What Has Changed in the Structure of Revision Hip Arthroplasty?

Autor: I. I. Shubnyakov, R. M. Tikhilov, A. O. Denisov, M. A. Akhmedilov, A. Zh. Cherny, Z. A. Totoev, A. A. Javadov, A S. Karpukhin, Yu. V. Muravyeva
Jazyk: ruština
Rok vydání: 2019
Předmět:
Zdroj: Travmatologiâ i Ortopediâ Rossii, Vol 25, Iss 4, Pp 9-27 (2019)
Druh dokumentu: article
ISSN: 2311-2905
2542-0933
DOI: 10.21823/2311-2905-2019-25-4-9-27
Popis: The key aspects of the study: 1) what has changed in the structure of revisions in recent years? 2) what is the spectrum of reasons for revision after primary hip arthroplasty and re-revision? 3) what are the demographic features of patients’ population undergoing the revision? Materials and methods. The authors conducted a retrospective evaluation of 2415 hip revision cases during the period of time from 2014 until 2018. Separately the authors assessed revisions after primary surgeries and re-revisions as well as the group of early revisions. Results. In the period from 2014 until 2018 the overall share of revisions was 16,6% from all total hip arthroplasties, at the same time the authors reported the absolute 1.7 times increase in number of revisions as well as increased share of revisions in the total structure of hip arthroplasty from 12,5% to 18,9% without significant variances in the number of primary procedures. The share of early revisions increased from 32.9% in 2013 to 56.7% while the number of early revisions amounted to 37.4% of all primary revisions. Gender composition in primary and revision hip arthroplasty varied insignificantly. Mean age at the moment of hip revision was 59.2% (95% CI from 58.7 to 59.7; Me 60 years) which is slightly less than in primary replacement — 60.2 years (95% CI from 58.9 to 61.1; Me 62 years), but such variances had a high statistical significance, р
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