Total Hip Replacement for the Treatment of End Stage Arthritis of the Hip: A Systematic Review and Meta-Analysis

Tsertsvadze, Alexander; Grove, Amy; Freeman, Karoline; Court, Rachel; Johnson, Samantha; Connock, Martin; Clarke, Aileen; Sutcliffe, Paul

doi:10.1371/journal.pone.0099804

Cited by 36 publications

(28 citation statements)

References 60 publications

(143 reference statements)

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“…In recent years, as a result of increasing numbers of osteoarthritis cases and other degenerative disorders of the joint, THA is being widely performed and has been demonstrated to be a highly successful surgical intervention (16,17). Although this procedure is effective, it is often associated with a delayed rehabilitation and prolonged hospitalization, and is accompanied by severe pain during the early postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of intra-articular magnesium for postoperative analgesia in total hip arthroplasty

Wen

et al. 2017

Biomedical Reports

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Abstract. The aim of the present study was to compare the efficacy of intra-articular magnesium sulphate and a saline placebo for postoperative pain control following total hip arthroplasty (THA). Sixty patients underwent THA and were randomly allocated into two groups to receive intra-articular injections of either 10 ml magnesium sulphate (100 mg/ml; magnesium group, n=30) or 10 ml normal saline solution (control group, n=30). Postoperative analgesia was maintained by intravenous morphine injection. The outcome measurements were visual analogue score (VAS), morphine consumption and Harris hip score (HHS). The two groups were well matched. The outcome of VAS at rest was significantly lower at postoperative hours 6 and 12 in the magnesium group as compared with the control group, although the difference was insignificant preoperatively and at postoperative hours 2, 4, 24 and 48, and days 3, 7 and 14. This indicator during activity was also lower in the magnesium group at postoperative hour 24 than that of the control group, although the difference was insignificant preoperatively and at hour 48, and days 7 and 14. The consumption of morphine (the total quantity) at 0-6, 6-12 and 0-48 h in the magnesium group was significantly lower than in the control group, although no significant differences were observed at 12-24 and 24-48 h between the groups. The improvements of HHS from preoperative to postoperative scores were statistically significant, however, no significant differences were identified between groups. Thus, the findings indicate that intra-articular magnesium sulphate injections provided improved pain control and reduced the need for morphine when compared with a saline placebo following THA.

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Section: Discussionmentioning

confidence: 99%

Efficacy of intra-articular magnesium for postoperative analgesia in total hip arthroplasty

Wen

et al. 2017

Biomedical Reports

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“…Wie lo ośrod ko we ba dania prze ży wal no ści stan dar do wych, zwa nych ta kże w li te ra tu rze kla sycz ny mi, bez ce men to wych en dopro tez ana to micz nych sta wu bio dro we go wy ka zu ją od 94-100% do brych wy ni ków w 20-let niej ob ser wacji [3,4]. Im plan ty krót ko trz pie nio we zo sta ły za projek to wa ne dla pa cjen tów, któ rych nie mo żna za kwali fi ko wać do ka po pla sty ki, a jed no cze śnie nie ma wskazań do za ło że nia stan dar do wej en do pro te zy ana tomicz nej [5,6].…”

Section: Wstępunclassified

“…Multicentre studies of survival of standard (clas sical) cementless anatomical hip prostheses have revealed 94-100% good results during 20 years of follow-up [3,4]. Short stem implants were designed for patients who cannot be qualified for mould arthroplasty, and, at the same time there are no indica tions for a standard anatomical prosthesis [5,6].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Migration of Short Stem Prosthesis of the Hip Joint

