Clinical results after revision and primary total hip arthroplasty
Results after 184 primary and 227 revision total hip arthroplasties were compared with an emphasis on rates of failure leading to reoperation and intra- and postoperative complications and on the clinical outcome of the nonrevised arthroplasties in the two series. The failure rate was 7% (11 of 156)...
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| Veröffentlicht in: | The Journal of arthroplasty 1989-12, Vol.4 (4), p.297-302 |
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| container_title | The Journal of arthroplasty |
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| creator | Retpen, Jens B. Varmarken, Jens-Erik Stürup, Jens Olsen, Claus Sölund, Keld Steen Jensen, J. |
| description | Results after 184 primary and 227 revision total hip arthroplasties were compared with an emphasis on rates of failure leading to reoperation and intra- and postoperative complications and on the clinical outcome of the nonrevised arthroplasties in the two series. The failure rate was 7% (11 of 156) in the primary series, versus 27% (54 of 195) in the revision series. The rate of complications was substantially higher after revision, due to 16% (36 of 227) intraoperative fractures of the femoral shaft and 6% (14 of 227) postoperative dislocations. Clinical assessment of the nonrevised arthroplasties in the two series revealed no difference with regard to relief of pain. For patients with concomitant disabling conditions functional outcome was inferior after revision, but for patients without such conditions the functional results of the two series were equal. The favorable clinical results of the nonrevised arthroplasties in the revision series must be seen in relation to the very high rate of failure leading to reoperation. |
| doi_str_mv | 10.1016/S0883-5403(89)80030-0 |
| format | Article |
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The failure rate was 7% (11 of 156) in the primary series, versus 27% (54 of 195) in the revision series. The rate of complications was substantially higher after revision, due to 16% (36 of 227) intraoperative fractures of the femoral shaft and 6% (14 of 227) postoperative dislocations. Clinical assessment of the nonrevised arthroplasties in the two series revealed no difference with regard to relief of pain. For patients with concomitant disabling conditions functional outcome was inferior after revision, but for patients without such conditions the functional results of the two series were equal. The favorable clinical results of the nonrevised arthroplasties in the revision series must be seen in relation to the very high rate of failure leading to reoperation.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/S0883-5403(89)80030-0</identifier><identifier>PMID: 2621462</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; clinical evaluation ; clinical outcome ; complications ; failure ; Female ; Follow-Up Studies ; Hip Prosthesis ; Humans ; Male ; Middle Aged ; Pain, Postoperative - etiology ; Postoperative Complications ; Prosthesis Failure ; Reoperation ; revision total hip arthroplasty ; total hip arthroplasty</subject><ispartof>The Journal of arthroplasty, 1989-12, Vol.4 (4), p.297-302</ispartof><rights>1989 Churchill Livingstone Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c275t-fc3970539f5762e84ae57af656afc01c1bbb8f7e298f66024ac02d8d22d5cbed3</citedby><cites>FETCH-LOGICAL-c275t-fc3970539f5762e84ae57af656afc01c1bbb8f7e298f66024ac02d8d22d5cbed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540389800300$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2621462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Retpen, Jens B.</creatorcontrib><creatorcontrib>Varmarken, Jens-Erik</creatorcontrib><creatorcontrib>Stürup, Jens</creatorcontrib><creatorcontrib>Olsen, Claus</creatorcontrib><creatorcontrib>Sölund, Keld</creatorcontrib><creatorcontrib>Steen Jensen, J.</creatorcontrib><title>Clinical results after revision and primary total hip arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Results after 184 primary and 227 revision total hip arthroplasties were compared with an emphasis on rates of failure leading to reoperation and intra- and postoperative complications and on the clinical outcome of the nonrevised arthroplasties in the two series. The failure rate was 7% (11 of 156) in the primary series, versus 27% (54 of 195) in the revision series. The rate of complications was substantially higher after revision, due to 16% (36 of 227) intraoperative fractures of the femoral shaft and 6% (14 of 227) postoperative dislocations. Clinical assessment of the nonrevised arthroplasties in the two series revealed no difference with regard to relief of pain. For patients with concomitant disabling conditions functional outcome was inferior after revision, but for patients without such conditions the functional results of the two series were equal. The favorable clinical results of the nonrevised arthroplasties in the revision series must be seen in relation to the very high rate of failure leading to reoperation.