Revision of total hip arthroplasty by long locking stem with fully hydroxyapatite-coated modular metaphysis (Reef™): A continuous series of 78 cases at a minimum 2-year follow-up

de Leissegues, Tristan; Viste, Anthony; Fessy, Michel-Henri

doi:10.1016/j.otsr.2023.103786

Orthopaedics & Traumatology: Surgery & Research

2024

DOI: 10.1016/j.otsr.2023.103786

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Revision of total hip arthroplasty by long locking stem with fully hydroxyapatite-coated modular metaphysis (Reef™): A continuous series of 78 cases at a minimum 2-year follow-up

Tristan de Leissegues,

Anthony Viste,

Michel-Henri Fessy

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Septic Hip Revision Arthroplasty—A Perioperative and Follow-Up Risk Analysis

Borkens,

Götze,

Migliorini

et al. 2024

JCM

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Background: Septic hip revision arthroplasty is a complex procedure associated with significant perioperative risks. This study aimed to analyze perioperative and follow-up risk factors in patients undergoing septic hip revision arthroplasty. Methods: A retrospective analysis was conducted on 96 patients who underwent septic revision total hip arthroplasty between 2018 and 2021 at a university hospital. Demographic data, surgical details, pathogen analyses, and complication data were collected and analyzed. The first and second hospitalizations were investigated. Data analyses were conducted with SPSS Version 29.0. Results: The mean age of patients was 69.06 ± 11.56 years, with 59.4% being female. On average, 1.3 ± 0.8 pathogens were detected per patient. Staphylococcus species were the most common pathogens. Women experienced significantly more complications during the first revision hospitalization (p = 0.010), including more surgical (p = 0.022) and systemic complications (p = 0.001). Anemia requiring transfusion was more common in women (70.1% vs. 43.5%, p = 0.012). A higher BMI was associated with a higher count of pathogens (p = 0.019). The number of pathogens correlated with increased wound healing disorders (p < 0.001) and the need for further revision surgeries (p < 0.001). Conclusions: This study identifies gender as a significant risk factor for complications in septic hip revision arthroplasty. Female patients may require more intensive perioperative management to mitigate risks. The findings underscore the need for personalized approaches in managing these complex cases to improve outcomes.

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Septic Hip Revision Arthroplasty—A Perioperative and Follow-Up Risk Analysis

Borkens,

Götze,

Migliorini

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

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Revision of total hip arthroplasty by long locking stem with fully hydroxyapatite-coated modular metaphysis (Reef™): A continuous series of 78 cases at a minimum 2-year follow-up

Cited by 1 publication

References 41 publications

Septic Hip Revision Arthroplasty—A Perioperative and Follow-Up Risk Analysis

Septic Hip Revision Arthroplasty—A Perioperative and Follow-Up Risk Analysis

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