Patient Factors Predict Periprosthetic Fractures After Revision Total Hip Arthroplasty

被引：31

作者：

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

Jensen, Matthew R. ^{[6
]}

Lewallen, David G. ^{[4
,5
]}

机构：

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

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

[3] Birmingham VA Med Ctr, Ctr Surg Med Acute Care Res & Transit C SMART, Birmingham, AL USA

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

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

[6] Mayo Clin, Coll Med, Dept Hlth Sci Res, Rochester, MN USA

来源：

JOURNAL OF ARTHROPLASTY | 2012年 / 27卷 / 08期

基金：

美国国家卫生研究院;

关键词：

total hip arthroplasty; periprosthetic fracture; predictors; risk factors; comorbidity; primary THA; PERI-PROSTHETIC FRACTURE; KNEE ARTHROPLASTY; FEMORAL FRACTURES; FEMUR; FALLS; RISK; REPLACEMENT; MORBIDITY; MORTALITY; OUTCOMES;

D O I：

10.1016/j.arth.2011.12.010

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 assessed important patient risk factors for postoperative periprosthetic fractures after revision total hip arthroplasty (THA) using prospectively collected Institutional Joint Registry data. We used univariate and multivariable-adjusted Cox regression analyses. There were 330 postoperative periprosthetic fractures after 6281 revision THAs. In multivariable-adjusted analyses, hazard ratio (95% confidence interval) of periprosthetic fracture was higher for women (1.66 [1.32-2.080], P < .001), a higher Deyo-Charlson comorbidity index of 2 (1.46 [1.03-2.07]) and index of 3+ (2.01 [1.48-2.73]; overall, P < .001), and operative diagnosis, especially previous nonunion (5.76 [2.55-13.02]; overall, P < .001). Hazard ratio was lower in patients 61 to 70 years old (0.64 [0.49-0.84]) and 71 to 80 years old (0.57 [0.43-0.76]) compared with those younger than 60 years (overall, P < .0001). Our study identified important modifiable and unmodifiable risk factors for fractures after revision THA.

引用

页码：1507 / 1512

页数：6

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