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Reverse Total Shoulder Arthroplasty
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Reverse hybrid total hip arthroplasty.

S Jain1, M Magra1, B Dube2

  • 1Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK.

The Bone & Joint Journal
|August 1, 2018
PubMed
Summary
This summary is machine-generated.

Reverse hybrid total hip arthroplasty (THA) shows excellent implant survival at medium-term follow-up. Outcomes are successful regardless of patient age, gender, head size, or surgeon experience.

Keywords:
ArthroplastyHipReverse hybrid

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Implantology

Background:

  • Total hip arthroplasty (THA) is a common procedure for hip joint dysfunction.
  • Reverse hybrid THA is a specific technique with evolving survival data.
  • Medium-term follow-up data is crucial for assessing the long-term viability of orthopedic implants.

Purpose of the Study:

  • To evaluate the implant survival rates of reverse hybrid total hip arthroplasty (THA) at medium-term follow-up.
  • To identify any factors influencing implant survival in this patient cohort.

Main Methods:

  • A consecutive series of 1082 THAs in 982 patients were analyzed.
  • Follow-up duration averaged 7.9 years (range: 5 to 11.3 years).
  • Survival analysis was performed, with subgroups compared using log-rank tests.

Main Results:

  • Ten-year all-cause revision survival was 97.2%.
  • No significant differences in survival were observed based on age, gender, head size, or surgeon grade.
  • Four early aseptic stem failures (0.4%) occurred, primarily in patients under 60 years old.

Conclusions:

  • Reverse hybrid THA demonstrates successful medium-term outcomes.
  • Implant survival is not significantly affected by patient demographics or surgical experience.
  • The study represents the largest reported series on reverse hybrid THA outcomes.