Late complications and long-term outcomes following aseptic revision of a hip arthroplasty performed for oncological resection

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Matthew T HoudekFranklin H Sim

Abstract

In order to achieve an oncological margin during limb salvage surgery for tumours around the hip, part or the entire hip joint is frequently sacrificed. Hip arthroplasty restores a functional extremity and achieves limb salvage. Currently there is a paucity of data concerning the late complications, long-term survival, and the risks of re-revision following aseptic revision of a total hip arthroplasty (THA) performed following an oncological resection. We identified 78 patients who underwent aseptic revision of a THA which was performed for an oncological process involving the hip from 1972 to 2006. All patients had a minimum 5 years of follow-up with a mean of 13 years. Outcomes were compared to 1,378 patients undergoing aseptic revision of a THA that was performed for a diagnosis of osteoarthritis. The mean 5-, 10-, 15-, and 20-year re-revision-free survival for an oncologic process of the hip was 100%, 85%, 69%, and 57%. Within this cohort, younger patients were at an increased risk of revision surgery. There was no difference in survivorship of the revision implant at any of the aforementioned time points between the oncologic and osteoarthritis cohorts. Patients with an oncologic diagnosis had a higher rate of dislocations...Continue Reading

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Citations

Apr 30, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·R E TurcotteM Alsultan

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Methods Mentioned

BETA
amputation
total hip arthroplasty
total hip arthroplasties
revision
dissections
dissection

Software Mentioned

JMP

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