Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis
Abstract Background Limited information exists comparing the perioperative complications of the different inflammatory arthropathies (IAs) after total hip arthroplasty (THA). Our study was aimed to (1) compare perioperative complications and (2) determine the most common complications between the di...
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-022-05891-9 |
| _version_ | 1811336348192210944 |
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| author | Qiang Lian Yun Lian Kangxian Li Qinfeng Yang Kunlian Li Yiqiao Zheng Haibing Liu Zhanjun Shi Jian Wang |
| author_facet | Qiang Lian Yun Lian Kangxian Li Qinfeng Yang Kunlian Li Yiqiao Zheng Haibing Liu Zhanjun Shi Jian Wang |
| author_sort | Qiang Lian |
| collection | DOAJ |
| description | Abstract Background Limited information exists comparing the perioperative complications of the different inflammatory arthropathies (IAs) after total hip arthroplasty (THA). Our study was aimed to (1) compare perioperative complications and (2) determine the most common complications between the different IA subtypes compared with patients with primary osteoarthritis (OA) undergoing primary THA and (3) find whether the difference in postoperative complications also exists between different IA after THA. Methods The Nationwide Inpatient Sample (NIS) was used to identify patients with Rheumatoid arthritis (RA), psoriatic arthritis, ankylosing spondylitis (AS), and primary OA undergoing unilateral THA between 2005 and 2014. Preoperative diagnosis, comorbidities, and postoperative complications were determined using the International Classification of Disease Clinical Modification version 9 codes. The prevalence of perioperative complications was compared between patients with IA and primary OA and between patients with different IA. Results When compared with patients with primary OA, patients with RA had significantly more postoperative surgical and medical complications. Yet there are just several medical complications differences exist between PA and primary OA or AS and primary OA, including stroke and acute renal failure for psoriatic arthritis and urinary tract infection and pneumonia for AS. What is more, there were also several differences in perioperative medical complications seen in patients with different IA. Conclusion Except for patients with RA, the differences in perioperative complications was small between patients with IA and primary OA and between patients with different types of IA. |
| first_indexed | 2024-04-13T17:38:08Z |
| format | Article |
| id | doaj.art-bec18aebae0a435689385d9b3bc3600c |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-13T17:38:08Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-bec18aebae0a435689385d9b3bc3600c2022-12-22T02:37:17ZengBMCBMC Musculoskeletal Disorders1471-24742022-10-012311710.1186/s12891-022-05891-9Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritisQiang Lian0Yun Lian1Kangxian Li2Qinfeng Yang3Kunlian Li4Yiqiao Zheng5Haibing Liu6Zhanjun Shi7Jian Wang8Division of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityFirst Affiliation Hospital of Nanchang UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityGoodwill Hessian Health Technology Co., LtdGoodwill Hessian Health Technology Co., LtdDepartment of Orthopaedic, Affiliated Hengyang Hospital, Southern Medical University (Hengyang Central Hospital)Division of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityAbstract Background Limited information exists comparing the perioperative complications of the different inflammatory arthropathies (IAs) after total hip arthroplasty (THA). Our study was aimed to (1) compare perioperative complications and (2) determine the most common complications between the different IA subtypes compared with patients with primary osteoarthritis (OA) undergoing primary THA and (3) find whether the difference in postoperative complications also exists between different IA after THA. Methods The Nationwide Inpatient Sample (NIS) was used to identify patients with Rheumatoid arthritis (RA), psoriatic arthritis, ankylosing spondylitis (AS), and primary OA undergoing unilateral THA between 2005 and 2014. Preoperative diagnosis, comorbidities, and postoperative complications were determined using the International Classification of Disease Clinical Modification version 9 codes. The prevalence of perioperative complications was compared between patients with IA and primary OA and between patients with different IA. Results When compared with patients with primary OA, patients with RA had significantly more postoperative surgical and medical complications. Yet there are just several medical complications differences exist between PA and primary OA or AS and primary OA, including stroke and acute renal failure for psoriatic arthritis and urinary tract infection and pneumonia for AS. What is more, there were also several differences in perioperative medical complications seen in patients with different IA. Conclusion Except for patients with RA, the differences in perioperative complications was small between patients with IA and primary OA and between patients with different types of IA.https://doi.org/10.1186/s12891-022-05891-9Inflammatory arthropathiesHip replacementPrimary osteoarthritisNationwide inpatient sample |
| spellingShingle | Qiang Lian Yun Lian Kangxian Li Qinfeng Yang Kunlian Li Yiqiao Zheng Haibing Liu Zhanjun Shi Jian Wang Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis BMC Musculoskeletal Disorders Inflammatory arthropathies Hip replacement Primary osteoarthritis Nationwide inpatient sample |
| title | Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis |
| title_full | Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis |
| title_fullStr | Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis |
| title_full_unstemmed | Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis |
| title_short | Complications of primary total hip arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and primary osteoarthritis |
| title_sort | complications of primary total hip arthroplasty among patients with rheumatoid arthritis psoriatic arthritis ankylosing spondylitis and primary osteoarthritis |
| topic | Inflammatory arthropathies Hip replacement Primary osteoarthritis Nationwide inpatient sample |
| url | https://doi.org/10.1186/s12891-022-05891-9 |
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