Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, Iran
Background: Complications after primary total hip arthroplasty (THA) are the most common reason for revision. Due to the high prevalence of revision surgery, we investigated the frequency of postprimary THA complications and related risk factor revision surgery. Materials and Methods: This is a coho...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Research in Medical Sciences |
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| Online Access: | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2022;volume=27;issue=1;spage=70;epage=70;aulast=Teimouri |
| _version_ | 1811240750265925632 |
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| author | Mehdi Teimouri Mehdi Motififard Sahar Sadat Lalehzar Saeed Hatami Sina Raeisi |
| author_facet | Mehdi Teimouri Mehdi Motififard Sahar Sadat Lalehzar Saeed Hatami Sina Raeisi |
| author_sort | Mehdi Teimouri |
| collection | DOAJ |
| description | Background: Complications after primary total hip arthroplasty (THA) are the most common reason for revision. Due to the high prevalence of revision surgery, we investigated the frequency of postprimary THA complications and related risk factor revision surgery. Materials and Methods: This is a cohort study that was performed in 2011–2019 on all patients who underwent primary THA surgery re-admitted to the Kashani and Saadi Hospital affiliated to Isfahan University of Medical Science, Iran, due to some complications after THA. Demographic and basic data were collected from patient's medical documents. Harris hip score (HHS) was calculated for all patients 6 months after the last surgery. The obtained data were analyzed using SPSS software version 21. Appropriate statistical tests were conducted to compare the results between the study groups. Results: Among 1260 patients who underwent primary THA, 1006 of them entered the study after applying the exclusion criteria. Thirty nine patients were under revision, 53.8% had prosthesis infection, 56.4% had instability, 6% had aseptic loosening, and 30.8% had periprosthetic fracture. Odds ratio for the above complications were 45.5, 45, 6.4, and 15.5, respectively. HHS postoperatively was also significantly (P < 0.001) higher in patients without revision. No correlation between gender or surgeon experience and revision was detected; however wound discharge (P < 0.001), body mass index (BMI) (P = 0.003), and Infection during hospitalization (P < 0.001) affect revision rate significantly. All four postsurgery complications, i.e., instability, postoperative prothesis infections, periprosthetic fractures, and aseptic loosening, significantly increased the risk of revision (P < 0.001, for all). Conclusion: Instability, prosthetic infections, periprosthetic fractures, and aseptic loosening were the most common causes for increasing revision rates after THA, respectively. Higher BMI, persistent wound discharge, and nosocomial infections during the first hospitalization also increased the rate of revision after primary THA. |
| first_indexed | 2024-04-12T13:25:47Z |
| format | Article |
| id | doaj.art-0fb513655ff8435d8eb64a036d80b8b8 |
| institution | Directory Open Access Journal |
| issn | 1735-1995 1735-7136 |
| language | English |
| last_indexed | 2024-04-12T13:25:47Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Research in Medical Sciences |
| spelling | doaj.art-0fb513655ff8435d8eb64a036d80b8b82022-12-22T03:31:19ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362022-01-01271707010.4103/jrms.jrms_959_21Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, IranMehdi TeimouriMehdi MotififardSahar Sadat LalehzarSaeed HatamiSina RaeisiBackground: Complications after primary total hip arthroplasty (THA) are the most common reason for revision. Due to the high prevalence of revision surgery, we investigated the frequency of postprimary THA complications and related risk factor revision surgery. Materials and Methods: This is a cohort study that was performed in 2011–2019 on all patients who underwent primary THA surgery re-admitted to the Kashani and Saadi Hospital affiliated to Isfahan University of Medical Science, Iran, due to some complications after THA. Demographic and basic data were collected from patient's medical documents. Harris hip score (HHS) was calculated for all patients 6 months after the last surgery. The obtained data were analyzed using SPSS software version 21. Appropriate statistical tests were conducted to compare the results between the study groups. Results: Among 1260 patients who underwent primary THA, 1006 of them entered the study after applying the exclusion criteria. Thirty nine patients were under revision, 53.8% had prosthesis infection, 56.4% had instability, 6% had aseptic loosening, and 30.8% had periprosthetic fracture. Odds ratio for the above complications were 45.5, 45, 6.4, and 15.5, respectively. HHS postoperatively was also significantly (P < 0.001) higher in patients without revision. No correlation between gender or surgeon experience and revision was detected; however wound discharge (P < 0.001), body mass index (BMI) (P = 0.003), and Infection during hospitalization (P < 0.001) affect revision rate significantly. All four postsurgery complications, i.e., instability, postoperative prothesis infections, periprosthetic fractures, and aseptic loosening, significantly increased the risk of revision (P < 0.001, for all). Conclusion: Instability, prosthetic infections, periprosthetic fractures, and aseptic loosening were the most common causes for increasing revision rates after THA, respectively. Higher BMI, persistent wound discharge, and nosocomial infections during the first hospitalization also increased the rate of revision after primary THA.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2022;volume=27;issue=1;spage=70;epage=70;aulast=Teimouriaseptic looseninginstabilityperiprosthetic fracturerevisionseptic looseningtotal hip arthroplasty |
| spellingShingle | Mehdi Teimouri Mehdi Motififard Sahar Sadat Lalehzar Saeed Hatami Sina Raeisi Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, Iran Journal of Research in Medical Sciences aseptic loosening instability periprosthetic fracture revision septic loosening total hip arthroplasty |
| title | Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, Iran |
| title_full | Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, Iran |
| title_fullStr | Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, Iran |
| title_full_unstemmed | Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, Iran |
| title_short | Total hip arthroplasty revision etiologies: a cross-sectional study in Isfahan, Iran |
| title_sort | total hip arthroplasty revision etiologies a cross sectional study in isfahan iran |
| topic | aseptic loosening instability periprosthetic fracture revision septic loosening total hip arthroplasty |
| url | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2022;volume=27;issue=1;spage=70;epage=70;aulast=Teimouri |
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