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Related Experiment Videos

Hip disarticulation: factors affecting outcome.

E D Endean1, T H Schwarcz, D E Barker

  • 1Department of Surgery, University of Kentucky Medical Center, Lexington.

Journal of Vascular Surgery
|September 1, 1991
PubMed
Summary

Hip disarticulation surgery outcomes vary by patient factors. Limb ischemia and urgent operations increase complications and mortality, while tumor indications show better survival rates.

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Area of Science:

  • * Surgical Outcomes
  • * Amputation Surgery
  • * Patient Risk Stratification

Background:

  • * Hip disarticulation is a major surgical procedure often associated with significant risks, particularly in patients with peripheral vascular disease.
  • * Understanding patient-specific factors is crucial for predicting clinical outcomes and improving patient management after hip disarticulation.

Purpose of the Study:

  • * To identify patient characteristics influencing the clinical outcomes of hip disarticulation.
  • * To analyze the impact of surgical indications on morbidity and mortality rates.
  • * To determine risk factors for wound complications and postoperative deaths.

Main Methods:

  • * Retrospective review of medical records for 53 patients who underwent hip disarticulation between 1966 and 1989.

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  • * Data collected included surgical indication (limb ischemia, infection, tumor), perioperative wound complications, and postoperative deaths.
  • * Statistical analysis to identify significant associations between patient characteristics and outcomes.

    • Main Results:

    • * Overall wound complication rate was 60%, with higher rates in patients with prior above-knee amputation and urgent/emergent operations.
    • * Overall mortality rate was 21%, significantly higher for limb ischemia (50%) and infection compared to tumor indications (0%).
    • * Urgent/emergent operations and history of cardiac disease were significant predictors of mortality; limb ischemia posed a greater mortality risk than infection.

    Conclusions:

    • * Hip disarticulation is associated with substantial wound complication rates, influenced by prior amputations and operative urgency.
    • * Operative mortality varies significantly by indication, with limb ischemia and infection posing the highest risks.
    • * Careful patient selection and management are essential to minimize risks and improve outcomes for hip disarticulation surgery.