Comparison of mortality rate and septic and aseptic revisions in total hip arthroplasties for osteoarthritis and femoral neck fracture: an analysis of the German Arthroplasty Registry

Autor: Dominik Szymski, Nike Walter, Paula Krull, Oliver Melsheimer, Melanie Schindler, Alexander Grimberg, Volker Alt, Arnd Steinbrueck, Markus Rupp
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Orthopaedics and Traumatology, Vol 24, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 1590-9999
DOI: 10.1186/s10195-023-00711-9
Popis: Abstract Background Indications for total hip arthroplasties (THA) differ from primary osteoarthritis (OA), which allows elective surgery through femoral neck fractures (FNF), which require timely surgical care. The aim of this investigation was to compare mortality and revisions in THA for primary OA and FNF. Methods Data collection for this study was performed using the German Arthroplasty Registry (EPRD) with analysis THA for the treatment of FNF and OA. Cases were matched 1:1 according to age, sex, body mass index (BMI), cementation, and the Elixhauser score using Mahalanobis distance matching. Results Overall 43,436 cases of THA for the treatment of OA and FNF were analyzed in this study. Mortality was significantly increased in FNF, with 12.6% after 1 year and 36.5% after 5 years compared with 3.0% and 18.7% in OA, respectively (p
Databáze: Directory of Open Access Journals