A significant change towards cemented fixation in revision total hip arthroplasty in patients younger than 55 years in the Netherlands: results of an observational cohort study in the Dutch Arthroplasty Register in 28,516 primary hip replacements and 1285 revision procedures
| Autor: | Gerjon Hannink, Martijn F L Kuijpers, B Wim Schreurs, Liza N van Steenbergen |
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| Rok vydání: | 2023 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty business.industry medicine.medical_treatment General surgery Total hip replacement Arthroplasty Fixation method Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] All institutes and research themes of the Radboud University Medical Center medicine Orthopedics and Sports Medicine Surgery In patient business Fixation (histology) Total hip arthroplasty Cohort study |
| Zdroj: | Hip International, 33, 288-297 Hip International, 33, 2, pp. 288-297 |
| ISSN: | 1120-7000 |
| Popis: | Background: Worldwide, the majority of total hip arthroplasties (THAs) placed in patients Methods: All primary THA placed in patients younger than 55 years, registered in the LROI between 2007 and 2019 were included n = 28,516). Kaplan-Meier survival analyses were used to estimate the survival of primary THA by method of fixation. Additionally, survival of revision procedures that changed or did not change in method of fixation were estimated. McNemar’s test was used to assess differences in the proportion of cemented and uncemented fixation between primary and revision THA. Results: In all acetabular revisions, the use of cemented fixation increased statistically significant with 39% (95% CI, 34–45, p Conclusions: There was a significant change towards cemented fixation between primary and revision THA in young patients in the Netherlands, which was especially pronounced in acetabular revisions. No significant difference in short-term survival was found between revision procedures that changed or did not change in method of fixation. Long-term follow-up data are needed to evaluate the effect of this change in fixation method on the outcome of revision procedures in young patients. |
| Databáze: | OpenAIRE |
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