Results after 184 primary and 227 revision total hip arthroplasties were compared with an emphasis on rates of failure leading to reoperation and intra- and postoperative complications and on the clinical outcome of the nonrevised arthroplasties in the two series. The failure rate was 7% (11 of 156) in the primary series, versus 27% (54 of 195) in the revision series. The rate of complications was substantially higher after revision, due to 16% (36 of 227) intraoperative fractures of the femoral shaft and 6% (14 of 227) postoperative dislocations. Clinical assessment of the nonrevised arthroplasties in the two series revealed no difference with regard to relief of pain. For patients with concomitant disabling conditions functional outcome was inferior after revision, but for patients without such conditions the functional results of the two series were equal. The favorable clinical results of the nonrevised arthroplasties in the revision series must be seen in relation to the very high rate of failure leading to reoperation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0883-5403(89)80030-0 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Long term follow up of 257 consecutive cementless Oxford medial compartment knee arthroplasties at a non-designer centre.
Knee
August 2024
Primary Joint Unit, Musgrave Park Hospital, Stockman's Lane, Belfast BT97JB, Northern Ireland, United Kingdom. Electronic address:
Aims: This study aimed to review the survivorship, indication for revision and patient reported outcomes for 257 consecutive Oxford cementless unicompartmental knee arthroplasties (OUKA's) in 238 patients at 12-14 years post-operatively.
Methods: Patients underwent surgery between April 2008 and October 2010 by two non-design surgeons including their learning curve. The 5-year clinical and radiological outcomes have already been reported.
Complications and revisions in metal-backed anatomic total shoulder arthroplasty: a comparative study of revision rates between stemless and stemmed humeral components.
J Shoulder Elbow Surg
February 2025
Department for Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland; Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin Berlin, Berlin, Germany. Electronic address:
Background: The primary objective of this study was to evaluate and compare the incidence of complications and revision surgeries between in 2 of convertible metal-back glenoid systems in total shoulder arthroplasty (aTSA) groups over a follow-up period of up to 5 years.
Methods: A retrospective analysis included 69 shoulders from 65 patients with primary aTSA. Patients were divided into group 1 (n = 31), receiving convertible cementless stemmed aTSA (Lima SMR) and group 2 (n = 38), receiving humeral head replacement aTSA (Arthrex, Eclipse) both with metal-back glenoid components.
Incidence of and Risk Factors for Reoperation and Revision Following Total Elbow Arthroplasty with an Anatomic Convertible Prosthesis.
J Bone Joint Surg Am
June 2024
Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri.
Background: Total elbow arthroplasty (TEA) remains a valuable tool for treating inflammatory, degenerative, and traumatic elbow conditions. This study aimed to understand the incidence of and risk factors for reoperation following TEA at a high-volume center utilizing an implant with a convertible linkage and the potential for anatomic lateral column reconstruction.
Methods: All patients undergoing primary TEA with the Latitude prosthesis (Stryker) from July 2001 to May 2020 were identified.
Predictors of Reoperation and Survival Experience (Minimum 1 Year) for Primary Versus Conversion Total Hip Arthroplasty in Young Patients.
J Arthroplasty
November 2024
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Background: Total hip arthroplasty (THA), including primary and conversion procedures, is commonly used for many types of joint disease in patients aged below 65 years, though few studies have evaluated THA outcomes in young patients (≤ 40 years old). This study examined a large cohort of patients who underwent THA at a young (≤ 40 years old) age to identify predictors of reoperation and compare survivorship between primary and conversion THAs.
Methods: A retrospective study was conducted on 497 patients who underwent 612 primary and conversion THAs at 40 years old or younger between 1990 and 2020.
Hip Reconstruction In Situ with Screws and Cement (HiRISC) construct to treat large acetabular bone defects.
Bone Joint J
May 2024
Levitetz Department of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, Florida, USA.
Aims: Large bone defects resulting from osteolysis, fractures, osteomyelitis, or metastases pose significant challenges in acetabular reconstruction for total hip arthroplasty. This study aimed to evaluate the survival and radiological outcomes of an acetabular reconstruction technique in patients at high risk of reconstruction failure (i.e.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!