Mid-term outcomes of titanium modular neck femoral stems in revision total hip arthroplasty

Ouanezar, Hervé; Jalaguier, Thomas; Franck, Florent; Pibarot, Vincent; Bothorel, Hugo; Saffarini, Mo; Piton, J

doi:10.21037/atm.2019.01.34

Cited by 5 publications

(6 citation statements)

References 51 publications

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“…Due to the characteristics of elderly patients with hip fracture, various complications easily develop. Hip surgery is one of the effective methods for the treatment of hip fracture, which can effectively relieve pain, improve joint function, and enhance the patients’ quality of life [ 5 ]. Respiratory failure is a common complication in elderly patients with hip fracture, which not only affects the normal physical function and metabolism of patient, but also has an important influence on the prognosis of elderly patients with hip fracture.…”

Section: Discussionmentioning

confidence: 99%

Risks of postoperative respiratory failure in elderly patients after hip surgery: a retrospective study

et al. 2022

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Background The purpose of this retrospective study was to investigate the determinants of postoperative respiratory failure in elderly patients with hip fracture. Methods The subjects of this study were 663 elderly patients who had hip fracture and had been treated with total hip arthroplasty at our hospital from January 2014 to May 2020. According to the occurrence of postoperative respiratory failure, 626 patients with no respiratory failure were retrospectively included in the control group, and 37 cases combined with respiratory failure were enrolled in the PRF group. The clinical and surgical data of the two groups were collected and analyzed to evaluate the determinants of respiratory failure by logistic regression analysis. Results There were no significant differences in the demographics and baseline variables including age, gender, fracture type and location between the groups (P > 0.05). All patients received hip surgery including total hip arthroplasty (THA), hemiarthroplasty (HA) and internal fixation with PFNA (proximal femoral nail anti-rotation). There were no significant differences in operative time and intraoperative blood loss between the groups (P > 0.05). However, close associations were found between pulmonary hypertension (univariate analysis: OR = 3.792, 95% CI = 1.421–10.203; multivariate analysis: OR = 1.132, 95% CI = 1.003–1.251), obstructive pulmonary disease (OR = 1.119, 95% CI = 1.009–1.238; multivariate analysis: OR = 13.298, 95% CI = 4.021–43.298), bronchiectasis and emphysema (OR = 4.949, 95% CI = 1.919–9.873; multivariate analysis: OR = 11.231, 95% CI = 187.87), and history of respiratory failure (OR = 6.098, 95% CI = 2.012–12.198; multivariate analysis: OR = 8.389, 95% CI = 2.391–21.982) with postoperative respiratory failure (P < 0.05). Conclusion Pulmonary hypertension, abnormal lung texture, obstructive pulmonary disease, bronchiectasis, emphysema, history of respiratory failure, and hypoproteinemia may be risk factors for postoperative respiratory failure in elderly patients with hip fracture.

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Section: Discussionmentioning

confidence: 99%

Risks of postoperative respiratory failure in elderly patients after hip surgery: a retrospective study

et al. 2022

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“…Hip replacement is a common procedure for treating hip fractures or disease such as osteoarthritis. Despite recent advances in surgical techniques and outcomes, mortality after hip replacement remains relatively high 1 . As the population of older adults continues to grow, so does the need for hip replacement surgeries 2 .…”

Section: Introductionmentioning

confidence: 99%

Association between inflammation-based prognostic markers and mortality after hip replacement