Kaminski¹,

Szmyd²,

Ambroży³

et al. 2015

Ortop Traumatol Rehabil

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STRESZCZENIEWstęp. Alo pla sty ka sta wu bio dro we go jest po wszech nie sto so wa ną pro ce du rą da ją cą prze wi dy wal ne, dłu go trwałe do bre wy ni ki. En do pro te zy krót ko trz pie nio we po zwa la ją za cho wać nie na ru szo ną ja mę szpi ko wą oraz część bli ż -szą trzo nu. Wy ka za no, że w po rów na niu do en do pro tez ze stan dar do wym trzpie niem, da ją lep sze wy ni ki kli nicz ne. Ce lem pra cy by ła oce na mi gra cji trzpie nia en do pro te zy sta wu bio dro we go Pro xi ma. Mi gra cję okre śla no ja ko zmianę ką ta po ło że nia trzpie nia w kie run ku szpo ta wo ści.Ma te riał i me to dy. Do ba da nia włą czo no gru pę 164 cho rych (83 ko bie ty, 81 mę żczyzn) ope ro wa nych w latach 2007-2012 w Kra kow skim Cen trum Re ha bi li ta cji i Or to pe dii, u któ rych wy ko na no alo pla sty ki przy uży ciu 185 en do pro tez ty pu Pro xi ma.Wy ni ki. Pod da no ana li zie ra dio lo gicz nej se rię trzech zdjęć wy ko na nych u ka żde go cho re go w do bie "0", po 6 i po 12 mie sią cach. Stwier dzo no mi gra cję w kie run ku szpo ta we go usta wie nia trzpie nia w okre sie ob ser wa cji. Wy kaza no ko re la cję po mię dzy zmia ną ką ta szpo ta we go po ło że nia en do pro te zy a cza sem ob ser wa cji. Po 12 mie sią cach śred nia zmia na ką ta szpo ta wo ści wy no si ła 8,21º. Wy ka za no istot ną sta ty stycz nie ró żni cę w ką cie szpo ta we go po ło -że nia en do pro te zy w za le żno ści od płci pa cjen ta. Po 12 mie sią cach, zmia na łącz na wy no si ła u ko biet 6,82º, a u męż -czyzn 9,65º. Nie wy ka za no istot nej ko re la cji po mię dzy BMI pa cjen ta, wie kiem pa cjen ta oraz su ma rycz ną dłu go ścią szyj ki sto so wa ne go im plan tu a pro gre sją ką ta szpo ta we go po ło że nia en do pro te zy.Wnio ski. 1. Im plant krót ko trz pie nio wy Pro xi ma ule ga naj więk sze mu prze miesz cze niu w kie run ku szpo ta wo ści w okre sie pierw szych 6 mie się cy od za ło że nia. 2. Zmia na ką ta szpo ta we go po ło że nia en do pro te zy za le żna jest od wyj ścio we go osa dze nia en do pro te zy oraz płci. 3. Zmia na ką ta szpo ta we go po ło że nia en do pro te zy nie jest za le żna od wie ku cho re go oraz BMI.Słowa kluczowe: endoproteza krótkotrzpieniowa, całkowita aloplastyka stawu biodrowego, migracja trzpienia endoprotezy SUMMARY Background. Hip replacement surgery is a popular procedure that provides predictable, long-lasting and good effects. The use of short stem prostheses helps preserve an intact medullary cavity and proximal diaphysis. It has been demonstrated that the use of short stem prostheses leads to better clinical results compared to standard stem prostheses. The study aimed to assess the migration of the stem of the Proxima hip prosthesis. Migration was defined as a change in the angle of stem position towards a varus deformity.Material and methods. The study involved 164 patients (83 women, 81 men) who underwent hip replacement surgery with a total of 185 Proxima prostheses in the Cracow Rehabilitation Centre between 2007 and 2012.Results. Radiographic analysis included a ...

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“…Total hip arthroplasty (THA) is one of the most common orthopedic interventions [1] and is indicated for patients who fail to respond to clinical treatment such as pharmacotherapy with analgesics or anti-inflammatories, physical therapy or exercise [2]. It involves the replacement of a damaged hip joint with an artificial prosthesis [2] and is effective in treating not only pain but also the disability following hip joint degenerative diseases [1]- [4].…”

Section: Introductionmentioning

confidence: 99%

“…It involves the replacement of a damaged hip joint with an artificial prosthesis [2] and is effective in treating not only pain but also the disability following hip joint degenerative diseases [1]- [4]. However, surgical site infection (SSI) is a significant cause of patient morbidity and mortality [5] and its risk factors must be assessed prior to surgery.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Surgical Site Infection after Hip Arthroplasty: A Multicentric Study

Tofani¹,

Irffi²,

Silva³

et al. 2016

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, 1, 2, 3). Results: Estimated SSI risk was 3.2% (95% C.I. = 2.6% to 4.1%) and risk of osteomyelitis was 0.6% (95% C.I. = 0.4% to 1.1%). ASA score > 2, general anesthesia, length of hospital stay before surgery higher than four days, more than two professionals at surgical field and duration of surgery higher than five hours were risk factors for SSI after hip prosthesis (p < 0.05). The final multiple logistic regression analysis indicated that the modified NNIS risk was independently associated with surgical site infection after arthroplasty of hip. Conclusion: Despite the modified NNIS index being a risk factor for SSI, none of its independent variables was statistically significantly in the logistic model (p > 0.100). Each modified NNIS risk category increased the chance of a patient being infected by almost three times, when compared with the previous category (OR = 2.82; p = 0.011). G. B. Tofani et al.59

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Total Hip Replacement for the Treatment of End Stage Arthritis of the Hip: A Systematic Review and Meta-Analysis

Cited by 36 publications

References 60 publications

Efficacy of intra-articular magnesium for postoperative analgesia in total hip arthroplasty

Efficacy of intra-articular magnesium for postoperative analgesia in total hip arthroplasty

Postoperative Migration of Short Stem Prosthesis of the Hip Joint

Risk Factors for Surgical Site Infection after Hip Arthroplasty: A Multicentric Study

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