Perioperative mortality after hemiarthroplasty related to fixation method
Background and purpose The appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality. Methods We analyzed approximately 25,000 hemi...
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| Veröffentlicht in: | Acta orthopaedica 2011-06, Vol.82 (3), p.275-281 |
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| container_title | Acta orthopaedica |
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| creator | Costain, Darren J Whitehouse, Sarah L Pratt, Nicole L Graves, Stephen E Ryan, Philip Crawford, Ross W |
| description | Background and purpose The appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality.
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. |
| doi_str_mv | 10.3109/17453674.2011.584208 |
| format | Article |
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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.</description><identifier>ISSN: 1745-3674</identifier><identifier>EISSN: 1745-3682</identifier><identifier>DOI: 10.3109/17453674.2011.584208</identifier><identifier>PMID: 21561308</identifier><language>eng</language><publisher>England: Nordic Orthopaedic Federation</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - methods ; Arthroplasty, Replacement, Hip - mortality ; Australia - epidemiology ; Cementation ; Female ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - methods ; Hip Fractures - surgery ; Hip Prosthesis - adverse effects ; Humans ; Male ; Postoperative Complications - mortality ; Prosthesis Failure ; Registries ; Reoperation</subject><ispartof>Acta orthopaedica, 2011-06, Vol.82 (3), p.275-281</ispartof><rights>Copyright: © Nordic Orthopaedic Federation 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-aa7bdef9ed3667229344b7c76d855947623ac2f2f4d61aff7b9d78864c10d3623</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/17453674.2011.584208$$EPDF$$P50$$Ginformahealthcare$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/17453674.2011.584208$$EHTML$$P50$$Ginformahealthcare$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,861,27905,27906,61197,61198</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21561308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costain, Darren J</creatorcontrib><creatorcontrib>Whitehouse, Sarah L</creatorcontrib><creatorcontrib>Pratt, Nicole L</creatorcontrib><creatorcontrib>Graves, Stephen E</creatorcontrib><creatorcontrib>Ryan, Philip</creatorcontrib><creatorcontrib>Crawford, Ross W</creatorcontrib><title>Perioperative mortality after hemiarthroplasty related to fixation method</title><title>Acta orthopaedica</title><addtitle>Acta Orthop</addtitle><description>Background and purpose The appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality.
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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Arthroplasty, Replacement, Hip - mortality</subject><subject>Australia - epidemiology</subject><subject>Cementation</subject><subject>Female</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Hip Fractures - surgery</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Male</subject><subject>Postoperative Complications - mortality</subject><subject>Prosthesis Failure</subject><subject>Registries</subject><subject>Reoperation</subject><issn>1745-3674</issn><issn>1745-3682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF1LwzAUhoMobk7_gUjvvOrMV5P0RpDhx2CgF3od0vaEZrRNTVNx_96ObV6dw8vzHjgPQrcELxnB-QORPGNC8iXFhCwzxSlWZ2i-j1MmFD3_3yWfoath2GLMFM_xJZpRkgnCsJqj9QcE53sIJrofSFofomlc3CXGRghJDa0zIdbB940ZpjhAYyJUSfSJdb9TyXdJC7H21TW6sKYZ4OY4F-jr5flz9ZZu3l_Xq6dNWjJBY2qMLCqwOVRMCElpzjgvZClFpbIs51JQZkpqqeWVIMZaWeSVVErwkuCpQtkC3R_u9sF_jzBE3bqhhKYxHfhx0ErkHNOckIm8O5Jj0UKl--BaE3b69P0EPB4A11kfWlODaWJdmgB668fQTW9ogvVetz7p1nvd-qCb_QE143FQ</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Costain, Darren J</creator><creator>Whitehouse, Sarah L</creator><creator>Pratt, Nicole L</creator><creator>Graves, Stephen E</creator><creator>Ryan, Philip</creator><creator>Crawford, Ross W</creator><general>Nordic Orthopaedic Federation</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Perioperative mortality after hemiarthroplasty related to fixation method</title><author>Costain, Darren J ; Whitehouse, Sarah L ; Pratt, Nicole L ; Graves, Stephen E ; Ryan, Philip ; Crawford, Ross W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-aa7bdef9ed3667229344b7c76d855947623ac2f2f4d61aff7b9d78864c10d3623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Arthroplasty, Replacement, Hip - mortality</topic><topic>Australia - epidemiology</topic><topic>Cementation</topic><topic>Female</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Hip Fractures - surgery</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Male</topic><topic>Postoperative Complications - mortality</topic><topic>Prosthesis Failure</topic><topic>Registries</topic><topic>Reoperation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costain, Darren J</creatorcontrib><creatorcontrib>Whitehouse, Sarah L</creatorcontrib><creatorcontrib>Pratt, Nicole L</creatorcontrib><creatorcontrib>Graves, Stephen E</creatorcontrib><creatorcontrib>Ryan, Philip</creatorcontrib><creatorcontrib>Crawford, Ross W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta orthopaedica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costain, Darren J</au><au>Whitehouse, Sarah L</au><au>Pratt, Nicole L</au><au>Graves, Stephen E</au><au>Ryan, Philip</au><au>Crawford, Ross W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative mortality after hemiarthroplasty related to fixation method</atitle><jtitle>Acta orthopaedica</jtitle><addtitle>Acta Orthop</addtitle><date>2011-06</date><risdate>2011</risdate><volume>82</volume><issue>3</issue><spage>275</spage><epage>281</epage><pages>275-281</pages><issn>1745-3674</issn><eissn>1745-3682</eissn><abstract>Background and purpose The appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality.
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.</abstract><cop>England</cop><pub>Nordic Orthopaedic Federation</pub><pmid>21561308</pmid><doi>10.3109/17453674.2011.584208</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | PubMed (Medline); MEDLINE; Taylor & Francis Open Access(OpenAccess); DOAJ Directory of Open Access Journals; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - methods Arthroplasty, Replacement, Hip - mortality Australia - epidemiology Cementation Female Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - methods Hip Fractures - surgery Hip Prosthesis - adverse effects Humans Male Postoperative Complications - mortality Prosthesis Failure Registries Reoperation |
| title | Perioperative mortality after hemiarthroplasty related to fixation method |
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