Outcome of 881 total hip arthroplasties in 747 patients 21 years or younger: data from the Nordic Arthroplasty Register Association (NARA) 1995-2016
| Autor: | Lars B. Engesæter, Stephan M. Röhrl, Antti Eskelinen, Keijo T Mäkelä, Maziar Mohaddes, Johan Kärrholm, Søren Overgaard, Lars Nordsletten, Alma B Pedersen, Vera Halvorsen, Anne Marie Fenstad |
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| Přispěvatelé: | Lääketieteen ja terveysteknologian tiedekunta - Faculty of Medicine and Health Technology, Tampere University |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Reoperation musculoskeletal diseases medicine.medical_specialty Adolescent VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Orthopedic surgery: 784 Arthroplasty Replacement Hip medicine.medical_treatment Kirurgia anestesiologia tehohoito radiologia - Surgery anesthesiology intensive care radiology Avascular necrosis Norwegian Osteoarthritis Scandinavian and Nordic Countries VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784 Article Danish Young Adult 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery medicine Humans Orthopedics and Sports Medicine Registries 030212 general & internal medicine Young adult Societies Medical 030222 orthopedics Hip fracture business.industry Age Factors General Medicine medicine.disease Arthroplasty language.human_language Prosthesis Failure Surgery lcsh:RD701-811 Treatment Outcome surgical procedures operative language Female Implant business |
| Zdroj: | Acta Orthopaedica Halvorsen, V, Fenstad, A M, Engesæter, L B, Nordsletten, L, Overgaard, S, Pedersen, A B, Kärrholm, J, Mohaddes, M, Eskelinen, A, Mäkelä, K T & Röhrl, S M 2019, ' Outcome of 881 total hip arthroplasties in 747 patients 21 years or younger : data from the Nordic Arthroplasty Register Association (NARA) 1995–2016 ', Acta Orthopaedica, vol. 90, no. 4, pp. 331-337 . https://doi.org/10.1080/17453674.2019.1615263 Halvorsen, V, Fenstad, A M, Engesæter, L B, Nordsletten, L, Overgaard, S, Pedersen, A B, Kärrholm, J, Mohaddes, M, Eskelinen, A, Mäkelä, K T & Röhrl, S M 2019, ' Outcome of 881 total hip arthroplasties in 747 patients 21 years or younger : data from the Nordic Arthroplasty Register Association (NARA) 1995–2016 ', Acta Orthopaedica (Print Edition), vol. 90, no. 4, pp. 331-337 . https://doi.org/10.1080/17453674.2019.1615263 Acta Orthopaedica, Vol 90, Iss 4, Pp 331-337 (2019) |
| ISSN: | 1745-3674 |
| DOI: | 10.1080/17453674.2019.1615263 |
| Popis: | Source at https://doi.org/10.1080/17453674.2019.1615263. Background and purpose — The literature is scarce on the outcome of the youngest patients with total hip arthroplasties (THAs). We analyzed register data, revision risk, and related factors in patients 21 years or younger with THAs in the Nordic Arthroplasty Register Association (NARA). Patients and methods — We included all THA patients 21 years or younger reported during 1995 through 2016 to the Danish, Finnish, Norwegian, and Swedish hip arthroplasty registers and merged these into the NARA dataset. Primary outcome was any implant revision. Results — We identified 881 THAs in 747 patients. Mean age at primary surgery was 18 years (9–21). The indications for THA were pediatric hip diseases (33%), systemic inflammatory disease (23%), osteoarthritis (4%), avascular necrosis (12%), hip fracture sequelae (7%), and other diagnoses (21%). Unadjusted 10-year survival for all THAs was 86%. Comparison between indications showed no differences in survival. Uncemented implants were used most frequently. Survival for uncemented and cemented implants was the same adjusted for sex, indication, head size, and time period for primary surgery. Aseptic loosening was the main cause of revision. Interpretation — Both cemented and uncemented fixations seem to be a viable option in this age group, but with a lower implant survival than in older patient groups. |
| Databáze: | OpenAIRE |
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