Abstract
To identify modifiable factors related to post-operative dislocation and reoperation in patients with osteonecrosis of the femoral head (ONFH) in a large cohort. We studied 4995 hip arthroplasties: total hip arthroplasty (THA) was performed in 79% of patients; bipolar hemiarthroplasty (BP), 17%; total resurfacing arthroplasty (tRS), 3%; and hemi-resurfacing arthroplasty (hRS), 1%. A new type of BP (accounting for 49% of BPs) comprised a femoral component with a polished or smooth, small-diameter (approximately 10 mm) neck with a round or oval axial cut surface and no sharp corners. The infection rate was relatively low (0.56%) even though 58% of cases of ONFH were associated with systemic steroid use, a known risk factor for infection. Post-operative dislocation occurred in 4.3% of cases, with re-operation needed in 3.9%. The dislocation rate was related to surgery type: 5.2% in THA, 0.9% in BP, and 0% in tRS and hRS. Among total arthroplasties with six month or longer follow-up (3670 THAs and 159 tRSs), the risk factors for post-operative dislocation were younger (≤ 40 years) or older (≥ 62 years) age, higher body weight, posterolateral approach, and smaller prosthetic head diameter. Regarding the need for re-operation, higher...Continue Reading
References
Dec 1, 1995·The Journal of Arthroplasty·J A PollardT Uchida
Aug 1, 1997·The Journal of Bone and Joint Surgery. American Volume·S A PaternoS S Kelley
Dec 31, 1997·The Journal of Bone and Joint Surgery. American Volume·S KobayashiK Hisa
Aug 26, 1998·Archives of Orthopaedic and Trauma Surgery·S KobayashiM Ueno
Jan 26, 1999·Clinical Orthopaedics and Related Research·P M PellicciR Poss
Feb 2, 1999·The Journal of Arthroplasty·C J OrtigueraM E Cabanela
May 20, 2000·Clinical Orthopaedics and Related Research·H ItoK Kaneda
Oct 2, 2002·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Nobuhiko SuganoKunio Takaoka
Dec 4, 2002·Clinical Orthopaedics and Related Research·John L Masonis, Robert B Bourne
Jan 9, 2004·The Journal of Bone and Joint Surgery. American Volume·Daniel J BerryW Scott Harmsen
Jul 9, 2004·Clinical Orthopaedics and Related Research·Seung Bak LeeKenji Ohzono
May 5, 2006·Clinical Orthopaedics and Related Research·R M D MeekC R Howie
Jun 3, 2006·Clinical Orthopaedics and Related Research·Michael S KwonKhaled J Saleh
Feb 20, 2008·Acta Orthopaedica·Omid Sadr AzodiRino Bellocco
Jun 15, 2010·Clinical Orthopaedics and Related Research·José Cordero-Ampuero, Marisol de Dios
Sep 3, 2010·Journal of Orthopaedic Surgery·Marcel DuddaC Roeder
Jun 11, 2011·Acta Orthopaedica·Daniël HaverkampHarm M van der Vis
Sep 14, 2011·The Journal of Bone and Joint Surgery. British Volume·A M DavisJ A Ballantyne
Dec 7, 2011·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Francesco TrainaAldo Toni
Jun 22, 2012·The Journal of Bone and Joint Surgery. American Volume·Donald W HowieUNKNOWN Large Articulation Study Group
Jul 18, 2012·International Orthopaedics·Mitsutoshi MoriyaMasashi Takaso
Oct 23, 2012·Acta Orthopaedica·Håvard DaleLars B Engesæter
May 21, 2013·The Journal of Arthroplasty·Shunsuke KawanoTakao Hotokebuchi
Jun 27, 2013·Acta Orthopaedica·Inari KostensaloKeijo T Mäkelä
Dec 24, 2013·Acta Orthopaedica·Camilla BerghJohan Kärrholm
Jul 22, 2014·The Journal of Arthroplasty·Sarah E MurgatroydMark S Wright
Aug 15, 2014·Archives of Orthopaedic and Trauma Surgery·Christoffer C JørgensenUNKNOWN Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group
Feb 11, 2015·The Journal of Arthroplasty·Seung-Ju KimJong Hun Kim
Apr 29, 2015·Journal of Epidemiology·Shinji TakahashiUNKNOWN Japanese Sentinel Monitoring Study Group for Idiopathic Osteonecrosis of the Femoral Head
Oct 4, 2016·Seminars in Arthritis and Rheumatism·Elizabeth SaltLeslie J Crofford
Mar 20, 2018·The Journal of Arthroplasty·Elke JeschkeThorsten Gehrke
Mar 25, 2018·International Orthopaedics·Yuko UesugiNobuhiko Sugano
Citations
Nov 6, 2018·SICOT-J·Philippe HernigouCharles Henri Flouzat Lachaniette
May 28, 2019·Modern Rheumatology·Kento NawataSeiji Ohtori
Jul 1, 2020·The Bone & Joint Journal·Leilei ChenWei He
Aug 2, 2018·International Orthopaedics·Marius M ScarlatAndrew Quaile
Jun 24, 2018·International Orthopaedics·Philippe HernigouJacques Hernigou
Feb 20, 2020·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Kazuma TakashimaNobuhiko Sugano
Jun 2, 2020·Modern Rheumatology·Shoji BabaYasuharu Nakashima
Aug 14, 2018·International Orthopaedics·Barbara BordiniAldo Toni
Nov 7, 2019·Orthopaedic Surgery·Di LuoGang Li
Sep 24, 2020·Evidence-based Complementary and Alternative Medicine : ECAM·Fanyu FuWeiheng Chen
Mar 16, 2021·Modern Rheumatology·Tetsuro TaniNobuhiko Sugano
Dec 16, 2021·Journal of Sport Rehabilitation·Guillaume MirouseArnaud Dubory