Risk Factors for Intraoperative Periprosthetic Femoral Fractures During Primary Total Hip Arthroplasty. An Analysis From the National Joint Registry for England and Wales and the Isle of Man

Lamb, Jonathan; Matharu, Gulraj S.; Redmond, Anthony; Judge, Andrew; West, Robert; Pandit, Hemant

doi:10.1016/j.arth.2019.06.062

Cited by 63 publications

(66 citation statements)

References 17 publications

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“…Laaksonen et al [19] reported 10,113 primary UTHAs and demonstrated that the overall survivorship up to 8 years was 94.4-96.25%. However, a recent study showed no significant difference in survival between CTHA and UTHA [10]. This may partially be attributed to the low numbers (22 hip) in this study.…”

Section: Discussioncontrasting

confidence: 72%

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Long-term survival of cemented versus uncemented total hip arthroplasty in the treatment of acute femoral neck fracture: A retrospective observational study with a mean 10-year follow-up

Han

Lin

et al. 2020

Preprint

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Background Despite the increased use of uncemented total hip arthroplasty (UTHA), there is little evidence of its superiority over cemented total hip arthroplasty (CTHA). The purpose of this retrospective study was to compare the long-term survivorship and Harris Hip Scores (HHSs) of CTHA versus UTHA in the treatment of acute femoral neck fractures (FNFs). Methods Data involving 224 hips (CTHA, n= 112; UTHA, n=112) that underwent primary surgery in our medical institutions during 2005-2017 were analysed retrospectively. The primary endpoint was the risk of all-cause revision. The difference in the risk of all-cause revision between groups was assessed by Kaplan-Meier survival analysis with a log-rank test and Cox regression analysis. Results The mean follow-up from surgery was 10 years (range, 3 - 13 years). Kaplan-Meier estimated that the 10-year implant survival was 98.1% (CI: 96.1–98.5) in the CTHA group and 96.2% (CI: 95.2–97.3) in the UTHA group (p = 0.030). The adjusted Cox regression analysis demonstrated a lower risk of revision in CTHA than in UTHA (hazard ratio [HR] = 1.4, 95% confidence interval [CI] = 1.1-2.6, p = 0.000). At the final follow-up, significant differences were detected in HHS (85.10[±12.21] for CTHA vs. 79.11[±13.19] for UTHA). Conclusion This retrospective analysis demonstrates that CTHA has superior survival to UTHA, with a significantly reduced revision risk and higher functional outcome scores. Further follow-up is necessary to verify whether the CTHA advantage persists over time.

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Section: Discussioncontrasting

confidence: 72%

“…Data on long-term implant survival and HHSs remain lacking. Furthermore, limited literature has reported implant survival; however, most of these reports have been subject to the length of follow-up [10]. A previous study reported by Lazarinis showed approximately a revision rate of 7.5% after 10 years for CTHA [11].…”

Section: Introductionmentioning

confidence: 99%

Long-term survival of cemented versus uncemented total hip arthroplasty in the treatment of acute femoral neck fracture: A retrospective observational study with a mean 10-year follow-up

Han

Lin

et al. 2020

Preprint

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“…However, a recent study showed no significant difference in survival between CTHA and UTHA. 10 This may be partially attributed to the low number of hips (n = 22) in the study. 10 The 10-year survival rate after THA was recently reported in large-sample studies (>100 hips).…”

Section: Discussionmentioning

confidence: 88%

“…Furthermore, few reports have described implant survival, and most of these reports have been subject to a short duration of follow-up. 10 Lazarinis et al. 11 reported a 10-year revision rate of approximately 7.5% after CTHA.…”

Section: Introductionmentioning

confidence: 99%

Long-term survival after cemented versus uncemented total hip arthroplasty for treatment of acute femoral neck fracture: a retrospective study with a mean 10-year follow-up

