Total hip arthroplasty in patients with chronic liver disease: A systematic review
| Autor: | Babar Kayani, Pramod Achan, Sammy A. Hanna, Sebastian Dawson-Bowling, Elliot Onochie, Steven Millington |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Cirrhosis Complications Review Article Outcomes Chronic liver disease Metabolic bone disease 03 medical and health sciences Liver disease 0302 clinical medicine lcsh:Orthopedic surgery Hip replacement medicine Orthopedics and Sports Medicine Intensive care medicine 030222 orthopedics Hip business.industry Perioperative medicine.disease lcsh:RD701-811 Hip arthroplasty 030211 gastroenterology & hepatology Surgery Implant Complication business |
| Zdroj: | SICOT-J SICOT-J, Vol 5, p 40 (2019) |
| ISSN: | 2426-8887 |
| Popis: | Introduction: Chronic liver disease (CLD) is a significant and increasingly prevalent co-morbidity in patients undergoing total hip arthroplasty (THA). These patients may develop metabolic bone disease (MBD) and systemic dysfunction, which pose challenges to THA surgery. This systematic review of literature aims to examine clinical outcomes and complications in patients with CLD undergoing THA and provide evidence-based approaches as to the optimization of their perioperative care. Methods: A Pubmed search was performed, identifying eight studies on 28 514 THAs for inclusion. Two additional studies reported on 44 patients undergoing THA post liver transplant. These were reviewed separately. Results: Increased early perioperative complications are reported recurrently. Review of long-term complications demonstrates an increased postoperative infection rate of 0.5% (p p p Discussion: A multidisciplinary perioperative approach is suggested in order to minimize increased complication risks. Specific measures include optimizing haemoglobin and taking measures to reduce infection. This review also highlights gaps in available literature and guides future research to appraise functional outcomes, further detail long-term failure reasons and study any differences in outcomes and complications based on the range of operative approaches and available implant choices. |
| Databáze: | OpenAIRE |
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