Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head Contamination
Purpose. To compare long-term outcomes of total hip replacement (THR) in patients with or without contamination of the femoral head. Methods. After a mean period of 12 (range, 8–17) years, 104 female and 71 male THR patients aged 47 to 96 (mean, 77) years were reassessed via a self-administered ques...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2011-08-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901101900208 |
| _version_ | 1818350937887997952 |
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| author | Talal Ibrahim Mayyar Ghazal Aswad Joseph J Dias Andrew R Brown Colin N Esler |
| author_facet | Talal Ibrahim Mayyar Ghazal Aswad Joseph J Dias Andrew R Brown Colin N Esler |
| author_sort | Talal Ibrahim |
| collection | DOAJ |
| description | Purpose. To compare long-term outcomes of total hip replacement (THR) in patients with or without contamination of the femoral head. Methods. After a mean period of 12 (range, 8–17) years, 104 female and 71 male THR patients aged 47 to 96 (mean, 77) years were reassessed via a self-administered questionnaire, and 25 other THR patients were reassessed by review of case notes. The questionnaires comprised the 12-item Oxford hip score and the European Quality Of Life (EuroQOL). 87 and 88 patients had positive and negative cultures in the donated femoral heads, respectively. The 2 groups were compared with respect to the Oxford hip score, the EuroQOL, and rates of complication and revision surgery. Results. Long-term outcomes of THR patients with or without femoral head contamination were not significantly different. Respectively, the mean Oxford hip scores were 36 and 39 (p=0.4); 16 and 14 patients had the maximum score of 48; 2 and 3 patients scored <10 (mostly owing to aseptic loosening). The respective mean visual analogue scale score of the EuroQOL were 65 and 73 (p=0.07); only the dimension of self care was significantly different between groups (p=0.04). Respectively, 14 and 12 patients had complications (16% vs. 15%, χ 2 =0.05, p=0.8), whereas 11 and 5 patients had revision surgery (13% vs. 6%, χ 2 =2.2, p>0.1). Conclusion. Microbiological screening of donated femoral heads plays no role in predicting long-term failure of THR in the donors. |
| first_indexed | 2024-12-13T18:29:47Z |
| format | Article |
| id | doaj.art-bc926e5cdb3845bda0fa9cad014b38cb |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-13T18:29:47Z |
| publishDate | 2011-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-bc926e5cdb3845bda0fa9cad014b38cb2022-12-21T23:35:30ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902011-08-011910.1177/230949901101900208Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head ContaminationTalal IbrahimMayyar Ghazal AswadJoseph J DiasAndrew R BrownColin N EslerPurpose. To compare long-term outcomes of total hip replacement (THR) in patients with or without contamination of the femoral head. Methods. After a mean period of 12 (range, 8–17) years, 104 female and 71 male THR patients aged 47 to 96 (mean, 77) years were reassessed via a self-administered questionnaire, and 25 other THR patients were reassessed by review of case notes. The questionnaires comprised the 12-item Oxford hip score and the European Quality Of Life (EuroQOL). 87 and 88 patients had positive and negative cultures in the donated femoral heads, respectively. The 2 groups were compared with respect to the Oxford hip score, the EuroQOL, and rates of complication and revision surgery. Results. Long-term outcomes of THR patients with or without femoral head contamination were not significantly different. Respectively, the mean Oxford hip scores were 36 and 39 (p=0.4); 16 and 14 patients had the maximum score of 48; 2 and 3 patients scored <10 (mostly owing to aseptic loosening). The respective mean visual analogue scale score of the EuroQOL were 65 and 73 (p=0.07); only the dimension of self care was significantly different between groups (p=0.04). Respectively, 14 and 12 patients had complications (16% vs. 15%, χ 2 =0.05, p=0.8), whereas 11 and 5 patients had revision surgery (13% vs. 6%, χ 2 =2.2, p>0.1). Conclusion. Microbiological screening of donated femoral heads plays no role in predicting long-term failure of THR in the donors.https://doi.org/10.1177/230949901101900208 |
| spellingShingle | Talal Ibrahim Mayyar Ghazal Aswad Joseph J Dias Andrew R Brown Colin N Esler Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head Contamination Journal of Orthopaedic Surgery |
| title | Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head Contamination |
| title_full | Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head Contamination |
| title_fullStr | Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head Contamination |
| title_full_unstemmed | Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head Contamination |
| title_short | Long-Term Outcome of Total Hip Replacement in Patients with or without Femoral Head Contamination |
| title_sort | long term outcome of total hip replacement in patients with or without femoral head contamination |
| url | https://doi.org/10.1177/230949901101900208 |
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