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Erschienen in: European Journal of Orthopaedic Surgery & Traumatology 3/2013

01.04.2013 | Original Article

Preoperative comorbidity and modes of failure in revision hip arthroplasty: a single-surgeon series in a tertiary referral centre

verfasst von: Darren F. Lui, Nadine Bandorf, Paul Riordan, Omar Jaweesh, Bartholomew Duru, Derek Bennett

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 3/2013

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Abstract

Revision hip arthroplasty is associated with higher morbidity post-operatively than primary surgery. We reviewed data on 102 consecutive patients (124 procedures) undergoing revision hip arthroplasty by a single surgeon from January 2005 to June 2009 in 2 institutions. Indications of failure: 62% aseptic loosening, 15% infection, 11.5% fracture, 10.6% dislocation or instability and 0.9% implant failure. Preoperative comorbidities: 28.4% cardiac, 4% respiratory and 6.8% diabetic. Morbidity: 3.9% complication rate (5 of 124 procedures). 73.5 median age and 46% over 75 years old. Modes of failure in our population leading to revision hip arthroplasty are similar to other studies. We showed a low morbidity following revision hip arthroplasty despite significant preoperative comorbidities and a high proportion of elderly patients. In conclusion, gender, age (>75) and preoperative comorbidities should not deter from revision surgery.
Literatur
2.
Zurück zum Zitat Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M (2005) Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Jt Surg Am 87(7):1487–1497. doi:10.2106/JBJS.D.02441 CrossRef Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M (2005) Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Jt Surg Am 87(7):1487–1497. doi:10.​2106/​JBJS.​D.​02441 CrossRef
3.
Zurück zum Zitat Radcliffe GS, Tomichan MC, Andrews M, Stone MH (1999) Revision hip surgery in the elderly: is it worthwhile? J Arthroplasty 14(1):38–44PubMedCrossRef Radcliffe GS, Tomichan MC, Andrews M, Stone MH (1999) Revision hip surgery in the elderly: is it worthwhile? J Arthroplasty 14(1):38–44PubMedCrossRef
4.
Zurück zum Zitat Thomasson E, Guingand O, Terracher R, Mazel C (2001) Perioperative complications in revision hip surgery. Ortop Traumatol Rehabil 3(1):38–40PubMed Thomasson E, Guingand O, Terracher R, Mazel C (2001) Perioperative complications in revision hip surgery. Ortop Traumatol Rehabil 3(1):38–40PubMed
6.
Zurück zum Zitat Halley DK, Glassman AH (2003) Twenty- to twenty-six-year radiographic review in patients 50 years of age or younger with cemented Charnley low-friction arthroplasty. J Arthroplasty 18(7 Suppl 1):79–85PubMedCrossRef Halley DK, Glassman AH (2003) Twenty- to twenty-six-year radiographic review in patients 50 years of age or younger with cemented Charnley low-friction arthroplasty. J Arthroplasty 18(7 Suppl 1):79–85PubMedCrossRef
7.
Zurück zum Zitat Wroblewski BM, Fleming PA, Siney PD (1999) Charnley low-frictional torque arthroplasty of the hip. 20-to-30 year results. J Bone Jt Surg Br 81(3):427–430CrossRef Wroblewski BM, Fleming PA, Siney PD (1999) Charnley low-frictional torque arthroplasty of the hip. 20-to-30 year results. J Bone Jt Surg Br 81(3):427–430CrossRef
8.
Zurück zum Zitat Hallan G, Lie SA, Furnes O, Engesaeter LB, Vollset SE, Havelin LI (2007) Medium- and long-term performance of 11,516 uncemented primary femoral stems from the Norwegian arthroplasty register. J Bone Jt Surg Br 89(12):1574–1580. doi:10.1302/0301-620X.89B12.18969 CrossRef Hallan G, Lie SA, Furnes O, Engesaeter LB, Vollset SE, Havelin LI (2007) Medium- and long-term performance of 11,516 uncemented primary femoral stems from the Norwegian arthroplasty register. J Bone Jt Surg Br 89(12):1574–1580. doi:10.​1302/​0301-620X.​89B12.​18969 CrossRef
9.
Zurück zum Zitat Ulrich SD, Seyler TM, Bennett D, Delanois RE, Saleh KJ, Thongtrangan I, Kuskowski M, Cheng EY, Sharkey PF, Parvizi J, Stiehl JB, Mont MA (2008) Total hip arthroplasties: what are the reasons for revision? Int Orthop 32(5):597–604. doi:10.1007/s00264-007-0364-3 PubMedCrossRef Ulrich SD, Seyler TM, Bennett D, Delanois RE, Saleh KJ, Thongtrangan I, Kuskowski M, Cheng EY, Sharkey PF, Parvizi J, Stiehl JB, Mont MA (2008) Total hip arthroplasties: what are the reasons for revision? Int Orthop 32(5):597–604. doi:10.​1007/​s00264-007-0364-3 PubMedCrossRef
10.
