Article Sidebar

PDF
Date Published: 21/08/2021
Abstract Views: 696
Views PDF: 261
DOI: https://doi.org/10.51298/vmj.v504i2.942
Issue
Vol. 504 No. 2 (2021)
Section
Các bài báo
How to Cite
Mạnh Hùng, T. ., & Xuân Thuỳ, N. . (2021). CLINICAL AND RADIOGRAPHIC FEATURES OF PATIENTS WITH REVISION HIP ARTHROPLASTY. Vietnam Medical Journal, 504(2). https://doi.org/10.51298/vmj.v504i2.942

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

Main Article Content

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.

Article Details

Keywords

revision hip replacement

References

1. Pellicci, P.M., et al., Long-term results of revision total hip replacement. A follow-up report. J Bone Joint Surg Am, 1985. 67(4): p. 513-6.
2. Crawford, R.W. and D.W. Murray, Total hip replacement: indications for surgery and risk factors for failure. Annals of the Rheumatic Diseases, 1997. 56(8): p. 455.
3. Malchau, H. and P. Herberts, Prognosis of total hip replacement. Int J Risk Saf Med, 1996. 8(1): p. 27-45.
4. Mushtaq, N., et al., Radiological Imaging Evaluation of the Failing Total Hip Replacement. Frontiers in surgery, 2019. 6: p. 35-35.
5. Abu-Amer, Y., I. Darwech, and J.C. Clohisy, Aseptic loosening of total joint replacements: mechanisms underlying osteolysis and potential therapies. Arthritis research & therapy, 2007. 9 Suppl 1(Suppl 1): p. S6-S6.
6. Dobzyniak, M., T.K. Fehring, and S. Odum, Early failure in total hip arthroplasty. Clin Orthop Relat Res, 2006. 447: p. 76-8.