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
Russian Federation

I. I. Shubnyakov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: shubnyakov@mail.ru
Russian Federation

A. N. Kovalenko

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: tonnchik@ya.ru
Russian Federation

Z. A. Totoyev

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: zaurbek.totoev@ya.ru
Russian Federation

B. Lyu

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: info@rniito.org
Russian Federation

S. S. Bilyk

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: bss0413@gmail.com
Russian Federation

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