Posterior Approach With Posterior Soft Tissue Repair in Revision Total Hip Arthroplasty

Suh, Kuen Tak; Roh, Hyoung Lok; Moon, Kyu Pill; Shin, Jong Ki; Lee, Jung Sub

doi:10.1016/j.arth.2007.08.009

Cited by 22 publications

(28 citation statements)

References 22 publications

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“…Additionally, there is an increased prevalence of osteoporosis in patients with RA (44), which may increase the risk of fractures and dislocations. There may also be a systematic difference in surgical approach between types of arthritis that accounts for our results (45)(46)(47). Finally, increased susceptibility to dislocation in patients with RA may result from poorer soft tissue quality than that in patients with OA (48), resulting in suboptimal hip abductor strength and soft tissue laxity postoperatively (49).…”

Section: Discussionmentioning

confidence: 92%

Increased Risk of Complications Following Total Joint Arthroplasty in Patients With Rheumatoid Arthritis

Ravi

Croxford

Hollands

et al. 2014

Arthritis & Rheumatology

170

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Objective. Most of the evidence regarding complications following total hip arthroplasty (THA) and total knee arthroplasty (TKA) are based on patients with osteoarthritis (OA); less is known about outcomes in rheumatoid arthritis (RA). Using a validated algorithm for identifying patients with RA, we undertook this study to compare the rates of complications among THA and TKA recipients between those with RA and those without RA.Methods. In patients who underwent a first primary elective THA or TKA between 2002 and 2009, those with RA were identified using a validated algorithm: a hospitalization with a diagnosis code for RA or 3 physician billing claims with a diagnosis code for RA, with at least 1 claim by a specialist (rheumatologist, orthopedic surgeon, or internist) in a 2-year period. Recipients with diagnostic codes suggesting an inflammatory arthritis, but not meeting RA criteria, were classified as having inflammatory arthritis. All remaining patients were deemed to have OA. Cox proportional hazards models, censored on death, were used to determine the relationship between the type of arthritis and the occurrence of specific complications, adjusting for potential confounders (age, sex, comorbidity, and provider volume).Results. We identified 43,997 eligible THA recipients (3% with RA) and 71,793 eligible TKA recipients (4% with RA). Total joint arthroplasty recipients with RA had higher age and sex-standardized rates of dislocation following THA (2.45%, compared with 1.21% for recipients with OA) and higher age and sex-standardized rates of infection following TKA (1.26%, compared with 0.84% for recipients with OA). Controlling for potential confounders, recipients with RA remained at increased risk of dislocation within 2 years of THA (adjusted hazard ratio [HR] 1.91, P ‫؍‬ 0.001) and remained at increased risk of infection within 2 years of TKA (adjusted HR 1.47, P ‫؍‬ 0.03) relative to recipients with OA.Conclusion. Patients with RA are at higher risk of dislocation following THA and are at higher risk of infection following TKA relative to those with OA. Further research is warranted to elucidate explanations for these findings, including the roles of medication profile, implant choice, postoperative antibiotic protocol, and method of rehabilitation following joint replacement.

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Section: Discussionmentioning

confidence: 92%

Increased Risk of Complications Following Total Joint Arthroplasty in Patients With Rheumatoid Arthritis

Ravi

Croxford

Hollands

et al. 2014

Arthritis & Rheumatology

170

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“…Barnes et al [1] reported no difference in dislocation rates between surgical approaches for bipolar HAs. The reported dislocation rate after THA using the posterior approach with adequate soft tissue repair is not high [16,19,26,29,30]. Because we used the posterior approach in all patients, comparison with another approach is needed.…”

Section: Discussionmentioning

confidence: 99%

Is the Dislocation Rate Higher after Bipolar Hemiarthroplasty in Patients with Neuromuscular Diseases?

Suh

Kim

Lee

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Patients with neuromuscular disease reportedly have a higher incidence of postoperative dislocation after bipolar hemiarthroplasty. Although the literature has focused on a high prevalence of preoperative neurologic conditions in patients who had dislocations after bipolar hemiarthroplasties, the relative incidence of dislocation in patients with neuromuscular disease and without is unclear. Questions/purposes We therefore (1) asked whether the incidence of postoperative dislocation after bipolar hemiarthroplasty was greater in patients with neuromuscular disease than for those without, and (2) whether function differed between the two groups, and (3) explored potential risk factors for dislocation in two groups.

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“…In fact, we considered reoperation in addition to revision as an end point for failure whereas Springer et al considered only rerevision as the end point for failure which will, of course, lead to a higher rate of failure in our study [20]. Despite applying measures such as using larger femoral heads, inserting constrained or elevated rim liners, performing posterior capsular repair during a posterior approach that has decreased the incidence of dislocation after revision THA [1,10,18,21], instability still constitutes a considerable number of failures after revision hip arthroplasty [20]. Dislocation occurs after 0.3% to 10% of primary THAs and after up to 28% of revision THAs [18].…”

Section: Discussionmentioning

confidence: 99%

Revision Hip Arthroplasty: Infection is the Most Common Cause of Failure

Jafari

Coyle

Mortazavi

et al. 2010

Clinical Orthopaedics &Amp; Related Research

216

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Background Revision total hip arthroplasty (THA), although relieving pain and restoring function, fails in some patients. In contrast to failures in primary THA, the frequency of the causes of failure in revision THA has been less well established. Questions/purposes We therefore determined the rate of each failure mode and the survivorship of revision THAs. Methods We retrospectively reviewed the charts of 1366 revision THAs performed between 2000 and 2007. There were 609 (44.5%) men and 757 (55.5%) women with a mean age of 66 years. The indications for the revision surgery were mainly aseptic loosening (51%), instability (15%), wear (14%), and infection (8%). The minimum followup was 1 day (mean, 5.5 years; range, 1 day to 9 years). Results Two hundred fifty-six of the revisions (18.7%) failed with an average time to failure of 16.6 months (range,

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Posterior Approach With Posterior Soft Tissue Repair in Revision Total Hip Arthroplasty

Cited by 22 publications

References 22 publications

Increased Risk of Complications Following Total Joint Arthroplasty in Patients With Rheumatoid Arthritis

Increased Risk of Complications Following Total Joint Arthroplasty in Patients With Rheumatoid Arthritis

Is the Dislocation Rate Higher after Bipolar Hemiarthroplasty in Patients with Neuromuscular Diseases?

Revision Hip Arthroplasty: Infection is the Most Common Cause of Failure

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