What are the causes for failures of primary hip arthroplasties in France?
Details
Serval ID
serval:BIB_1510CCA37C0B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
What are the causes for failures of primary hip arthroplasties in France?
Journal
Clinical Orthopaedics and Related Research
Working group(s)
SoFCOT Group
Contributor(s)
Lardanchet JF., Mertl P., Taviaux J., Cazenave A., Hulet C., Lebel B., Tabutin J., Schwartz C., Boisgard S., Descamps S., Galvin M., Levai JP., Blaysat M., Saragaglia D., Migaud H., Kern G., Ramdane-Sebbane N., Bejui-Hugues J., Carret JP., Guyen O., Desmarchelier R., Fessy M., Viste A., Prudhon JL., Steffann F., Argenson£££Jean-Noël£££ JN. , Flecher X., Molé D., Philippe R., Roche O., Bocéno A., Gouin F., Passutti N., Descamps L., Gaudot F., Leymarie JB., Siguier T., Sorriaux G., Courpied JP., Karoubi M., de Thomasson E., Loriaut P., Massin P., Sedel L., Zadegan F., Gayet LE., Teyssédou S., Gaucher F., Triclot P., Huten D., Lambotte JC., Polard JL., Dujardin F., Boyer B., Farizon F., Jenny JY., Bonnomet F., Ehlinger M., Leiber-Wackenheim F., Kempf JF., Chiron P., Reina N., Beaufils P., Oger P.
ISSN
1528-1132 (Electronic)
ISSN-L
0009-921X
Publication state
Published
Issued date
2013
Volume
471
Number
12
Pages
3863-3869
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
BACKGROUND: There are no large database cohorts describing the causes for failure of primary THAs in France. Because implants and causes for revision vary between national registers, it is important to obtain data from all countries.
QUESTIONS/PURPOSES: We therefore determined (1) the mechanisms of failure of primary THAs, (2) their order of appearance with time, (3) the types of surgical techniques and implant designs used to perform revision THAs, and (4) 90-day complications after revision THA in France.
METHODS: We prospectively collected data on all 2107 first-time revision THAs from 30 tertiary centers from January 1, 2010, to December 31, 2011. A dual-mobility liner had been used in 251 hips. Mean time from primary procedure to revision THA was 11.2 years (range, 1 day to 42 years). Mean age at revision was 70 years (range, 17-104 years).
RESULTS: The causes for revision were mechanical loosening (42%), periprosthetic fracture (12%), infection (11%), wear/osteolysis (11%), dislocation (10%), surgical technique error (6%), and implant fracture (3%). The most common type of revision procedure was all-component revision (49%). A dual-mobility liner was used in 1184 hips (62%). The 90-day dislocation rate was less than 4%, and mortality rate was 1.6%.
CONCLUSIONS: Contrary to other reported data, we found dislocation was not the main cause for failure of primary THAs but was still the more frequent early complication after revision. These findings might be related to the use of dual-mobility sockets in more than 10% of primary THAs and more than 60% of revision THAs.
QUESTIONS/PURPOSES: We therefore determined (1) the mechanisms of failure of primary THAs, (2) their order of appearance with time, (3) the types of surgical techniques and implant designs used to perform revision THAs, and (4) 90-day complications after revision THA in France.
METHODS: We prospectively collected data on all 2107 first-time revision THAs from 30 tertiary centers from January 1, 2010, to December 31, 2011. A dual-mobility liner had been used in 251 hips. Mean time from primary procedure to revision THA was 11.2 years (range, 1 day to 42 years). Mean age at revision was 70 years (range, 17-104 years).
RESULTS: The causes for revision were mechanical loosening (42%), periprosthetic fracture (12%), infection (11%), wear/osteolysis (11%), dislocation (10%), surgical technique error (6%), and implant fracture (3%). The most common type of revision procedure was all-component revision (49%). A dual-mobility liner was used in 1184 hips (62%). The 90-day dislocation rate was less than 4%, and mortality rate was 1.6%.
CONCLUSIONS: Contrary to other reported data, we found dislocation was not the main cause for failure of primary THAs but was still the more frequent early complication after revision. These findings might be related to the use of dual-mobility sockets in more than 10% of primary THAs and more than 60% of revision THAs.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip, Databases, Factual, Female, France, Hip Dislocation/complications, Hip Dislocation/surgery, Hip Joint/surgery, Hip Prosthesis, Humans, Male, Middle Aged, Periprosthetic Fractures/complications, Periprosthetic Fractures/surgery, Prospective Studies, Prosthesis Failure/etiology, Prosthesis-Related Infections/complications, Prosthesis-Related Infections/surgery, Reoperation
Pubmed
Web of science
Create date
26/08/2014 19:42
Last modification date
20/08/2019 13:44
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