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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

09.03.2023 | Original Article

A call to “own the bone”: osteoporosis is a predictor for adverse two-year outcomes following total hip and knee arthroplasty

verfasst von: Alexander Chee, Pelin Çeliker, Kayla Basedow, Mahee Islam, Nayeem Baksh, Neil V. Shah, Ahmed M. Eldib, Hassan Eldib, Bassel G. Diebo, Qais Naziri

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 7/2023

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Abstract

Purpose

While bone health is instrumental in orthopedic surgery, few studies have described the long-term outcomes of osteoporosis (OP) in patients undergoing total hip (THA) or knee (TKA) arthroplasties.

Methods

Using the New York State statewide planning and research cooperative system database, all patients who underwent primary TKA or THA for osteoarthritis from 2009 to 2011 with minimum 2-year follow-up were identified. They were divided based on their OP status (OP and non-OP) and 1:1 propensity score matched for age, sex, race, and Charlson/Deyo index. Cohorts were compared for demographics, hospital-related parameters, and 2-year postoperative complications and reoperations. Multivariate binary logistic regression was utilized to identify significant independent associations with 2-year medical and surgical complications and revisions.

Results

A total of 11,288 TKA and 8248 THA patients were identified. OP and non-OP TKA patients incurred comparable overall hospital charges for their surgical visit and hospital length of stay (LOS) (both, p ≥ 0.125). Though OP and non-OP THA patients incurred similar mean hospital charges for their surgical visit, they experienced longer hospital LOS (4.3 vs. 4.1 days, p = 0.035). For both TKA and THA, OP patients had higher rates of overall and individual medical and surgical complications (all, p < 0.05). OP was independently associated with the 2-year occurrence of any overall, surgical, and medical complications, and any revision in TKA and THA patients (all, OR ≥ 1.42, p < 0.001).

Conclusion

Our study found OP was associated with a greater risk of 2-year adverse outcomes following TKA or THA, including medical, surgical, and overall complications as well as revision operations compared to non-OP patients.

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Titel: A call to “own the bone”: osteoporosis is a predictor for adverse two-year outcomes following total hip and knee arthroplasty
verfasst von: Alexander Chee
Pelin Çeliker
Kayla Basedow
Mahee Islam
Nayeem Baksh
Neil V. Shah
Ahmed M. Eldib
Hassan Eldib
Bassel G. Diebo
Qais Naziri
Publikationsdatum: 09.03.2023
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 7/2023
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-023-03499-w

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A call to “own the bone”: osteoporosis is a predictor for adverse two-year outcomes following total hip and knee arthroplasty