Do Nonsteroidal Anti-Inflammatory Drugs Cause Endoprosthetic Loosening? Mid- to Long-Term Follow-Up of 100 Total Hip Arthroplasties after Local NSAID Infiltration
| Autor: | Dennis Kerr, I. Nizam, Lawrence Kohan, Clarice Field |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Article Subject Long term follow up Arthroplasty Replacement Hip Total hip replacement lcsh:Medicine General Biochemistry Genetics and Molecular Biology chemistry.chemical_compound medicine Humans Femur Aged Aged 80 and over Nonsteroidal General Immunology and Microbiology business.industry lcsh:R Anti-Inflammatory Agents Non-Steroidal General Medicine Pain management Middle Aged medicine.disease Surgery Ketorolac Radiography chemistry Component loosening Clinical Study Female Hip Joint Hip Prosthesis business Infiltration (medical) medicine.drug |
| Zdroj: | BioMed Research International BioMed Research International, Vol 2015 (2015) |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | We evaluated the effect of local infiltration of NSAIDs on prosthetic fixation at mid- to long-term follow-up of total hip arthroplasties. Intra-articular local NSAID (ketorolac) was injected into hip joints and surrounding tissues intraoperatively and postoperatively as a part of multimodal pain management protocol. Clinical and radiographic evaluation was performed for any evidence of component loosening or failure and clinical outcomes in 100 total hip joint arthroplasties with a mean follow-up of 7.3 years (4.9 to 11 yrs). Radiographic analysis at the most recent follow-up showed no evidence of loosening, subsidence, or migration and no evidence of impending failure. Clinical outcomes showed improved Harris hip scores. Intra-articular NSAID used in the intraoperative/postoperative period in hip arthroplasty showed no evidence of prosthetic loosening at mid- to long-term follow-up. |
| Databáze: | OpenAIRE |
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