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>clinical evaluation</subject><subject>clinical outcome</subject><subject>complications</subject><subject>failure</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain, Postoperative - etiology</subject><subject>Postoperative Complications</subject><subject>Prosthesis Failure</subject><subject>Reoperation</subject><subject>revision total hip arthroplasty</subject><subject>total hip arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtPwzAQhC0EKqXwEyrlhOAQWDux45wQVLykShyAs-U4a9UoTYrtVOq_J32oV06r1czsaj5CphTuKFBx_wlSZinPIbuR5a0EyCCFEzKmPGOpzEGckvHRck4uQvgBoJTzfERGTDCaCzYmT7PGtc7oJvEY-iaGRNuIftjWLriuTXRbJyvvltpvktjFwbhwq0T7uPDdqtEhbi7JmdVNwKvDnJDvl-ev2Vs6_3h9nz3OU8MKHlNrsrIAnpWWF4KhzDXyQlvBhbYGqKFVVUlbICulFQJYrg2wWtaM1dxUWGcTcr2_u_Ldb48hqqULBptGt9j1QRVlXoiyoIOR743GdyF4tOpQQFFQW3Zqx05twShZqh07BUNuenjQV0usj6kDrEF_2Os4tFw79CoYh63B2nk0UdWd--fDH51rfwI</recordid><startdate>198912</startdate><enddate>198912</enddate><creator>Retpen, Jens B.</creator><creator>Varmarken, Jens-Erik</creator><creator>Stürup, Jens</creator><creator>Olsen, Claus</creator><creator>Sölund, Keld</creator><creator>Steen Jensen, J.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198912</creationdate><title>Clinical results after revision and primary total hip arthroplasty</title><author>Retpen, Jens B. ; Varmarken, Jens-Erik ; Stürup, Jens ; Olsen, Claus ; Sölund, Keld ; Steen Jensen, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c275t-fc3970539f5762e84ae57af656afc01c1bbb8f7e298f66024ac02d8d22d5cbed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>clinical evaluation</topic><topic>clinical outcome</topic><topic>complications</topic><topic>failure</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain, Postoperative - etiology</topic><topic>Postoperative Complications</topic><topic>Prosthesis Failure</topic><topic>Reoperation</topic><topic>revision total hip arthroplasty</topic><topic>total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Retpen, Jens B.</creatorcontrib><creatorcontrib>Varmarken, Jens-Erik</creatorcontrib><creatorcontrib>Stürup, Jens</creatorcontrib><creatorcontrib>Olsen, Claus</creatorcontrib><creatorcontrib>Sölund, Keld</creatorcontrib><creatorcontrib>Steen Jensen, J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Retpen, Jens B.</au><au>Varmarken, Jens-Erik</au><au>Stürup, Jens</au><au>Olsen, Claus</au><au>Sölund, Keld</au><au>Steen Jensen, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical results after revision and primary total hip arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>1989-12</date><risdate>1989</risdate><volume>4</volume><issue>4</issue><spage>297</spage><epage>302</epage><pages>297-302</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Results after 184 primary and 227 revision total hip arthroplasties were compared with an emphasis on rates of failure leading to reoperation and intra- and postoperative complications and on the clinical outcome of the nonrevised arthroplasties in the two series. The failure rate was 7% (11 of 156) in the primary series, versus 27% (54 of 195) in the revision series. The rate of complications was substantially higher after revision, due to 16% (36 of 227) intraoperative fractures of the femoral shaft and 6% (14 of 227) postoperative dislocations. Clinical assessment of the nonrevised arthroplasties in the two series revealed no difference with regard to relief of pain. For patients with concomitant disabling conditions functional outcome was inferior after revision, but for patients without such conditions the functional results of the two series were equal. The favorable clinical results of the nonrevised arthroplasties in the revision series must be seen in relation to the very high rate of failure leading to reoperation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>2621462</pmid><doi>10.1016/S0883-5403(89)80030-0</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of arthroplasty, 1989-12, Vol.4 (4), p.297-302 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over clinical evaluation clinical outcome complications failure Female Follow-Up Studies Hip Prosthesis Humans Male Middle Aged Pain, Postoperative - etiology Postoperative Complications Prosthesis Failure Reoperation revision total hip arthroplasty total hip arthroplasty |
| title | Clinical results after revision and primary total hip arthroplasty |
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