The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department

Autor: Jörg Arnholdt, Fabian Gilbert, Marc Blank, Jannis Papazoglou, Maximilian Rudert, Ulrich Nöth, Andre F. Steinert
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Musculoskeletal Disorders, Vol 18, Iss 1, Pp 1-8 (2017)
Druh dokumentu: article
ISSN: 1471-2474
DOI: 10.1186/s12891-017-1613-2
Popis: Abstract Background To prevent bone loss in hip arthroplasty, several short stem systems have been developed, including the Mayo conservative hip system. While there is a plethora of data confirming inherent advantages of these systems, only little is known about potential complications, especially when surgeons start to use these systems. Methods In this study, we present a retrospective analysis of the patients’ outcome, complications and the complication management of the first 41 Mayo conservative hips performed in 37 patients. For this reason, functional scores, radiographic analyses, peri- and postoperative complications were assessed at an average follow-up of 35 months. Results The overall HHS improved from 61.2 pre-operatively to 85.6 post-operatively. The German Extra Short Musculoskeletal Function Assessment Questionnaire (XSFMA-D) improved from 30.3 pre-operatively to 12.2 post-operatively. The most common complication was an intraoperative non-displaced fracture of the proximal femur observed in 5 cases (12.1%). Diabetes, higher BMI and older ages were shown to be risk factors for these intra-operative periprosthetic fractures (p
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