Related Experiment Videos
Functional outcome after revision hip arthroplasty: a metaanalysis
Khaled J Saleh1, Margaret Celebrezze, Rida Kassim
1Department of Orthopaedic Surgery, Clinical Outcomes Research Center and Minneapolis Veterans Affair Medical Center, University of Minnesota, Minneapolis, MN 55455, USA. saleh002@umn.edu
Clinical Orthopaedics and Related Research
|December 4, 2003
Summary
Revision total hip arthroplasty (THA) is safe and effective for failed hip replacements. While offering comparable longevity to primary THA, revision surgery shows slightly lower functional outcomes and higher complication rates.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Medical Outcomes Research
Background:
- Revision total hip arthroplasty (THA) addresses failed primary hip replacements.
- Assessing patient outcomes is crucial for evaluating revision THA effectiveness.
- Global hip scores are common metrics for functional assessment post-THA.
Purpose of the Study:
- To systematically review patient outcomes following revision total hip arthroplasty.
- To compare revision THA outcomes with primary hip replacement data.
- To identify factors influencing outcomes in revision hip surgery.
Main Methods:
- Systematic literature review of English-language articles from 1966-2000.
- Meta-analysis of global hip scores using a fixed effects model.
- Inclusion criteria involved a three-step filter process for article selection.
Main Results:
- Forty-two articles with 2578 patients were included in the analysis.
- Revision THA demonstrated comparable longevity to primary hip replacement.
- Slightly lower functional outcomes and higher morbidity/mortality rates were observed in revision THA.
Conclusions:
- Revision total hip arthroplasty is a safe and effective procedure for failed hip replacements.
- Revision THA offers comparable longevity but slightly reduced functional outcomes versus primary THA.
- Inconsistent data reporting in original studies limited further analysis of influencing factors.