EPIDEMIOLOGY OF PRIMARY HIP ARTHROPLASTY: REPORT FROM REGISTER OF VREDEN RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS

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The   paper   presents   data   analysis   of  the   Hip   Arthroplasty  Register   of  Vreden   Russian   Research   Institute of Traumatology and Orthopedics, namely information on 37373 primary THA performed at the Vreden Institute and at several other orthopedic centers and 1200 hip replacements at other hospitals of St. Petersburg.

There were 1.5 times more women in the studied cohort than men. A significant predominance of women with dysplastic osteoarthritis (72.4%) and rheumatoid arthritis (82.1%) was reported. A male predominance was noted in patients with secondary osteoarthritis (53.1%), post-traumatic changes of hip (61.0%) and osteonecrosis of the femoral head (68.6 %). The mean age of patients was 58.0±12.9 years (95% CI from 57.9 to 58.1, median 59 years). Age data of the study revealed that  patients were 10-12 years younger than reported in the national  arthroplasty registers of other countries.

Total  hip arthroplasty was performed  in the  absolute  majority  of patients – 37295  cases (99,8%).  Uncemented implants  were used in 59.3% of cases, hybrid – in 29.6%, cemented – in 10.2%, reverse-hybrid – in 0.9% of all patients. The  most  common  bearing  used  was metal  on  crosslink  polyethylene, which  was applied  in 50.1% of all cases of arthroplasty. The  type  of fixation  of the  implant,  and  the  use of different  bearings  varied  in different  age groups. The paper presents  not only the absolute  numbers  of the data, but also demonstrated the dynamics  of the changes in time starting from 2007.

The  present  epidemiological  study  does not  claim the  absolute  completeness of the  presented data,  but  contains the  analysis of the  large number  of cases, comparable  with  follow-ups  of patients in some national  registers  of certain European countries. The authors  analyzed about  10% of all cases of hip replacements performed  on the territory of the Russian Federation in ten-year  period.

作者简介

I. Shubnyakov

Vreden Russian Research Institute of Traumatology and Orthopedics

编辑信件的主要联系方式.
Email: shubnyakov@mail.ru

Igor I. Shubnyakov  – Cand. Sci. (Med.),  Chief Researcher.

8, ul. Akad. Baykova, St. Petersburg, 195427

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R. Tikhilov

Vreden Russian Research Institute of Traumatology and Orthopedics; Mechnikov North-Western State Medical University

Email: fake@neicon.ru

Rashid M. Tikhilov – Dr. Sci. (Med.),  Professor,  Director RRITO; Professor NWSMU.

8, ul. Akad. Baykova, St. Petersburg, 195427; 41, Kirochnaya ul., St. Petersburg, 191015

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N. Nikolaev

Federal Center of Traumatology, Orthopedics and Endoprosthetics

Email: fake@neicon.ru

Nikolai  S.  Nikolaev  – Dr.   Sci.  (Med.),   Head   Doctor.

33, ul. Fedora Gladkova, Cheboksary, 428020

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L. Grigoricheva

Federal Center of Traumatology, Orthopedics and Endoprosthetics

Email: fake@neicon.ru

Lyudmila   G.  Grigoricheva  – Cand.   Sci.  (Med.),   Head Doctor.

1/3, ul. Lyapidevskogo, Barnaul, 656024

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A. Ovsyankin

Federal Center of Traumatology, Orthopedics and Endoprosthetics

Email: fake@neicon.ru

Anatolii V. Ovsyankin  – Cand.  Sci. (Med.),  Head  Doctor.

29, Pr. Stroiteley, Smolensk, 214019

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A. Cherny

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Andrey Zh. Cherny – Cand. Sci. (Med), Clinical Director RRITO;  Associate   Professor   at   the   Department  of Public Health,  Economy and Health Care Management NWSMU.

8, ul. Akad. Baykova, St. Petersburg, 195427

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P. Drozdova

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Polina V. Drozdova – Cand. Sci. (Med), Esearcher  of Hip Pathology Department.

8, ul. Akad. Baykova, St. Petersburg, 195427

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A. Denisov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Alexei O. Denisov – Cand. Sci. (Med), Academic Secretary, Head   of  Hip   Pathology  Department.

8, ul. Akad. Baykova, St. Petersburg, 195427

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Е. Veber

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru

Evgenii V. Veber – Assistant  Researcher of Administration and   guidance  Department.

8, ul. Akad. Baykova, St. Petersburg, 195427

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I. Kuz’mina

St. Petersburg State University

Email: fake@neicon.ru

Iliya V. Kuz’mina – Student of the 4th year of the Faculty of  Mathematics  and   Mechanics.

7-9, Universitetskaya nab., St. Petersburg, 199034

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参考

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  3. Кегги К.Дж., Хуо М.Ш., Заторски Л.И. Передний доступ к тотальному замещению тазобедренного сустава. Материалы VI съезда травматологов ортопедов СНГ. Ярославль, 1993. С. 432-446.
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  11. Ostendorf M., Johnell O., Malchau H., Dhert W.J., Schrijvers A.J., Verbout A.J. The epidemiology of total hip replacement in The Netherlands and Sweden: present status and future needs. Acta Orthop Scand. 2002;73(3):282-286.
  12. Pivec R., Johnson A.J., Mears S.C., Mont M.A. Hip arthroplasty. Lancet. 2012;380(9855):1768-1777. doi: 10.1016/S0140-6736(12)60607-2.
  13. Singh J.A., Schleck C., Harmsen S., Lewallen D. Clinically important improvement thresholds for Harris Hip Score and its ability to predict revision risk after primary total hip arthroplasty. BMC Musculoskelet Disord. 2016;17(1):256. doi: 10.1186/s12891-016-1106-8.

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