Oh,

Kwon,

Jin

et al. 2024

Sci Rep

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We aimed to evaluate the association between inflammation-based prognostic markers and mortality after hip replacement. From March 2010 to June 2020, we identified 5,369 consecutive adult patients undergoing hip replacement with C-reactive protein (CRP), albumin, and complete blood count measured within six months before surgery. Receiver operating characteristic (ROC) curves were generated to evaluate predictabilities and estimate thresholds of CRP-to-albumin ratio (CAR), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR). Patients were divided according to threshold, and mortality risk was compared. The primary outcome was one-year mortality, and overall mortality was also analyzed. One-year mortality was 2.9%. Receiver operating characteristics analysis revealed areas under the curve of 0.838, 0.832, 0.701, and 0.732 for CAR, NLR, PLR, and modified Glasgow Prognostic Score, respectively. The estimated thresholds were 2.10, 3.16, and 11.77 for CAR, NLR, and PLR, respectively. According to the estimated threshold, high CAR and NLR were associated with higher one-year mortality after adjustment (1.0% vs. 11.7%; HR = 2.16; 95% CI 1.32–3.52; p = 0.002 for CAR and 0.8% vs. 9.6%; HR = 2.05; 95% CI 1.24–3.39; p = 0.01 for NLR), but PLR did not show a significant mortality increase (1.4% vs. 7.4%; HR = 1.12; 95% CI 0.77–1.63; p = 0.57). Our study demonstrated associations of preoperative levels of CAR and NLR with postoperative mortality in patients undergoing hip replacement. Our findings may be helpful in predicting mortality in patients undergoing hip replacement.

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“… 2 Total hip arthroplasty and total knee arthroplasty are effective treatments for end‐stage hip and knee diseases, respectively, and the replacement surgeries can effectively relieve pain, improve joint function, and enhance patients' quality of life. 3 Arthroplasty is an implantable surgery, which causes greater trauma and requires patients to lie down for a long period of time after the surgery, therefore, it is easy to induce a variety of undesirable complications, and high‐quality nursing services can reduce the incidence of complications and promote the recovery of patients. 4 If these situations occurring in the perioperative period are not effectively improved and solved, they will inevitably affect the smooth progress of surgery and the postoperative recovery of patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of clinical nursing pathway on the surgical site wound infection in patients undergoing knee or hip replacement surgery: A meta‐analysis

Huang,

Li,

Peng

et al. 2024

International Wound Journal

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To explore the effect of clinical nursing pathway on wound infection in patients undergoing knee or hip replacement surgery. Computerised searches of PubMed, Web of Science, Cochrane Library, Embase, Wanfang, China Biomedical Literature Database, China National Knowledge Infrastructure databases were conducted, from database inception to September 2023, on the randomised controlled trials (RCTs) of application of clinical nursing pathway to patients undergoing knee and hip arthroplasty. Literature was screened and evaluated by two researchers based on inclusion and exclusion criteria, and data were extracted from the final included literature. RevMan 5.4 software was employed for data analysis. Overall, 48 RCTs involving 4139 surgical patients were included, including 2072 and 2067 in the clinical nursing pathway and routine nursing groups, respectively. The results revealed, compared with routine nursing, the use of clinical nursing pathways was effective in reducing the rate of complications (OR = 0.17, 95%CI: 0.14–0.21, p < 0.001) and wound infections (OR = 0.29, 95%CI: 0.16–0.51, p < 0.001), shortens the hospital length of stay (MD = −4.11, 95%CI: −5.40 to −2.83, p < 0.001) and improves wound pain (MD = −1.34, 95%CI: −1.98 to −0.70, p < 0.001); it also improve patient satisfaction (OR = 7.13, 95%CI: 4.69–10.85, p < 0.001). The implementation of clinical nursing pathways in clinical care after knee or hip arthroplasty can effectively reduce the incidence of complications and wound infections, and also improve the wound pain, while also improving treatment satisfaction so that patients can be discharged from the hospital as soon as possible.

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Mid-term outcomes of titanium modular neck femoral stems in revision total hip arthroplasty

Cited by 5 publications

References 51 publications

Risks of postoperative respiratory failure in elderly patients after hip surgery: a retrospective study

Risks of postoperative respiratory failure in elderly patients after hip surgery: a retrospective study

Association between inflammation-based prognostic markers and mortality after hip replacement

Effects of clinical nursing pathway on the surgical site wound infection in patients undergoing knee or hip replacement surgery: A meta‐analysis

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