Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty
Abstract Background Hip resurfacing arthroplasty (HRA) is a less common but effective alternative method to total hip arthroplasty (THA) for hip reconstruction. In this study, we investigated the incidences of in-hospital complications between patients who had been subjected to THA and HRA. Methods...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06487-7 |
| _version_ | 1797827744761905152 |
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| author | Yuanyuan Huang Qinfeng Yang Ziqi Wang Zhijie Pan Yang Zhang Zhanjun Shi Sheng Yang |
| author_facet | Yuanyuan Huang Qinfeng Yang Ziqi Wang Zhijie Pan Yang Zhang Zhanjun Shi Sheng Yang |
| author_sort | Yuanyuan Huang |
| collection | DOAJ |
| description | Abstract Background Hip resurfacing arthroplasty (HRA) is a less common but effective alternative method to total hip arthroplasty (THA) for hip reconstruction. In this study, we investigated the incidences of in-hospital complications between patients who had been subjected to THA and HRA. Methods The National Inpatient Sample data that had been recorded from 2005 to 2014 was used in this study. Based on the International Classification of Disease, Ninth Revision, Clinical Modification, patients who underwent THA or HRA were included. Data on demographics, preoperative comorbidities, length of hospital stay, total charges, and in-hospital mortality and complications were compared. Multiple logistic regression analysis was used to determine whether different surgical options are independent risk factors for postoperative complications. Results A total of 537,506 THAs and 9,744 HRAs were obtained from the NIS database. Patients who had been subjected to HRA exhibited less preoperative comorbidity rates, shorter length of stay and extra hospital charges. Moreover, HRA was associated with more in-hospital prosthesis loosening. Notably, patients who underwent HRA were younger and presented less preoperative comorbidities but did not show lower incidences in most complications. Conclusions The popularity of HRA gradually reduced from the year 2005 to 2014. Patients who underwent HRA were more likely to be younger, male, have less comorbidities and spend more money on medical costs. The risk of in-hospital prosthesis loosening after HRA was higher. The HRA-associated advantages with regards to most in-hospital complications were not markedly different from those of THA. In-hospital complications of HRA deserve more attention from surgeons. |
| first_indexed | 2024-04-09T12:53:16Z |
| format | Article |
| id | doaj.art-ebc569e3a3b34cdc93c0a0b20d4ab131 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-09T12:53:16Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-ebc569e3a3b34cdc93c0a0b20d4ab1312023-05-14T11:05:47ZengBMCBMC Musculoskeletal Disorders1471-24742023-05-012411710.1186/s12891-023-06487-7Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplastyYuanyuan Huang0Qinfeng Yang1Ziqi Wang2Zhijie Pan3Yang Zhang4Zhanjun Shi5Sheng Yang6School of Health, Dongguan PolytechnicDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityDivision of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical UniversityAbstract Background Hip resurfacing arthroplasty (HRA) is a less common but effective alternative method to total hip arthroplasty (THA) for hip reconstruction. In this study, we investigated the incidences of in-hospital complications between patients who had been subjected to THA and HRA. Methods The National Inpatient Sample data that had been recorded from 2005 to 2014 was used in this study. Based on the International Classification of Disease, Ninth Revision, Clinical Modification, patients who underwent THA or HRA were included. Data on demographics, preoperative comorbidities, length of hospital stay, total charges, and in-hospital mortality and complications were compared. Multiple logistic regression analysis was used to determine whether different surgical options are independent risk factors for postoperative complications. Results A total of 537,506 THAs and 9,744 HRAs were obtained from the NIS database. Patients who had been subjected to HRA exhibited less preoperative comorbidity rates, shorter length of stay and extra hospital charges. Moreover, HRA was associated with more in-hospital prosthesis loosening. Notably, patients who underwent HRA were younger and presented less preoperative comorbidities but did not show lower incidences in most complications. Conclusions The popularity of HRA gradually reduced from the year 2005 to 2014. Patients who underwent HRA were more likely to be younger, male, have less comorbidities and spend more money on medical costs. The risk of in-hospital prosthesis loosening after HRA was higher. The HRA-associated advantages with regards to most in-hospital complications were not markedly different from those of THA. In-hospital complications of HRA deserve more attention from surgeons.https://doi.org/10.1186/s12891-023-06487-7Hip resurfacing arthroplastyTotal hip arthroplastyIn-hospital complicationsNationwide inpatient sample databaseOsteoarthritis |
| spellingShingle | Yuanyuan Huang Qinfeng Yang Ziqi Wang Zhijie Pan Yang Zhang Zhanjun Shi Sheng Yang Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty BMC Musculoskeletal Disorders Hip resurfacing arthroplasty Total hip arthroplasty In-hospital complications Nationwide inpatient sample database Osteoarthritis |
| title | Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty |
| title_full | Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty |
| title_fullStr | Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty |
| title_full_unstemmed | Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty |
| title_short | Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty |
| title_sort | comparisons of in hospital complications between total hip arthroplasty and hip resurfacing arthroplasty |
| topic | Hip resurfacing arthroplasty Total hip arthroplasty In-hospital complications Nationwide inpatient sample database Osteoarthritis |
| url | https://doi.org/10.1186/s12891-023-06487-7 |
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