Risk Factors for Total Hip Arthroplasty Aseptic Revision

被引:47
|
作者
Khatod, Monti [1 ]
Cafri, Guy [2 ]
Namba, Robert S. [3 ]
Inacio, Maria C. S. [2 ]
Paxton, Elizabeth W. [2 ]
机构
[1] So Calif Permanente Med Grp, Dept Orthopaed Surg, Los Angeles, CA USA
[2] So Calif Permanente Med Grp, Surg Outcomes & Anal Unit, San Diego, CA 92108 USA
[3] So Calif Permanente Med Grp, Dept Orthopaed Surg, Orange, CA USA
来源
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 07期
关键词
aseptic revisions; total hip arthroplasty; Total Joint Replacement Registry; risk factors; STATES MEDICARE POPULATION; RANDOMIZED CONTROLLED-TRIAL; DIFFERENT BEARING SURFACES; NATIONAL JOINT REGISTRY; METAL-ON-METAL; UNITED-STATES; REPLACEMENT; DISLOCATION; FAILURE; RATES;
D O I
10.1016/j.arth.2014.01.023
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
The purpose of this study was to evaluate patient, operative, implant, surgeon, and hospital factors associated with aseptic revision after primary THA in patients registered in a large US Total Joint Replacement Registry. A total of 35,960 THAs registered from 4/2001-12/2010 were evaluated. The 8-year survival rate was 96.7% (95% CI 96.4%-97.0%). Females had a higher risk of aseptic revision than males. Hispanic and Asian patients had a lower risk of revision than white patients. Ceramic-on-ceramic, ceramic-on-conventional polyethylene, and metal-on-conventional polyethylene bearing surfaces had a higher risk of revision than metal-on-highly cross-linked polyethylene. Body mass index, health status, diabetes, diagnosis, fixation, approach, bilateral procedures, head size, surgeon fellowship training, surgeon and hospital volume were not revision risk factors. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:1412 / 1417
页数:6
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