Survival of Patients and Prostheses after Total Hip Arthroplasty

Surin, Valdemar V.; Sundholm, Krister

doi:10.1097/00003086-198307000-00022

Cited by 42 publications

(27 citation statements)

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“…The I0-year life expectancy of the THA patients with primary OA was, however, longer than that in a general population. This observation was consistent with Surin and Sundholm's (1983) and Holmberg's (1992) series. Whether the improvement of the patient's mobility due to THA will reduce the niortality, compared with the unoperated patients, needs further studies.…”

Section: Discussionsupporting

confidence: 92%

“…The THA of the other hip and later revisions were excluded to obtain an overall view of the mortality of the THA patients. In fact, the patients with prosthetic failure in Surin and Sundholm's (1983) series carried a very low risk of death compared with the rest of the population. The 0.2 percent in-hospital mortality of the THA patients had no significant influence on the long-term survivorship.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Visuri

Pulkkinen

Turula

et al. 1994

Acta Orthopaedica Scandinavica

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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

Visuri

Pulkkinen

Turula

et al. 1994

Acta Orthopaedica Scandinavica

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“…Several other studies have also reported a positive correlation between overweight and revision risk after THR (Surin and Sundholm 1983, Schurman et al 1989, Hozack et al 1990, Karachalios et al 1993. The age dependency observed in our study was in accordance with a report by Schurman et al (1989), where the highest risk of revision was found among patients older than 75 years and weighing more than 75 kg.…”

Section: Risk Factorssupporting

confidence: 92%

“…That similar loading mechanisms also increase the risk of THR revision has been demonstrated (Dorr et al 1983, Surin and Sundholm 1983, White 1988, Schurman et al 1989, Hozack et al 1990, Kilgus et al 1991, Karachalios et al 1993. Smoking, alcohol abuse and steroid medication are associated with an increased risk of osteonecrosis of the femoral head (Chang et a].…”

Section: A Population Register-based Case-control Study Of 674 Revisementioning

confidence: 82%

Patient-related risk factors for early revision of total hip replacements: A population register-based case-control study of 674 revised hips

Havelin

Engesæter

Langeland

et al. 1997

Acta Orthopaedica Scandinavica

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“…Historically, excessive body weight greater than 80 kg was associated with a higher rate of aseptic loosening in patients undergoing THA [32,83]. Recently, several studies by Amstutz et al [4,17,58] demonstrate greater patient weight is not associated with earlier component loosening and femoral neck fracture risk, and survivorship up to 5 years are similar between the obese (98.6%) and nonobese (93.6%) patients with metal-on-metal hip resurfacing.…”

Section: Obesitymentioning

confidence: 99%

Is Patient Selection Important for Hip Resurfacing?

Nunley¹,

Valle²,

Barrack³

2009

Clinical Orthopaedics &Amp; Related Research

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The optimal implant option for hip arthroplasty in the young, active patient remains controversial. There has been renewed interest for metal-on-metal hip resurfacing due to improved design and manufacturing of implants, better materials, enhanced implant fixation, theoretical advantages over conventional total hip arthroplasty, and recent Food and Drug Administration approval of two devices. Recent studies indicate satisfactory short-and midterm clinical results (1-to 10-year followup) with low complication rates, but there is a learning curve associated with this procedure, a more extensive surgical approach is necessary, and long-term results have yet to be determined. Proper patient selection may help avoid complications and improve patient outcomes. Patient selection criteria in the literature appear based predominantly on theoretical considerations without any consensus on stratifying patient risk. The most commonly reported complications encountered with hip resurfacing include femoral neck fracture, acetabular component loosening, metal hypersensitivity, dislocation, and nerve injury. At the time of clinical evaluation, patient age; gender; diagnosis; bone density, quality, and morphology; activity level; leg lengths; renal function; and metal hypersensitivity are important factors when considering a patient for hip resurfacing. Based on our review, we believe the best candidates for hip resurfacing are men under age 65 with osteoarthritis and relatively normal bony morphology. Level of Evidence: Level V, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Survival of Patients and Prostheses after Total Hip Arthroplasty

Cited by 42 publications

References 0 publications

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

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

Patient-related risk factors for early revision of total hip replacements: A population register-based case-control study of 674 revised hips

Is Patient Selection Important for Hip Resurfacing?

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