scholarly journals Multidisciplinary management to decrease perioperative complications in older patients with hypoxaemia in high altitudes during primary hip arthroplasty

2016 ◽  
Vol 117 ◽  
pp. el_14162
Author(s):  
Liang He
Keyword(s):  
Hip Arthroplasty ◽  
Older Patients ◽  
Perioperative Complications ◽  
Multidisciplinary Management ◽  
High Altitudes ◽  
Primary Hip Arthroplasty

scholarly journals Treatment of Intertrochanteric Femur Fractures with Hip Arthroplasty in Older Patients: A Narrative Review of Indications and Outcomes

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 763
Author(s):  
Tiago Martinho ◽  
Karl Stoffel
Keyword(s):  
High Risk ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Older Patients ◽  
Bipolar Hemiarthroplasty ◽  
Intramedullary Nails ◽  
Fixation Failure ◽  
Femur Fractures

Intertrochanteric femur fractures are common in older patients and often have a significant impact on disability. The treatment aims to achieve a rapid return to the prior functional level with a low rate of complications and mortality. Surgical management by internal fixation is the mainstay of treatment for most of these fractures. Even when treated with intramedullary nails, the overall complication rates are high, especially for unstable or highly comminuted fractures or in the presence of poor bone quality. Hip arthroplasty is an alternative in older patients with intertrochanteric femur fractures at high risk of fixation failure or with concomitant intraarticular pathologies. Especially patients whose condition precludes prolonged bedrest and who are at risk of significant deterioration if their locomotor function cannot be restored rapidly are likely to benefit from hip arthroplasty. The choice of the surgical technique mainly depends on the surgeon’s preferences and the fracture characteristics. Bipolar hemiarthroplasty is the most common type of prosthesis used with primary or revision femoral stems. Compared with intramedullary nails, hip arthroplasty has a better early functional outcome and lower rates of surgical complications as well as reoperations. However, the functional outcome and the mortality rate in the longer term tend to favor intramedullary nails, even though the results are inconsistent, and a statistically significant difference cannot always be obtained. Currently, there are no guidelines that define the role of hip arthroplasty in the treatment of intertrochanteric femur fractures in older patients. The literature only offers an overview of the possibilities of the usage of hip arthroplasty, but methodological limitations are common, and evidence levels are low. Further studies are needed to identify the intertrochanteric fractures that are at high risk of internal fixation failure, the characteristics that determine which patients may benefit most from hip arthroplasty, and the optimal surgical technique.

Conversion vs Primary Total Hip Arthroplasty: Increased Cost of Care and Perioperative Complications

2018 ◽  
Vol 33 (8) ◽  
pp. 2405-2411 ◽  
Author(s):  
Sean P. Ryan ◽  
Marcus DiLallo ◽  
David E. Attarian ◽  
William A. Jiranek ◽  
Thorsten M. Seyler
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Perioperative Complications ◽  
Cost Of Care ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

The serum albumin threshold for increased perioperative complications after total hip arthroplasty is 3.0 g/dL

2018 ◽  
Vol 29 (2) ◽  
pp. 166-171 ◽  
Author(s):  
Charles L Nelson ◽  
Atul F Kamath ◽  
Nabil M Elkassabany ◽  
Zhenggang Guo ◽  
Jiabin Liu
Keyword(s):  
Total Hip Arthroplasty ◽  
Serum Albumin ◽  
Hip Arthroplasty ◽  
Perioperative Complications ◽  
Albumin Level ◽  
Multivariable Logistic Regression Analysis ◽  
Study Cohort ◽  
Odds Ratios ◽  
Total Hip ◽  
Low Serum

Introduction: Low serum albumin is associated with higher perioperative complications following total hip arthroplasty (THA). The distinct threshold for a significant rise in perioperative complications has not been defined for THA. The purpose of this study was to define the threshold at which perioperative complications rise after THA. Methods: We analysed the American College of Surgeons NSQIP database from 2006 to 2013. Our study cohort included unilateral primary THA with reported preoperative albumin levels. Patients were stratified by albumin level. We analysed mortality and 6 composite complication variables (any complication, any complication without transfusion, wound infection, systemic infection, cardiac/pulmonary complications, and any major complication). All data analysis was executed in STATA statistical software. Multivariable logistic regression analysis was used to adjust for odds ratios. Results: The final cohort included 24,586 patients who were stratified based upon serum albumin levels. Odds ratios after multivariable regression adjustment for age, gender, race, body mass index, ASA classification, and Charlson Comorbidity Index indicated a trend to elevated odds of complication for all composite complications (3 of which were statistically significant) when serum albumin level was <3.0 g/dL. Conclusion: Low serum albumin is associated with increased perioperative complications following THA. The threshold associated with an increase in major perioperative complications appears to be an albumin level of <3.0 g/dL. With attempts to correct modifiable risk factors prior to surgery, the threshold value at which perioperative complications increase is important to define.

Perceived skills for sports performance after primary hip arthroplasty: a cross-sectional study

2019 ◽  
Vol 43 (12) ◽  
pp. 2725-2730 ◽  
Author(s):  
James Madrid ◽  
Maria Bautista ◽  
Juan F. Guio ◽  
Guillermo Bonilla ◽  
Akillefs Betancourt ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Cross Sectional Study ◽  
Sports Performance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Hip Arthroplasty

scholarly journals Early and Mid-Term Results of Primary Hip Arthroplasty Using Il’za Endoprosthesis

2015 ◽  
Vol 22 (2) ◽  
pp. 5-12
Author(s):  
S. P Mironov ◽  
A. V Balberkin ◽  
N. V Zagorodniy ◽  
V. N Karpov ◽  
A. F Kolondaev ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Femoral Component ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Femoral Stems ◽  
General Survival ◽  
Hip Function ◽  
Primary Hip Arthroplasty ◽  
Hip Stems ◽  
Mid Term Results

The problems of hip arthroplasty under conditions of wide introduction of that surgical intervention into clinical practice and the perspectives of cementless wedge-shaped femoral stems use are discussed on the example of high-technology home endoprosthesis “Il’za” are discussed. Technical characteristics of the implant, peculiarities of surgical procedure with its application, early and mid-term clinical and roentgenologic results of 581 operations are considered. Stable deterioration of hip function has been noted in 1, 2 and 3 years after operation - from 37.6 points by Harris hip score to 89.3, 92.2, and 89.1 points, respectively. Survival of the femoral component in 6 years after arthroplasty made up 98.6%, general survival - 96.2%. Universality of this femoral component that enables to achieve its stable primary and secondary fixation in the absolute majority of patients is proved. The achieved data allow to talk of the reliability of wedge-shaped femoral hip stems and significant prospective for their use in wide clinical practice.

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