Systematic review of proximal femoral arthroplasty for non-neoplastic conditions
| Autor: | Muhammad T. Korim, Robert U. Ashford, Colin N.A. Esler |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Reoperation
medicine.medical_specialty Prosthesis-Related Infections Non neoplastic business.industry medicine.medical_treatment Mortality rate Arthroplasty Replacement Hip Aseptic loosening Arthroplasty Surgery Resection Prosthesis Failure Treatment modality Medicine Humans Orthopedics and Sports Medicine Femur Radiology Prosthesis-Related Infection Bone Diseases Periprosthetic Fractures business Follow-Up Studies |
| Zdroj: | The Journal of arthroplasty. 29(11) |
| ISSN: | 1532-8406 |
| Popis: | Proximal femoral arthroplasty (PFA) is an established treatment modality following oncological resection. Increasingly, these prostheses are being used for non-neoplastic conditions such as fractures and bone loss associated with septic or aseptic loosening. We performed a systematic review of the literature to determine the failure rates, mortality rates and hip outcome scores when PFAs were used in non-neoplastic conditions. There were 14 studies with an average follow-up of 3.8 years (range 0-14 years) describing 356 PFAs. Re-operation for any reason occurred in 23.8% (85/356) of cases. The most common complications were dislocation (15.7%) and infection (7.6%). The mortality rate ranged from 0% to 40%. PFA provides an acceptable surgical solution when confronted with massive bone loss, but it has a high re-operation rate for dislocation and infection. |
| Databáze: | OpenAIRE |
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