Are Gender, Comorbidity, and Obesity Risk Factors for Postoperative Periprosthetic Fractures After Primary Total Hip Arthroplasty?

被引：72

作者：

Singh, Jasvinder A. ^{[1
,2
,3
,4
,5
]}

Jensen, Matthew R.

Harmsen, Scott W.

Lewallen, David G. ^{[5
]}

机构：

[1] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA

[2] Univ Alabama Birmingham, Div Epidemiol, Sch Publ Hlth, Birmingham, AL 35294 USA

[3] Birmingham VA Med Ctr, Med Serv, Birmingham, AL USA

[4] Birmingham VA Med Ctr, Ctr Surg Med Acute Care Res & Transit CSMART, Birmingham, AL USA

[5] Mayo Clin, Sch Med, Dept Orthoped Surg, Rochester, MN USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 01期

关键词：

total hip arthroplasty; periprosthetic fracture; predictors; risk factors; comorbidity; gender; primary THA; KNEE ARTHROPLASTY; UNITED-STATES; FEMUR; MORBIDITY; MORTALITY; OUTCOMES; INDEX; PAIN;

D O I：

10.1016/j.arth.2012.03.010

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We studied the frequency and patient risk factors for postoperative periprosthetic fractures after primary total hip arthroplasty (THA). With a mean follow-up of 6.3 years, 305 postoperative periprosthetic fractures occurred in 14 065 primary THAs. In multivariable-adjusted Cox regression analyses, female gender (hazard ratio [HR], 1.48; 95% confidence interval [CI], 1.17-1.88), Deyo-Charlson comorbidity score of 2 (HR, 1.74 for score of 2; 95% CI, 1.25-2.43) or 3 or higher (HR, 1.71; 95% CI, 1.26-2.32), and American Society of Anesthesiologist class of 2 (HR, 1.84; 95% CI, 0.90-3.76) or 3 (HR, 2.45; 95% CI, 1.18-5.1) or 4 or higher (HR, 2.68; 95% CI, 0.70-10.28) were significantly associated with higher risk/hazard, and cemented implant, with lower hazard (HR, 0.68; 95% CI, 0.54-0.87) of postoperative periprosthetic fractures. Interventions targeted at optimizing comorbidity management may decrease postoperative fractures after THA.

引用

页码：126 / 131

页数：6

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