Changing Surgical Approach From Primary to Revision Total Hip Arthroplasty Is Not Associated With Increased Risk of Dislocation or Re-Revisions

Harmer, Joshua R.; Wyles, Cody C.; Larson, Dirk R.; Taunton, Michael J.; Pagnano, Mark W.; Abdel, Matthew P.

doi:10.1016/j.arth.2022.03.007

Cited by 9 publications

(4 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The “Mayo Clinic Total Joint Registry” has been reporting studies for twenty-five consecutive years, followed by the “Trent” JAR for twenty-one years and the “Register of Orthopaedic Prosthetic Implant (RIPO) of Emilia-Romagna region” for twenty years. The “Mayo Clinic Total Joint Registry” has published 149 papers from 1997 to 2022 [ 8 , 650 ], including 120 cohort studies [ 8 , 25 , 31 , 45 , 58 , 60 , 62 , 64 , 67 , 69 , 73 , 76 – 82 , 84 , 85 , 88 , 92 – 97 , 99 – 101 , 106 , 110 , 112 , 114 , 118 , 120 , 122 , 123 , 125 – 127 , 129 , 132 , 134 , 135 , 137 , 138 , 140 , 142 , 143 , 152 , 154 , 157 , 159 , 163 , 166 , 169 , 174 , 179 , 180 , 190 , 194 , 195 , 201 , 232 , 234 , 240 , 244 , 247 , 249 , 251 , 252 , 257 …”

Section: Resultsmentioning

confidence: 99%

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Zgouridou,

Kenanidis,

Potoupnis

et al. 2023

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Purpose Four joint arthroplasty registries (JARs) levels exist based on the recorded data type. Level I JARs are national registries that record primary data. Hospital or institutional JARs (Level II–IV) document further data (patient-reported outcomes, demographic, radiographic). A worldwide list of Level II–IV JARs must be created to effectively assess and categorize these data. Methods Our study is a systematic scoping review that followed the PRISMA guidelines and included 648 studies. Based on their publications, the study aimed to map the existing Level II–IV JARs worldwide. The secondary aim was to record their lifetime, publications’ number and frequency and recognise differences with national JARs. Results One hundred five Level II–IV JARs were identified. Forty-eight hospital-based, 45 institutional, and 12 regional JARs. Fifty JARs were found in America, 39 in Europe, nine in Asia, six in Oceania and one in Africa. They have published 485 cohorts, 91 case-series, 49 case–control, nine cross-sectional studies, eight registry protocols and six randomized trials. Most cohort studies were retrospective. Twenty-three per cent of papers studied patient-reported outcomes, 21.45% surgical complications, 13.73% postoperative clinical and 5.25% radiographic outcomes, and 11.88% were survival analyses. Forty-four JARs have published only one paper. Level I JARs primarily publish implant revision risk annual reports, while Level IV JARs collect comprehensive data to conduct retrospective cohort studies. Conclusions This is the first study mapping all Level II–IV JARs worldwide. Most JARs are found in Europe and America, reporting on retrospective cohorts, but only a few report on studies systematically.

show abstract

Section: Resultsmentioning

confidence: 99%

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Zgouridou,

Kenanidis,

Potoupnis

et al. 2023

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

“…Both the Australian (122,345 primary THA) and Dutch (166,231 primary THA) Registries demonstrate a reduced risk of instability with the anterior approach [35,36]. From a revision perspective, it appears that changing approach does not affect overall rate of instability [37]. Ultimately it is recommended that surgical approach be utilized at the discretion and comfort of the surgeon with the recognition that the anterior approach may have improved stability.…”

Section: Preoperative Optimization Of Hip Stabilitymentioning

confidence: 99%

Instability in Total Hip Arthroplasty

Panwar¹,

Cutter²,

Holmboe³

et al. 2023

Arthroplasty - Advanced Techniques and Future Perspectives

View full text Add to dashboard Cite

Total hip arthroplasty (THA) is becoming one of the most frequently sought-after surgeries in orthopedics. As the techniques and implants continue to evolve, the stability of the prosthesis is always at the forefront of the surgeon’s mind. Multiple factors contribute to implant stability and there are many intraoperative decisions that can be made by the surgeon to increase stability. Techniques including approaches, adjusting length, adjusting offset, as well as implant choices can dictate stability in THA. There are multiple options that exist including different liners and constraint. One non modifiable variable which surgeons often struggle with is the spinopelvic relationship which can also affect stability post operatively. These factors include lumbar arthritis, variable pelvic tilt, and others that can make a routine approach to a total hip unsuccessful and increase the risk of post-operative complications. Ultimately there are many things to consider when approaching THA in patients, especially in the setting of abnormal pathology.

show abstract

“…Eventuell muss aus Gründen der Übersicht bzw. der Exploration ein zusätzlicher Zugang angelegt werden [ 19 , 20 ]. Bereits präoperativ sollte eine Strategie bestehen, die eine vollständige Zemententfernung ermöglicht.…”

Section: Präoperative Planungunclassified

Tipps und Tricks für die Zemententfernung im Revisionsfall

Meier,

Hawellek,

Lehmann

et al. 2023

Orthopädie

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Aktuelle Re-Revisionsraten nach endoprothetischem Gelenkersatz liegen in Deutschland bei 28–37 %. Insbesondere verbliebende Zementreste sind für erneute Revisionseingriffen nach Sanierungsoperationen bei periprothetischen Infektionen ursächlich, weswegen die vollständige Zemententfernung von großer Bedeutung ist. Die Entfernung letzter Zementreste stellt den Operateur jedoch häufig vor technische Herausforderungen. Eine komplikationslose und vollständige Zemententfernung bedarf einer umfangreichen präoperativen Vorbereitung, um die bestmögliche Operationsstrategie zu entwickeln. Therapie Von verschiedenen Herstellern werden Spezialinstrumente angeboten, die die Zemententfernung im Revisionsfall erleichtern. Neben endoluminalen Zugängen existieren Zugangserweiterungen wie zusätzliche Osteotomien, welche die vollständige Zemententfernung erleichtern. Nicht zuletzt sollte der Operateur in der Lage sein, nach einem definierten Zeitintervall die Indikation zum intraoperativen Vorgehenswechsel zu stellen.

show abstract

Changing Surgical Approach From Primary to Revision Total Hip Arthroplasty Is Not Associated With Increased Risk of Dislocation or Re-Revisions

Cited by 9 publications

References 35 publications

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

Instability in Total Hip Arthroplasty

Tipps und Tricks für die Zemententfernung im Revisionsfall

Contact Info

Product

Resources

About