Perioperative mortality after hemiarthroplasty related to fixation method : a study based on the Australian Orthopaedic Association National Joint Replacement Registry
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2011
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Resumo |
Background and purpose: The appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality.----- ----- Methods: We analyzed approximately 25,000 hemiarthroplasty cases from the AOA National Joint Replacement Registry. Deaths at 1 day, 1 week, 1 month, and 1 year were compared for all patients and among subgroups based on implant type.----- ----- Results: Patients treated with cemented monoblock hemiarthroplasty had a 1.7-times higher day-1 mortality compared to uncemented monoblock components (p < 0.001). This finding was reversed by 1 week, 1 month, and 1 year after surgery (p < 0.001). Modular hemiarthroplasties did not reveal a difference in mortality between fixation methods at any time point.----- ----- Interpretation: This study shows lower (or similar) overall mortality with cemented hemiarthroplasty of the hip. |
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application/pdf |
Identificador | |
Publicador |
Informa Healthcare |
Relação |
http://eprints.qut.edu.au/41736/2/41736.pdf DOI:10.3109/17453674.2011.584208 Costain, Darren J., Whitehouse, Sarah L., Pratt, Nicole L., Graves, Stephen E., Ryan, Philip, & Crawford, Ross W. (2011) Perioperative mortality after hemiarthroplasty related to fixation method : a study based on the Australian Orthopaedic Association National Joint Replacement Registry. Acta Orthopaedica, 82(3), pp. 275-281. |
Direitos |
Copyright 2011 Informa Healthcare This is an electronic version of an article published in the journal Acta Orthopaedica, which is available online at informaworld. |
Fonte |
Faculty of Built Environment and Engineering; Institute of Health and Biomedical Innovation; School of Engineering Systems |
Palavras-Chave | #110314 Orthopaedics #cement #fixation #hemiarthroplasty #survival #mortality |
Tipo |
Journal Article |