CLINICAL AND RADIOGRAPHIC FEATURES OF PATIENTS WITH REVISION HIP ARTHROPLASTY

Trần Mạnh Hùng1,, Nguyễn Xuân Thuỳ2
1 Vietnam-Germany Friendship Hospital
2 Hanoi Medical University

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Abstract

Hip arthroplasty for the treatment of hip joint’s diseases has been increasingly performed. However, some are not succesful and have revision. Aim: To evaluate clinical and radiographic features of patients with revision hip arthroplasty. Patients and method: A cross-sectional descriptive study of 50 patients who were indicated for revision hip replacement due to aseptic hip prosthesis failure. Results: There were 41 patients underwent total hip replacement (82%) and 9 patients underwent partial hip replacement (18%) (p<0,001). The mean time between the last surgery and the next revision surgery was 75,8 ± 68,1months. The time between two hip replacements of cemented and non-cemented hip prosthesis was 121,0 ± 68,6 and 37,3 ± 37,6 months, respectively (p<0,001). The reasons of failure after hip replacement were aseptic loosening (72%), dislocation (20%), peri-prosthesis fracture (4%) and femoral stem fracture (4%). Hip function of all patients was poor. Radiography showed that 90% of patients had femoral and/or acetabular bone loss. Conlusion: Aseptic loosening was the most common cause of revision hip replacement.

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References

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