Independent Risk Factors for Transfusion in Contemporary Revision Total Hip Arthroplasty

Author(s):  
Robert A. Sershon ◽  
Yale A. Fillingham ◽  
Arthur L. Malkani ◽  
Matthew P. Abdel ◽  
Ran Schwarzkopf ◽  
...  
Author(s):  
D. V. Stafeev ◽  
N. N. Efimov ◽  
E. P. Sorokin ◽  
D. V. Chugaev ◽  
A. I. Gudz ◽  
...  

The literature review is dedicated to the problem of femoral component dislocation after primary and revision total hip arthroplasty. Modern data on surgeon-dependent and -independent risk factors for this complication development are analyzed. Potentialities for dislocation prevention using constrained liners and dual mobility system are considered. 


2017 ◽  
Vol 24 (3) ◽  
pp. 63-72
Author(s):  
Dmitriy V. Stafeev ◽  
N. N Efimov ◽  
E. P Sorokin ◽  
D. V Chugaev ◽  
A. I Gudz ◽  
...  

The literature review is dedicated to the problem of femoral component dislocation after primary and revision total hip arthroplasty. Modern data on surgeon-dependent and -independent risk factors for this complication development are analyzed. Potentialities for dislocation prevention using constrained liners and dual mobility system are considered


2012 ◽  
Vol 471 (2) ◽  
pp. 410-416 ◽  
Author(s):  
Nathan G. Wetters ◽  
Trevor G. Murray ◽  
Mario Moric ◽  
Scott M. Sporer ◽  
Wayne G. Paprosky ◽  
...  

2018 ◽  
Vol 100-B (1_Supple_A) ◽  
pp. 44-49 ◽  
Author(s):  
J. R. Berstock ◽  
M. R. Whitehouse ◽  
C. P. Duncan

AimsTo present a surgically relevant update of trunnionosis.Materials and MethodsSystematic review performed April 2017.ResultsTrunnionosis accounts for approximately 2% of the revision total hip arthroplasty (THA) burden. Thinner (reduced flexural rigidity) and shorter trunnions (reduced contact area at the taper junction) may contribute to mechanically assisted corrosion, exacerbated by high offset implants. The contribution of large heads and mixed metallurgy is discussed.ConclusionIdentifying causative risk factors is challenging due to the multifactorial nature of this problem. Cite this article: Bone Joint J 2018;100-B(1 Supple A):44–9.


2020 ◽  
pp. 112070002092135
Author(s):  
Matthew J Best ◽  
Raj M Amin ◽  
Son Nguyen ◽  
Keith T Aziz ◽  
Robert S Sterling ◽  
...  

Introduction: The number of revision total hip arthroplasty (THA) procedures is increasing in the US. Revision THA is associated with higher complication rates compared with primary THA. We describe patterns in incidence and risk factors for perioperative death after revision THA. Methods: Using the National Hospital Discharge Survey, we identified nearly 700,000 cases of revision THA from 1990 through 2010. Procedure incidence, perioperative mortality rates, comorbidities, discharge disposition, and duration of hospital stay were analysed. Multivariable logistic regression was used to identify independent risk factors for perioperative death. Alpha = 0.01. Results: Population-adjusted incidence of revision THA per 100,000 people increased from 9.2 cases in 1990 to 15 cases in 2010 ( p < 0.001). The rate of perioperative death was 0.9% during the study period and decreased from 1.5% during the “first” period (1990–1999) to 0.5% during the “second” period (2000–2010) ( p < 0.001), despite an increase in comorbidity burden over time. Factors associated with the greatest odds of perioperative death were acute myocardial infarction (odds ratio [OR], 37; 95% confidence interval [CI], 33–40; p < 0.001), pneumonia (OR, 16; 95% CI, 15–18; p < 0.001), and pulmonary embolism (OR, 13; 95% CI, 11–15; p < 0.001). Conclusions: The rate of perioperative death in patients undergoing revision THA in the US decreased from 1990 to 2010 despite an increase in comorbidities. Acute myocardial infarction, pneumonia, and pulmonary embolism were associated with the highest odds of perioperative death after revision THA.


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