Life expectancy after hip arthroplasty: Case-control study of 1018 cases of primary arthrosis

Visuri, Tuomo; Pulkkinen, Pekka; Turula, K; Paavolainen, Pekka; Koskenvuo, Markku

doi:10.3109/17453679408993708

Cited by 40 publications

(12 citation statements)

References 8 publications

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“…Our 5-year patient survival of 89% in both the THA and the TKA groups corresponds well with the figures reported by Holmberg (1992), Surin and Sundholm (1 983) and Visuri et al (1994), who in THA patients found a survival of 85% after 5 years, 86% after 4-7 years, and 83% after 10 years, respectively. The median age of our patients was 7 1 years, the mean ages in the other reports were 67, 64 and 62 years, respectively.…”

Section: Discussionsupporting

confidence: 91%

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Patient survival after total knee arthroplasty: 5-year data in 926 patients

Schrøder¹,

Kristensen

Petersen³

et al. 1998

Acta Orthopaedica Scandinavica

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Section: Discussionsupporting

confidence: 91%

“…Patient survival after total hip arthroplasty (THA) is longer than that of the general population (Lindberg et al 1984, Holmberg 1992, Visuri et al 1994), although Seagroatt et al (1991) demonstrated a minor excess mortality during the first 90 days.…”

mentioning

confidence: 99%

Patient survival after total knee arthroplasty: 5-year data in 926 patients

Schrøder¹,

Kristensen

Petersen³

et al. 1998

Acta Orthopaedica Scandinavica

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“…The lower risk of AMI in patients who had TKA and no history of AMI compared with the patients with no TKA corroborates with other studies, which compared the life expectancy of patients undergoing THA with the general population [9,23]. This may be the result of improved mobilization and/decreased pain beneficial to the cardiovascular health status of the patients.…”

Section: Discussionsupporting

confidence: 86%

Risk of Post-TKA Acute Myocardial Infarction in Patients With a History of Myocardial Infarction or Coronary Stent

Kumar

Tsai

Tan

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Acute myocardial infarction (AMI) is one of the most important perioperative complications of total knee arthroplasty (TKA). Although risk-stratification tools exist for the prediction of cardiac complications including AMI after noncardiac surgery, such stratification does not differentiate the patients with a coronary stent alone, AMI without a stent, or AMI with a stent. The risk of postoperative AMI in these patient groups may vary. Several studies have recommended suitable times for noncardiac surgery in patients with a coronary stent; however, they do not differentiate between the patients with AMI and no AMI. The suitable time of noncardiac surgery for patients with AMI and stent may vary from those with a stent alone. Moreover, a study to evaluate the risk of AMI within 1 year in an Asian population with a history of AMI or coronary stent who underwent TKA has not been reported. Questions/purposes (1) What are the risks of AMI within 1 year of TKA in patients who have had a stent alone, AMI without a stent, or AMI with a stent as compared with patients without an AMI/stent? (2) For patients with AMI/ stent placement, when can TKA be performed where the risk of subsequent AMI normalizes? (3) What comorbidities are associated with post-TKA AMI? (4) Is the risk of AMI within 1 year after surgery in patients undergoing TKA without a history of AMI/stent higher than that in patients with no surgery? Methods This study is a retrospective study of the medical claim records of 128,216 patients who underwent TKA between 1997 and 2010 in Taiwan. The records were retrieved from the research database of the Bureau of National Health Insurance in Taiwan, which maintains the records of 99.68% of the Taiwan population. The patients who had a history of AMI or coronary stent placement within the year before TKA were compared with the patients who had not experienced AMI or stent placement before TKA. The control subjects were matched according to sex, age, Charlson score, and year of surgery. There were 2413 patients in each group. The patients with a history of AMI or stent placement and the timing of TKA after coronary event were further stratified as with a coronary stent alone, AMI without a stent, and AMI with a Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Conclusions This study found the risk of post-TKA AMI remains high within 1 year in patients with a history of AMI/stent. It is recommended that an elective TKA should be performed at least 1 year after an episode of AMI or stent placement. Stents do not provide protection against post-TKA AMI within 6 months of the AMI and patients with AMI + stent have a higher risk of AMI than those with only AMI. Patients of AMI/stent on hemodialysis have a very high risk of post-TKA AMI. However, the risk of AM...

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“…THA and TKA patients who are operated on for primary osteoarthrosis have a longer life expectancy than the general population (Holmberg 1992, Visuri et al 1994, Garelick et al 1998, Ritter et al 1998, Schroder et al 1998, Lie et al 2000. The effect of including healthy patients has been used to explain the total reduction in the incidence of cancer among THA patients.…”

Section: Discussionmentioning

confidence: 99%