THE STRUCTURE OF EARLY REVISIONS AFTER HIP REPLACEMENT

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Abstract

The authors retrospectively reviewed RNIITO Arthroplasty Registry data of revision total hip arthroplasties performed in RNIITO in 3 year period (2011-2013). Part of early revisions within 5 years after the index procedure in general revision structure was 33% . Two hundred seventy three (64%) procedures had infection reason, 79 (19%) - aseptic loosening, 35 (8%) - dislocation and 27 (6%) - periprosthetic fractures in reasons of revision, respectively. More than half of revisions were performed within the first year after the index procedure. Early primary revisions after index total hip arthroplasty were performed in 254 (59,8%)cases, and repeated revisions were performed in 171cases one or more times. Of early primary revisions 125(49,2%) patients had index total hip athroplasty in our hospital, and 129 (50,8%) patients had index total hip athroplasty in other hospitals of Russian Federation. Our THA early revision structure is differs significantly from published in literature, moreover there is difference between revision reasons after primary total hip arthroplasty of our hospital and other hospitals. Revision reasons structure doesn’t show rate of primary THA complications, but defines main problems that should be solved.

About the authors

R. M. Tikhilov

Vreden Russian Research Institute of Traumatology and Orthopedics; Mechnikov Northwestern State Medical University

Author for correspondence.
Email: info@rniito.org
Россия

I. I. Shubnyakov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: shubnyakov@mail.ru
Россия

A. N. Kovalenko

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: tonnchik@ya.ru
Россия

Z. A. Totoyev

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: zaurbek.totoev@ya.ru
Россия