Zurück zum Zitat Memtsoudis SG, Gonzalez Della Valle A, Besculides MC, Esposito M, Koulouvaris P, Salvati EA (2008) Risk factors for perioperative mortality after lower extremity arthroplasty: a population-based study of 6 901 324 patient discharges. J Arthroplasty. doi:10.1016/j.arth.2008.11.010 Memtsoudis SG, Gonzalez Della Valle A, Besculides MC, Esposito M, Koulouvaris P, Salvati EA (2008) Risk factors for perioperative mortality after lower extremity arthroplasty: a population-based study of 6 901 324 patient discharges. J Arthroplasty. doi:10.​1016/​j.​arth.​2008.​11.​010
11.
Zurück zum Zitat Parvizi J, Johnson BG, Rowland C, Ereth MH, Lewallen DG (2001) Thirty-day mortality after elective total hip arthroplasty. J Bone Jt Surg Am 83-A(10):1524–1528 Parvizi J, Johnson BG, Rowland C, Ereth MH, Lewallen DG (2001) Thirty-day mortality after elective total hip arthroplasty. J Bone Jt Surg Am 83-A(10):1524–1528
12.
Zurück zum Zitat Zhan C, Kaczmarek R, Loyo-Berrios N, Sangl J, Bright RA (2007) Incidence and short-term outcomes of primary and revision hip replacement in the United States. J Bone Jt Surg Am 89(3):526–533. doi:10.2106/JBJS.F.00952 CrossRef Zhan C, Kaczmarek R, Loyo-Berrios N, Sangl J, Bright RA (2007) Incidence and short-term outcomes of primary and revision hip replacement in the United States. J Bone Jt Surg Am 89(3):526–533. doi:10.​2106/​JBJS.​F.​00952 CrossRef
13.
Zurück zum Zitat Mahomed NN, Barrett JA, Katz JN, Phillips CB, Losina E, Lew RA, Guadagnoli E, Harris WH, Poss R, Baron JA (2003) Rates and outcomes of primary and revision total hip replacement in the United States medicare population. J Bone Jt Surg Am 85-A(1):27–32 Mahomed NN, Barrett JA, Katz JN, Phillips CB, Losina E, Lew RA, Guadagnoli E, Harris WH, Poss R, Baron JA (2003) Rates and outcomes of primary and revision total hip replacement in the United States medicare population. J Bone Jt Surg Am 85-A(1):27–32
14.
Zurück zum Zitat Raut VV, Wroblewski BM, Siney PD (1993) Revision hip arthroplasty. Can the octogenarian take it? J Arthroplasty 8(4):401–403PubMedCrossRef Raut VV, Wroblewski BM, Siney PD (1993) Revision hip arthroplasty. Can the octogenarian take it? J Arthroplasty 8(4):401–403PubMedCrossRef
15.
Zurück zum Zitat de Thomasson E, Guingand O, Terracher R, Mazel C (2001) Perioperative complications after total hip revision surgery and their predictive factors. A series of 181 consecutive procedures. Rev Chir Orthop Reparatrice Appar Mot 87(5):477–488 de Thomasson E, Guingand O, Terracher R, Mazel C (2001) Perioperative complications after total hip revision surgery and their predictive factors. A series of 181 consecutive procedures. Rev Chir Orthop Reparatrice Appar Mot 87(5):477–488
17.
Zurück zum Zitat Kinkel S, Kaefer W, Reissig W, Puhl W, Kessler S (2003) Revision total hip arthroplasty: the influence of gender and age on the perioperative complication rate. Acta Chir Orthop Traumatol Cech 70(5):269–273PubMed Kinkel S, Kaefer W, Reissig W, Puhl W, Kessler S (2003) Revision total hip arthroplasty: the influence of gender and age on the perioperative complication rate. Acta Chir Orthop Traumatol Cech 70(5):269–273PubMed
18.
Zurück zum Zitat Thomas Fehring M, Susan Odum MEd, Keith Fehring BS, Bryan D, Springer MD, William L, Griffin MD (2009) Mortality following revision joint arthroplasty: is age a factor?. J Arthroplasty 24(2):e85 Thomas Fehring M, Susan Odum MEd, Keith Fehring BS, Bryan D, Springer MD, William L, Griffin MD (2009) Mortality following revision joint arthroplasty: is age a factor?. J Arthroplasty 24(2):e85
19.
Zurück zum Zitat Ballard WT, Callaghan JJ, Johnston RC (1995) Revision of total hip arthroplasty in octogenarians. J Bone Jt Surg Am 77(4):585–589 Ballard WT, Callaghan JJ, Johnston RC (1995) Revision of total hip arthroplasty in octogenarians. J Bone Jt Surg Am 77(4):585–589
20.
Zurück zum Zitat de Thomasson E, Caux I, Guingand O, Terracher R, Mazel C (2009) Total hip arthroplasty for osteoarthritis in patients aged 80 years or older: influence of co-morbidities on final outcome. Orthop Traumatol Surg Res 95(4):249–253. doi:10.1016/j.otsr.2009.03.011 PubMedCrossRef de Thomasson E, Caux I, Guingand O, Terracher R, Mazel C (2009) Total hip arthroplasty for osteoarthritis in patients aged 80 years or older: influence of co-morbidities on final outcome. Orthop Traumatol Surg Res 95(4):249–253. doi:10.​1016/​j.​otsr.​2009.​03.​011 PubMedCrossRef
21.
Metadaten
Titel
Preoperative comorbidity and modes of failure in revision hip arthroplasty: a single-surgeon series in a tertiary referral centre
verfasst von
Darren F. Lui
Nadine Bandorf
Paul Riordan
Omar Jaweesh
Bartholomew Duru
Derek Bennett
Publikationsdatum
01.04.2013
Verlag
Springer-Verlag
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 3/2013
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-012-0964-5

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