Zhang

Chen

et al. 2020

J Int Med Res

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Objective To compare the long-term survivorship and Harris hip scores (HHSs) between cemented total hip arthroplasty (CTHA) and uncemented total hip arthroplasty (UTHA) for treatment of acute femoral neck fractures (FNFs). Methods Data of 224 hips (CTHA, n = 112; UTHA, n = 112) that underwent primary surgery in our medical institution from 2005 to 2017 were retrospectively analysed. The primary endpoint was the risk of all-cause revision. The difference in the risk of all-cause revision between the two groups was assessed by Kaplan–Meier survival analysis with a log-rank test and Cox regression analysis. Results The mean postoperative follow-up was 10 years (range, 3–13 years). The Kaplan–Meier estimated 10-year implant survival rate was significantly higher in the CTHA than UTHA group (98.1% vs. 96.2%, respectively). The adjusted Cox regression analysis demonstrated a significantly lower risk of revision in the CTHA than UTHA group. At the final follow-up, the mean HHS was significantly higher in the CTHA than UTHA group (85.10 vs. 79.11, respectively). Conclusion This retrospective analysis demonstrated that CTHA provided higher survival, lower revision risk, and higher functional outcome scores than UTHA. Further follow-up is necessary to verify whether these advantages of CTHA persist over time.

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“…Some scholars reported that the incidence of periprosthetic fractures after primary joint arthroplasty was 0.3% ~4.0%. Falling is an important risk factor and 75% of periprosthetic fractures are caused by falls [15,16].…”

mentioning

confidence: 99%

Multimodal Cocktail Periarticular Injection vs Femoral Nerve Block After Total Knee Arthroplasty: A Simultaneous Bilateral Randomized Study

Zhang¹,

Sun²,

Chen³

et al. 2020

Preprint

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Background Pain control after total knee arthroplasty (TKA) is important for early postoperative experience and knee rehabilitation. However, there is no consensus on the Pain management after TKA. Whether early analgesic effect and patient satisfaction can reach or even exceed the femoral nerve block has been controversial. The aim of our study was to compare the early analgesia effect with multimodal cocktail periarticular injection (MCPI) and Femoral nerve block (FNB) during simultaneous knee arthroplasty. Methods Our study was a prospective randomized, double-blind controlled trial. From December 2018 to August 2019, 85 patients (170 knees) who underwent bilateral total knee arthroplasty at our institution were randomly treated with MICP and FNB. Randomization was done via a computerized randomization list. The visual analogue scores for pain, bilateral knee range of motion (ROM), postoperative adverse events, and patients satisfaction were assessed preoperatively and two weeks postoperatively. This trial is registered at ClinicalTrials.gov, number ChiCTR1800020003. Results A total of 85 patients (170 knees) were enrolled for bilateral TKA. Finally, 80 (160 knees) patients were included for analysis and comparison. The operation time of the MCPI group was significantly lower than the FNB group (66.5±8.7 min compared with 72.8±9.5 min, P<0.05). postoperative 2nd，3rd and 5th days, the MCPI group in VAS for pain at rest and Straight elevated leg were significantly lower than FNB group (P<0.05). The knee flexion of MCPI group was statistically greater than FNB group on the postoperative 3rd, and 5th days (P<0.05). Conclusions MCPI analgesia is better than FNB after total knee arthroplasty, which can shorten the operation time, and evidently prolong the Postoperative effective analgesia duration. Higher patient satisfaction is beneficial to early postoperative recovery. Trial registration: Chinese Clinical Trials Registry, ChiCTR1800020003,11/12/2018

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Risk Factors for Intraoperative Periprosthetic Femoral Fractures During Primary Total Hip Arthroplasty. An Analysis From the National Joint Registry for England and Wales and the Isle of Man

Abstract: Risk factors for intraoperative periprosthetic femoral fractures during primary total hip arthroplasty. An analysis from the National Joint Registry for England, Wales and the Isle of Man.

Cited by 63 publications

References 17 publications

Long-term survival of cemented versus uncemented total hip arthroplasty in the treatment of acute femoral neck fracture: A retrospective observational study with a mean 10-year follow-up

Long-term survival of cemented versus uncemented total hip arthroplasty in the treatment of acute femoral neck fracture: A retrospective observational study with a mean 10-year follow-up

Long-term survival after cemented versus uncemented total hip arthroplasty for treatment of acute femoral neck fracture: a retrospective study with a mean 10-year follow-up

Multimodal Cocktail Periarticular Injection vs Femoral Nerve Block After Total Knee Arthroplasty: A Simultaneous Bilateral Randomized Study

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