replacement is a common surgery to treat severe hip joint pain and dysfunction. Although total hip replacement is generally safe and effective, complications, including revision, are risks. This study aimed to systematically review the literature to analyze revision rates and causes of total hip replacement. This research uses a systematic literature review method following PRISMA guidelines. The data collection technique in this research uses literature study techniques. Literature searches were conducted in electronic databases such as PubMed, Scopus, and Google Scholar. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation, and conclusion. The results showed that factors such as infection, dislocation, limb length discrepancy, and other complications play an important role in determining the revision rate and success of replacement. Precautions include using a povidone-iodine mouthwash before treatment to reduce the risk of infection and implementing better blood management protocols to optimize total hip replacement results. This study implies an in-depth understanding of the risk factors associated with revision total hip replacement, which is essential in managing patients undergoing this procedure. By paying closer attention to these factors, medical practitioners can increase the success of total hip replacement and reduce the number of revisions required, thereby improving patients' quality of life.

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Section: Name and Year Of Research Research Title Research Resultsmentioning

confidence: 99%

Revision Rates and Causes in Total Hip Replacement: A Systematic Review

Ceelvin Lengkong

2024

JWS

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“…Cases with recurrent dislocation frequently require revisions. Late dislocation occurs ≥5 years after THA [39] and is associated with the intrinsic instability of the prosthesis, polyethylene wear, and spinopelvic imbalance [40,41]. In addition, cases with a greater postoperative range of motion caused by a pseudocapsule could lead to late dislocation.…”

Section: Discussionmentioning

confidence: 99%

Minimum 15-year results of metasul 28-mm metal-on-metal total hip arthroplasty in patients younger than 50 years of age

Jin

Kang

et al. 2021

J Orthop Surg Res

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Background Some propitious mid- and long-term studies had been reported for MoM bearings; however, most studies have addressed specific patient groups rather than younger, active patients, who probably represent the most suitable population for investigations on wear and osteolysis. The purpose of this study to evaluate the long-term results of second-generation metal-on-metal cementless total hip arthroplasty (THA) in patients aged <50 years. Methods From December 1997 to January 2004, primary THA using a metal-on-metal bearing cementless implant was performed in 63 patients (72 hips) aged <50 years. The mean follow-up duration was 18.6 (range, 15.9–22.1) years, and the mean age at initial operation was 39 (range, 22–49) years. Clinical results, complications, survivorship, osteolysis, and aseptic loosening were evaluated. Results The mean Harris hip score and Western Ontario and McMaster Universities Arthritis Index scores were improved from 57.8 (range, 28–69) points and 73.4 (range, 63–94) points preoperatively to 91.7 (range, 80–100) points and 25.5 points (range, 17–38) points, respectively, at the last follow-up. Osteolysis lesions were found in 12 hips (acetabulum, 6 and femur, 6). The notching occurred on the femoral stem neck occurred in 12 hips. The mean serum cobalt and chromium concentrations were 2.3 (range, 0.2–10.6) μg/L and 1.7 (range, 0.4–8.1) μg/L, respectively, at a mean follow-up of 12.7 years in 32 patients (50.1%). The Kaplan-Meier survivorship curve analysis with revision for any reason as the endpoint revealed that 93.1% survived at 18.6 years’ follow-up. Conclusions Second-generation metal-on-metal cementless THA was found to produce satisfactory clinical and radiographic results with a low revision rate for osteolysis and aseptic loosening in patients aged less than 50 years.

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“…There are many causes of THA failure, including aseptic loosening, instability, periprosthetic fracture, and infection. 5 Compared with primary arthroplasty, revision procedures have been demonstrated to beget inferior results with lower implant survivorship and higher risk of failure and re-revision. 6 Patients undergoing revision tend to be older and have more medical comorbidities.…”

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confidence: 99%

Salvage Options for the Failed Total Hip Arthroplasty (THA)

Brash

Robin

Kugelman

et al. 2023

The Journal of Hip Surgery

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Total hip arthroplasty (THA) has been referred to as the operation of the century given its success and predictable improvement in quality of life. With the increase in number of THAs performed every year, there is a concomitant rise in the incidence of revision and re-revision surgeries. Failure of THA and revision hip arthroplasty may occur due to a variety of reasons, often in older patients with multiple comorbidities. Revision procedures in this setting are associated with worse outcomes as they are often complicated by limited bone stock and poor soft tissue and bone quality, making reconstruction more challenging. The purpose of this review is to discuss modern techniques for limb salvage following failed THA in the setting of significant bone loss. These include proximal femur replacement, total femur replacement, hip resection arthroplasty, and hip disarticulation.

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Diagnosis of the failed total hip replacement

Cited by 14 publications

References 51 publications

Revision Rates and Causes in Total Hip Replacement: A Systematic Review

Revision Rates and Causes in Total Hip Replacement: A Systematic Review

Minimum 15-year results of metasul 28-mm metal-on-metal total hip arthroplasty in patients younger than 50 years of age

Salvage Options for the Failed Total Hip Arthroplasty (THA)

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