Perioperative mortality after hemiarthroplasty related to fixation method

被引：84

作者：

Costain, Darren J. ^{[1
,2
]}

Whitehouse, Sarah L. ^{[1
,2
]}

Pratt, Nicole L. ^{[3
]}

Graves, Stephen E. ^{[4
]}

Ryan, Philip ^{[3
]}

Crawford, Ross W. ^{[1
,2
]}

机构：

[1] Queensland Univ Technol, Inst Hlth & Biomed Innovat, Brisbane, Qld 4001, Australia

[2] Prince Charles Hosp, Orthopaed Res Unit, Brisbane, Qld, Australia

[3] Univ Adelaide, Data Management & Anal Ctr, Discipline Publ Hlth, Adelaide, SA, Australia

[4] Australian Orthopaed Assoc Natl Joint Replacement, Adelaide, SA, Australia

来源：

ACTA ORTHOPAEDICA | 2011年 / 82卷 / 03期

关键词：

TOTAL HIP-ARTHROPLASTY; UNCEMENTED HEMIARTHROPLASTY; BIPOLAR HEMIARTHROPLASTY; FAT-EMBOLISM; FEMORAL-NECK; RISK-FACTORS; MARROW EMBOLIZATION; CEMENTED THOMPSON; 30-DAY MORTALITY; BONE-CEMENT;

D O I：

10.3109/17453674.2011.584208

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：

Methods We analyzed approximately 25,000 hemiarthroplasty cases from the AOA National Joint Replacement Registry. Deaths at 1 day, 1 week, 1 month, and 1 year were compared for all patients and among subgroups based on implant type. Results Patients treated with cemented monoblock hemiarthroplasty had a 1.7-times higher day-1 mortality compared to uncemented monoblock components (p < 0.001). This finding was reversed by 1 week, 1 month, and 1 year after surgery (p < 0.001). Modular hemiarthroplasties did not reveal a difference in mortality between fixation methods at any time point. Interpretation This study shows lower (or similar) overall mortality with cemented hemiarthroplasty of the hip.

引用

页码：275 / 281

页数：7

共 44 条

[1]

AOA, AUSTR ORTH ASS NAT J

[2]

Arroyo J S, 1994, J Arthroplasty, V9, P449, DOI 10.1016/0883-5403(94)90057-4

[3] Estimating hip fracture morbidity, mortality and costs [J].

Braithwaite, RS ;

Col, NF ;

Wong, JB .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (03) :364-370

[4] MEDULLARY LAVAGE REDUCES EMBOLIC PHENOMENA AND CARDIOPULMONARY CHANGES DURING CEMENTED HEMIARTHROPLASTY [J].

CHRISTIE, J ;

ROBINSON, CM ;

SINGER, B ;

RAY, DC .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1995, 77B (03) :456-459

[5] ECHOCARDIOGRAPHY OF TRANSATRIAL EMBOLISM DURING CEMENTED AND UNCEMENTED HEMIARTHROPLASTY OF THE HIP [J].

CHRISTIE, J ;

BURNETT, R ;

POTTS, HR ;

PELL, ACH .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1994, 76B (03) :409-412

[6] Risk factors for revision for early dislocation in total hip arthroplasty [J].

Conroy, Jonathan L. ;

Whitehouse, Sarah L. ;

Graves, Stephen E. ;

Pratt, Nicole L. ;

Ryan, Philip ;

Crawford, Ross W. .

JOURNAL OF ARTHROPLASTY, 2008, 23 (06) :867-872

[7] HIP-FRACTURES IN THE ELDERLY - A WORLDWIDE PROJECTION [J].

COOPER, C ;

CAMPION, G ;

MELTON, LJ .

OSTEOPOROSIS INTERNATIONAL, 1992, 2 (06) :285-289

[8] Postoperative mortality after total hip arthroplasty - An analysis of deaths after two thousand seven hundred and thirty-six procedures [J].

Dearborn, JT ;

Harris, WH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1998, 80A (09) :1291-1294

[9] Predicting survival after treatment for fracture of the proximal femur and the effect of delays to surgery [J].

Elliott, J ;

Beringer, T ;

Kee, F ;

Marsh, D ;

Willis, C ;

Stevenson, M .

JOURNAL OF CLINICAL EPIDEMIOLOGY, 2003, 56 (08) :788-795

[10] The role of methylmethacrylate monomer in the formation and haemodynamic outcome of pulmonary fat emboli [J].

Elmaraghy, AW ;

Humeniuk, B ;

Anderson, GI ;

Schemitsch, EH ;

Richards, RR .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1998, 80B (01) :156-161

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