Clinical and functional outcomes of revision hip replacement surgeries

Background: Hip replacement surgeries are common operations done in throughout the world since last five decades. The change and refinement in technology along with surgical skills have improved the outcomes in hip hemiarthroplasties, total hip arthroplasties and revision hip arthroplasties. The aim...

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Main Authors: Aditya K. Agrawal, Malay Gandhi, Mohit Jain, Sarvang Desai, Paresh Golwala
Format: Article
Language:English
Published: Elsevier 2024-09-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X23001285
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author Aditya K. Agrawal
Malay Gandhi
Mohit Jain
Sarvang Desai
Paresh Golwala
author_facet Aditya K. Agrawal
Malay Gandhi
Mohit Jain
Sarvang Desai
Paresh Golwala
author_sort Aditya K. Agrawal
collection DOAJ
description Background: Hip replacement surgeries are common operations done in throughout the world since last five decades. The change and refinement in technology along with surgical skills have improved the outcomes in hip hemiarthroplasties, total hip arthroplasties and revision hip arthroplasties. The aim of this study is to present the clinical and functional outcomes of patients admitted for revision hip replacement surgeries at a tertiary care hospital. Materials and Method: After receiving the IEC (Institutional Ethics Committee) approval, patients admitted at our hospital for revision total hip arthroplasty were enrolled in our study. Results were analyzed using SPSS software (Illinois, Chicago) and p value of <0.01 was considered statistically significant. Results: We present here a case series of ten patients (six males and four females) who underwent surgery for revision hip arthroplasty. Mean age of the patients was found to be 55.7 ± 16.3 years (average age in females was 61.75 ± 7.2 years, average age in males was 43.2 ± 15.4 years). Index surgery was done 15.3 ± 4.6 years. Patient related outcome measures measured by Oxford Hip Score were found to improve at final follow up which was statistically significant. Conclusion: All necessary blood and radiological investigations are required to reach to a diagnosis along with meticulous pre-operative planning after proper consent with due documentation. Check all necessary implants and instruments in the armamentarium. Postoperative rehabilitation protocol has to be gradual with emphasis on high protein and vitamin intake. It requires adequate surgical training and experience along with out of the box lateral thinking.
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spelling doaj.art-a08338ce23c74e90b98cd472d202a9292023-12-09T06:09:30ZengElsevierJournal of Orthopaedic Reports2773-157X2024-09-0133100256Clinical and functional outcomes of revision hip replacement surgeriesAditya K. Agrawal0Malay Gandhi1Mohit Jain2Sarvang Desai3Paresh Golwala4Dept. of Orthopaedics, Dhiraj Hospital, Smt. BK Shah Medical Institute &amp; Research Centre, Sumandeep Vidyapeeth Deemed to Be University, Waghodia, Vadodara, Gujarat, 391760, India; Corresponding author.Dept. of Orthopaedics, Dhiraj Hospital, Smt. BK Shah Medical Institute &amp; Research Centre, Sumandeep Vidyapeeth Deemed to Be University, Waghodia, Vadodara, Gujarat, 391760, IndiaDept. of Orthopaedics, Dhiraj Hospital, Smt. BK Shah Medical Institute &amp; Research Centre, Sumandeep Vidyapeeth Deemed to Be University, Waghodia, Vadodara, Gujarat, 391760, IndiaDept. of Orthopaedics, Dhiraj Hospital, Smt. BK Shah Medical Institute &amp; Research Centre, Sumandeep Vidyapeeth Deemed to Be University, Waghodia, Vadodara, Gujarat, 391760, IndiaSmt. BK Shah Medical Institute &amp; Research Centre, Sumandeep Vidyapeeth Deemed to Be University, Waghodia, Vadodara, Gujarat, 391760, IndiaBackground: Hip replacement surgeries are common operations done in throughout the world since last five decades. The change and refinement in technology along with surgical skills have improved the outcomes in hip hemiarthroplasties, total hip arthroplasties and revision hip arthroplasties. The aim of this study is to present the clinical and functional outcomes of patients admitted for revision hip replacement surgeries at a tertiary care hospital. Materials and Method: After receiving the IEC (Institutional Ethics Committee) approval, patients admitted at our hospital for revision total hip arthroplasty were enrolled in our study. Results were analyzed using SPSS software (Illinois, Chicago) and p value of <0.01 was considered statistically significant. Results: We present here a case series of ten patients (six males and four females) who underwent surgery for revision hip arthroplasty. Mean age of the patients was found to be 55.7 ± 16.3 years (average age in females was 61.75 ± 7.2 years, average age in males was 43.2 ± 15.4 years). Index surgery was done 15.3 ± 4.6 years. Patient related outcome measures measured by Oxford Hip Score were found to improve at final follow up which was statistically significant. Conclusion: All necessary blood and radiological investigations are required to reach to a diagnosis along with meticulous pre-operative planning after proper consent with due documentation. Check all necessary implants and instruments in the armamentarium. Postoperative rehabilitation protocol has to be gradual with emphasis on high protein and vitamin intake. It requires adequate surgical training and experience along with out of the box lateral thinking.http://www.sciencedirect.com/science/article/pii/S2773157X23001285Revision hip replacementLong femur stemExtended trochanteric osteotomyBone graftsCement
spellingShingle Aditya K. Agrawal
Malay Gandhi
Mohit Jain
Sarvang Desai
Paresh Golwala
Clinical and functional outcomes of revision hip replacement surgeries
Journal of Orthopaedic Reports
Revision hip replacement
Long femur stem
Extended trochanteric osteotomy
Bone grafts
Cement
title Clinical and functional outcomes of revision hip replacement surgeries
title_full Clinical and functional outcomes of revision hip replacement surgeries
title_fullStr Clinical and functional outcomes of revision hip replacement surgeries
title_full_unstemmed Clinical and functional outcomes of revision hip replacement surgeries
title_short Clinical and functional outcomes of revision hip replacement surgeries
title_sort clinical and functional outcomes of revision hip replacement surgeries
topic Revision hip replacement
Long femur stem
Extended trochanteric osteotomy
Bone grafts
Cement
url http://www.sciencedirect.com/science/article/pii/S2773157X23001285
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AT sarvangdesai clinicalandfunctionaloutcomesofrevisionhipreplacementsurgeries
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