Dislocation and Infection After Revision Total Hip Arthroplasty Comparison Between the First and Multiply Revised Total Hip Arthroplasty

被引：56
|
作者：
Kosashvili, Yona [1 ]
Backstein, David [1 ]
Safir, Oleg [1 ]
Lakstein, Dror [1 ]
Gross, Allan E. [1 ]
机构：
[1] Univ Toronto, Mt Sinai Hosp, Dept Orthoped, Div Arthroplasty, Toronto, ON M5G 1X5, Canada
来源：
JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 08期
关键词：
infection; dislocation; revision hip arthroplasty; first revision; multiple revisions; UNITED-STATES; RISK-FACTORS; REPLACEMENT; EXPERIENCE; SURGEONS; OUTCOMES; RATES;
D O I：
10.1016/j.arth.2011.04.022
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：
Dislocation and infection are common complications of total hip arthroplasty (THA). This study evaluated the correlation between the number of revision THAs and the incidence of these complications. Data were obtained from 749 revision THAs. Average follow-up was 13.2 +/- 5.9 years. Patients were grouped as first, second, third, and fourth or greater revision THA. Dislocation rates (5.68%, 7.69%, 8.33%, and 27.45%) and infection rates (1.35%, 1.92%, 2.5%, and 7.84%) in the first, second, third, and fourth or greater groups, respectively, correlated directly with the revision number and were highest (P < .001) in the fourth or greater group. Dislocation and infection are exponentially correlated with the number of revision THA. From the fourth revision onward, those risks are multiplied.
引用
收藏
页码：1170 / 1175
页数：6
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