B. Lyu

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: info@rniito.org
Россия

S. S. Bilyk

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: bss0413@gmail.com
Россия

References

  1. Березин Г.В., Божко А.М. Предварительные результаты оценки особенностей раннего послеоперационного периода у пациентов с хронической анемией после эндопротезирования тазобедренного сустава. Травматология и ортопедия России. 2012;(2):125
  2. Дулатов А.Р. Асептическая нестабильность вертлужного компонента эндопротеза тазобедренного сустава. Травматология и ортопедия России. 2013; (2):149
  3. Мазуренко А.В. Тотальное эндопротезирование тазобедренного сустава при тяжелой степени дисплазии [автореф. дис. ... к.м.н.]. СПб., 2014. 24 с
  4. Тихилов Р.М., Шубняков И.И., Коваленко А.Н., Цыбин А.В., Сементковский А.В., Карпухин А.С., Башинский О.А. Современные тенденции в ортопедии: ревизии вертлужного и бедренного компонентов. Травматология и ортопедия России. 2012; (4):5-16
  5. Тихилов Р.М., Шубняков И.И., Коваленко А.Н., Черный А.Ж., Муравьева Ю.В., Гончаров М.Ю. Данные регистра эндопротезирования тазобедренного сустава РНИИТО им. Р.Р. Вредена за 2007 - 2012 годы. Травматология и ортопедия России. 2013;(3):67-190
  6. Berger R.A., Kull L.R., Rosenberg A.G. et al. Hybrid total hip arthroplasty: 7-10 year results. Clin. Orthop. 1996; 333:134.
  7. Dobzyniak M., Fehring T.K., Odum S. Early failure in total hip arthroplasty. Clin. Orthop. 2006;447:76-78.
  8. Doehring T.C., Rubash H.E., Shelley F.J. et al. Effect of superior and superolateral relocations of the hip center on hip joint forces. An experimental and analytical analysis. J. Arthroplasty 1996;11:693.
  9. Engh C.A., Culpepper W.J., Engh C.A. Long-term results of use of the anatomic medullary locking prosthesis in total hip arthroplasty. J. Bone Joint Surg. 1997; 79-A:177-184.
  10. Engh C.A., Hopper R.H. The odyssey of porous-coated fixation. J. Arthroplasty. 2002;17:102.
  11. Espehaug B., Furnes O., Engesaeter L.B. et al. 18 years of results with cemented primary hip prostheses in the Norwegian Arthroplasty Register. Acta Orthop. 2009;80:402.
  12. Fevang B.T., Lie S.A., Havelin L.I. et al. Improved results of primary total hip replacement. Acta Orthop. 2010; 81:649.
  13. Hailer N.P., Garellick G., Krrholm J. Uncemented and cemented primary total hip arthroplasty in the Swedish Hip Arthroplasty Register. Acta Orthop. 2010;81(1):34-41.
  14. Havelin L.I., Fenstad A.M., Salomonsson R. et al. The Nordic Arthroplasty Register Association: a unique collaboration between 3 national hip arthroplasty registries with 280,201 THR's. Acta Orthop. 2009;80:393.
  15. Inao S., Matsuno T. Cemented total hip arthroplasty with autogenous acetabular bone grafting for hips with developmental dysplasia in adults: the results at a minimum of ten years. J. Bone Joint Surg. 2000;82-B:375.
  16. Kanai A., Kiyama T., Genda E. et al. Biomechanical investigation of ambulatory training in patients with acetabular dysplasia. Gait Posture. 2008;28:52.
  17. Kaneuji A., Sugimori T., Ichiseki T., Yamada K., Fukui K., Matsumoto T. Minimum ten-year results of a porous acetabular component for Crowe I to III hip dysplasia using an elevated hip center. J. Arthroplasty. 2009;24(2):187-194.
  18. Katz J.N., Wright E.A., Wright J. et al. Twelve-year risk of revision after primary total hip replacement in the U.S. Medicare population. J. Bone Joint Surg. 2012;94-A:1825.
  19. Kiyama T., Naito M., Shitama H. et al. Effect of superior placement of the hip center on abductor muscle strength in total hip arthroplasty. J. Arthroplasty. 2009;24:240.
  20. Lecerf G., Fessy M.H., Philippot R. et al. Femoral offset: anatomical concept, definition, assessment, implications for preoperative templating and hip arthroplasty. Orthop. Traumatol. Surg. Res. 2009;95:210.
  21. Lewinnek G.E., Lewis J.L., Tarr R., Compere C.L., Zimmerman J.R. Dislocations after total hipreplacement arthroplasties. J. Bone Joint Surg. 1978;60-A(2):217-220.
  22. Madey S.M., Callaghan J.J., Olejniczak J.P., et al. Charnley total hip arthroplasty with use of improved techniques of cementing. The results after a minimum of fifteen years of follow-up. J Bone Joint Surg Am 1997;79:53.
  23. Melvin J.S., Karthikeyan T., Cope R., Fehring T.K. Early failures in total hip arthroplasty - a changing paradigm. J. Arthroplasty. 2014;29(6):1285-1288.
  24. Murayama T., Ohnishi H., Okabe S. et al. 15-year comparison of cementless total hip arthroplasty with anatomical or high cup placement for Crowe I to III hip dysplasia. Orthopedics. 2012;35(3):e313-318.
  25. Prokopetz J.J., Losina E., Bliss R.L., Wright J., Baron J.A., Katz J.N. Risk factors for revision of primary total hip arthroplasty: a systematic review. BMC Musculoskelet. Disord. 2012;13:251.
  26. Ramos A., Simões J.A. The influence of cement mantle thickness and stem geometry on fatigue damage in two different cemented hip femoral prostheses. J. Biomech. 2009;42(15):2602-2610.
  27. Russotti G.M., Harris W.H. Proximal placement of the acetabular component in total hip arthroplasty. A long-term follow-up study. J Bone Joint Surg Am 1991; 73:587.
  28. Saleh K.J., Jaroszynski G., Woodgate I. et al. Revision total hip arthroplasty with the use of structural acetabular allograft and reconstruction ring. J. Arthroplasty 2000;15:951.
  29. Schutzer S.F., Harris W.H. High placement of porous-coated acetabular components in complex total hip arthroplasty. J. Arthroplasty. 1994;9:359.
  30. Shi J., Browne M., Strickland M., Flivik G., Taylor M. Sensitivity analysis of a cemented hip stem to implant position and cement mantle thickness. Comput. Methods Biomech. Biomed. Engin. 2014;17(15):1671-1684.
  31. Soohoo N.F., Farng E., Lieberman J.R., Chambers L., Zingmond D.S. Factors that predict short-term complication rates after total hip arthroplasty. Clin. Orthop. 2010;468(9):2363-2371.
  32. Tanzer M. Role and results of the high hip center. Orthop. Clin. North Am. 1998;29:241.
  33. Ulrich S.D., Seyler T.M., Bennett D. et al. Total hip arthroplasties: what are the reasons for revision? Int. Orthop. 2008;32(5):597-604.

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