دورية أكاديمية
Causes of revision after total hip arthroplasty in an orthopedics and traumatology regional center.
| العنوان: | Causes of revision after total hip arthroplasty in an orthopedics and traumatology regional center. |
|---|---|
| المؤلفون: | Oltean-Dan D; Department of Orthopedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania., Apostu D; Department of Orthopedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania., Tomoaia G; Department of Orthopedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.; Academy of Romanian Scientists, Bucharest, Romania., Kerekes K; Clinic of Ophthalmology, Cluj-Napoca, Romania., Păiuşan MG; Department of Orthopedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania., Bardas CA; Department of Orthopedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania., Benea HRC; Department of Orthopedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. |
| المصدر: | Medicine and pharmacy reports [Med Pharm Rep] 2022 Apr; Vol. 95 (2), pp. 179-184. Date of Electronic Publication: 2022 Apr 28. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cluj Medical University Country of Publication: Romania NLM ID: 101742144 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2668-0572 (Electronic) Linking ISSN: 26020807 NLM ISO Abbreviation: Med Pharm Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Cluj-Napoca, Romania : Cluj Medical University, [2019]- |
| مستخلص: | Background and Aim: Despite the great success of primary total hip arthroplasty (THA), the number of revisions has significantly increased over the past years. The objectives of the study were to investigate the main causes that lead to revision of THA, the time interval between primary THA and revision, and the results of the revision surgery. We also assessed whether there was any correlation between the patients' age, BMI, diagnosis for primary THA and the cause of failure. Methods: This paper retrospectively analyzed 189 patients with THA revision surgery performed over a six-year period, between 2015 and 2020. Patients' charts were reviewed to collect data on patient's demographics, patient's primary THA and revision procedures, and the time interval between primary THA and revision surgery. Patients were divided into 3 groups according to the time interval THA-revision: group I (<5 years), group II (5-10 years) and group III (>10 years). Results: The patients' mean age (82 men/107 women) was 69.59±7.85 years (range 31-92 years). The most frequent revision cause was aseptic loosening (52%), followed by periprosthetic fractures (18%), infection (17%) and persistent hip instability (12%). Patients' age (r=0.43) and BMI (r=-0.4) had low correlation with the time interval between THA and revision. Conclusions: The main causes for revision THA within less than five years are infection and instability, while revision for aseptic loosening is performed especially after five years from the primary THA. Osteonecrosis, post-traumatic osteoarthritis and femoral neck fracture are correlated with a higher incidence of revision at less than five years from the primary THA. |
| References: | Hip Int. 2015 Jan-Feb;25(1):34-8. (PMID: 25655740) J Am Acad Orthop Surg. 2008 Oct;16(10):596-607. (PMID: 18832603) SICOT J. 2017;3:2. (PMID: 28074774) Indian J Orthop. 2017 Jul-Aug;51(4):405-413. (PMID: 28790469) Postgrad Med J. 2007 May;83(979):312-6. (PMID: 17488859) Hip Pelvis. 2018 Jun;30(2):78-85. (PMID: 29896456) Materials (Basel). 2017 Jul 13;10(7):. (PMID: 28773153) Int Orthop. 2011 Dec;35(12):1783-9. (PMID: 21404023) Int J Sports Phys Ther. 2014 Nov;9(6):839-50. (PMID: 25383251) J Bone Joint Surg Br. 1966 May;48(2):245-59. (PMID: 5937593) Hip Int. 2017 Mar 31;27(2):180-186. (PMID: 27886353) Bone Joint J. 2018 Nov;100-B(11):1463-1470. (PMID: 30418062) Int Orthop. 2008 Oct;32(5):597-604. (PMID: 17443324) Biomed Res Int. 2018 Sep 25;2018:8987104. (PMID: 30356391) Clin Orthop Relat Res. 2013 Dec;471(12):3863-9. (PMID: 23529633) Medicine (Baltimore). 2017 May;96(19):e6687. (PMID: 28489745) EFORT Open Rev. 2018 Sep 24;3(9):507-512. (PMID: 30305935) J Arthroplasty. 2017 Jun;32(6):1954-1958. (PMID: 28236550) Int Orthop. 2007 Aug;31(4):439-43. (PMID: 16960720) |
| فهرسة مساهمة: | Keywords: arthroplasty; aseptic loosening; prosthesis failure; total hip replacement |
| تواريخ الأحداث: | Date Created: 20220620 Latest Revision: 20220716 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9176300 |
| DOI: | 10.15386/mpr-2136 |
| PMID: | 35721045 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2668-0572 |
|---|---|
| DOI: | 10.15386/mpr-2136 |