Complicaciones en reemplazo total y parcial de cadera y rodilla en el Hospital Universitario San José de Popayán (original) (raw)
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Epidemiology of total hip and knee replacement: a cross-sectional study
Einstein (São Paulo), 2013
Objective: To describe the epidemiologic characteristics and adverse events of patients submitted to total hip and total knee replacement. Methods: A cross-sectional study retrospectively assessing medical chart data of all total hip and total knee replacements performed at a private hospital, between January 2007 and December 2010 Patients submitted to total hip and total knee replacement, with consent of surgeons were included. Incomplete records and/or missing data of the hospital database were excluded. The categorical variables analyzed were age, gender, type of arthroplasty (primary or secondary), type of procedure, duration of surgery, use of drains, risk of infection, compliance to protocol for prevention of deep venous thrombosis and embolism pulmonary, and compliance to the protocol for prevention of infection. The outcomes assessed were adverse events after surgery. Results: A total of 510 patients were included; in that, 166 admissions for knee replacements (92 male) and 344 admissions for hip replacements (176 female). The mean age of patients was 71 years (range 31-99 years). Adverse events were reported in 76 patients (14.9%); there was no correlation between assessed variables and number of complications. Conclusion: The results showed no individual factors favoring complications in patients submitted to total hip and total knee replacement; hence, surgeons should consider prophylaxis to avoid complications.
The Annals of The Royal College of Surgeons of England, 2010
INTRODUCTION There is anecdotal evidence of poorer outcomes from prosthetic joint replacement performed in independent eatment centres but very few comparative studies. PATIENTS AND METHODS We compared the early re-operation, dislocation, re-admission, major wound infection and audit rates of 880 total hip (THA) and 874 total knee (TKA) arthroplasties carried out at a regional orthopaedic hospital (Avon Orthopaedic Centre; AOC) with 368 THAs and 365 TKAs from an NHS (WGH) and 67 THAs and 86 TKAs from a private hospital (CNH) independent treatment centre. RESULTS Early re-operation rates were 9% at CNH, 1.4% at WGH and 0.6% at AOC after THA and 8% at CNH, 1.9% at WGH and 1% at AOC after TKA. After THA, dislocation rates after THA were 6% at CNH and 1.8% at both WGH and AOC. Re-admission rates were 13% at CNH, 0.6% at WGH and 1.2% at AOC. Major wound problems were 20% at CNH, 3.8% at WGH and 0.4% at AOC after THA and 19% at CNH, 1.9% at WGH and AOC (1.1%) after TKA. After TKA, re-admi...
Hip disease and the prognosis of total hip replacements
Journal of Bone and Joint Surgery-british Volume, 2001
W e studied the rates of revision for 53 698 primary total hip replacements (THRs) in nine different groups of disease. Factors which have previously been shown to be associated with increased risk of revision, such as male gender, young age, or certain types of uncemented prosthesis, showed important differences between the diagnostic groups. Without adjustment for these factors we observed an increased risk of revision in patients with paediatric hip diseases and in a small heterogeneous 'other' group, compared with patients with primary osteoarthritis. Most differences were reduced or disappeared when an adjustment for the prognostic factors was made. After adjustment, an increased relative risk (RR) of revision compared with primary osteoarthritis was seen in hips with complications after fracture of the femoral neck (RR = 1.3, p = 0.0005), in hips with congenital dislocation (RR = 1.3, p = 0.03), and in the heterogenous 'other' group. The analyses were also undertaken in a more homogenous subgroup of 16 217 patients which had a Charnley prosthesis implanted with high-viscosity cement. The only difference in this group was an increased risk for revision in patients who had undergone THR for complications after fracture of the femoral neck (RR = 1.5, p = 0.0005).
Clinical orthopaedics and related research, 2015
Reporting of complications after total hip arthroplasty (THA) is not standardized, and it is done inconsistently across various studies on the topic. Advantages of standardizing complications include improved patient safety and outcomes and better reporting in comparative studies. The purpose of this project was to develop a standardized list of complications and adverse events associated with THA, develop standardized definitions for each complication, and stratify the complications. A further purpose was to validate these standardized THA complications. The Hip Society THA Complications Workgroup proposed a list of THA complications, definitions for each complication, and a stratification scheme for the complications. The stratification system was developed from a previously validated grading system for complications of hip preservation surgery. The proposed complications, definitions, and stratification were validated with an expert opinion survey of members of The Hip Society, a...
Profile of hip arthroplasty patients in a teaching hospital
Revista do Colégio Brasileiro de Cirurgiões, 2015
OBJECTIVE: to characterize the epidemiological profile of patients undergoing hip replacement, primary or revisional. METHODS: we conducted a retrospective, descriptive study, including hip arthroplasties performed from January 2009 to June 2012 in a Belo Horizonte teaching hospital, Minas Gerais State - MG, Brazil. Data were analyzed using descriptive statistics. RESULTS: orthopedic procedures represented 45% of the operations at the hospital in the period, 1.4% hip arthroplasties. There were 125 hip replacements, 85 total, 27 partial and 13 reviews. Among the patients, 40% were male and 60% were female. Age ranged between 20 and 102 years, mean and median of 73 and 76 years, respectively. The most frequent diagnosis (82%) was femoral neck fracture by low-energy trauma caused by falling form standing position. In 13 revision operations, 12 required removal of the prosthesis. The infectious complication led to revision in 54% of the time, followed by dislocation (15%), peri-prosthet...
A study of uncemented total hip replacement in various hip disorders
International Journal of Orthopaedics Sciences, 2018
Background: Osteoarthritis (OA) is a major cause of disability among elderly population. It is a major cause of a burden on the health system and its incidence and prevalence continues to rise with a rapidly increasing aging population. Total hip replacement is considered one of the most important and successful intervention in the recent era. The study aims to determine the functional outcome and the complications associated with uncemented total hip replacement using modular prosthesis. In this study 32 cases with osteoarthritis of hip joint were treated by uncemented total hip replacement at Katuri medical college and hospital, China kondrupadu, Guntur between June 2015 to November 2016 were included. The functional outcome is assessed and compared with other studies. The aim of procedure is to assess the functional outcome of uncemented total hip replacement. Materials and Methods: Our study is prospective study of clinical and radiological analysis of uncemented total hip arthroplasties performed for various hip disorders. All patient data and clinical history were noted with reference to pain, range of motion, gait, activities or function (Harris Hip Score). Cementless acetabular components, cementless femoral components are used in this study. Results: All 32 patients in the present study returned for clinical and radiological examinations subsequently. Patients were reviewed after 6 weeks, 3 months, 6 months and 1 year post operatively. The age ranges from 32-60 years with mean age of 48.31 years. Most of the cases are between the age group of 51-60 years constituting 46.88% of study population. Of the 32 cases, male patients 22 constituting 68.75% and the rest 10 are female patients constituting 31.25% of the cases. Conclusions: Our study supports the usge uncemented THR in osteoarthritis in both young and elderly. The current trend, research and advent of new implants support uncemented THR in patients suffering from this crippling hip arthritis and avascular necrosis.