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Effect of femoral head size and surgical approach on risk of revision for dislocation after total hip arthroplasty An analysis of 166,231 procedures in the Dutch Arthroplasty Register (LROI)

Published on Jul 4, 2017in Journal of Sulfur Chemistry1.37
· DOI :10.1080/17453674.2017.1317515
Wierd P. Zijlstra38
Estimated H-index: 38
,
Bas De Hartog1
Estimated H-index: 1
+ 2 AuthorsRob G. H. H. Nelissen43
Estimated H-index: 43
Abstract
Background and purpose — Recurrent dislocation is the commonest cause of early revision of a total hip arthropasty (THA). We examined the effect of femoral head size and surgical approach on revision rate for dislocation, and for other reasons, after total hip arthroplasty (THA).Patients and methods — We analyzed data on 166,231 primary THAs and 3,754 subsequent revision THAs performed between 2007 and 2015, registered in the Dutch Arthroplasty Register (LROI). Revision rate for dislocation, and for all other causes, were calculated by competing-risk analysis at 6-year follow-up. Multivariable Cox proportional hazard regression ratios (HRs) were used for comparisons.Results — Posterolateral approach was associated with higher dislocation revision risk (HR =1) than straight lateral, anterolateral, and anterior approaches (HR =0.5–0.6). However, the risk of revision for all other reasons (especially stem loosening) was higher with anterior and anterolateral approaches (HR =1.2) and lowest with posterolatera...
  • References (36)
  • Citations (26)
References36
Newest
#1Richard de Steiger (University of Melbourne)H-Index: 20
#2Michelle Lorimer (University of Adelaide)H-Index: 15
Last.Michael J. Stamos (UNSW: University of New South Wales)H-Index: 65
view all 3 authors...
#1M. Daniel Wongworawat (LLU: Loma Linda University)H-Index: 1
#2Matthew B. Dobbs (WashU: Washington University in St. Louis)H-Index: 37
Last.Raphaël PorcherH-Index: 62
view all 8 authors...
#1Brendan T. Higgins (The Dartmouth Institute for Health Policy and Clinical Practice)H-Index: 2
#2Daniel R. Barlow (Dartmouth College)H-Index: 2
Last.Tim J. Lin (The Dartmouth Institute for Health Policy and Clinical Practice)H-Index: 1
view all 4 authors...
Cited By26
Newest
#1Leonoor Neline Tess Oerlemans (Medisch Centrum Leeuwarden)
#2Wierd P. Zijlstra (Medisch Centrum Leeuwarden)H-Index: 38
view all 4 authors...
#1Setor K. Kunutsor (UoB: University of Bristol)H-Index: 27
#2Matthew C Barrett (QMUL: Queen Mary University of London)H-Index: 2
Last.Michael R. Whitehouse (UoB: University of Bristol)H-Index: 18
view all 7 authors...
#1Mikko Karvonen (TYKS: Turku University Hospital)H-Index: 2
#2Inari Laaksonen (TYKS: Turku University Hospital)H-Index: 3
Last.Keijo Mäkelä (TYKS: Turku University Hospital)H-Index: 23
view all 9 authors...
#1Rinne M. Peters (UMCG: University Medical Center Groningen)H-Index: 4
Last.Wierd P. ZijlstraH-Index: 38
view all 7 authors...
View next paperThe risk of revision due to dislocation after total hip arthroplasty depends on surgical approach, femoral head size, sex, and primary diagnosis: An analysis of 78,098 operations in the Swedish Hip Arthroplasty Register