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Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
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Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction

Published on: December 3, 2017

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Systematisation of the causes that required revision hip replacement, methods of their solution, treatment results in

Vitalii Pidhaietskyi1, Mykhailo Pidhaietskyi2

  • 1Department of Traumatology and Orthopedics of Adults, Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine, Kyiv, 01601, Ukraine. vpidhaietskyi@gmail.com.

BMC Surgery
|October 21, 2024
PubMed

Insights

Revision hip arthroplasty (rTHA) data highlights aseptic instability as a key complication. Establishing a Ukrainian registry for hip arthroplasty (HA) is crucial for improving patient care and standardizing terminology.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Public Health

Background:

  • Complications following total hip replacement (THA) over a decade necessitated extensive revision surgeries.
  • A need exists to organize data on revision hip arthroplasty (rTHA) and standardize terminology.

Purpose of the Study:

  • To analyze complications of total hip replacement (THA) requiring revision surgery over 10 years.
  • To propose recommendations for an All-Ukrainian registry of hip arthroplasty (HA).
  • To standardize the definition of "revision of total hip replacement surgery".

Main Methods:

  • Retrospective analysis of 236 revision hip arthroplasties (rTHA) from 2005-2021.
  • Identification of revision factors through medical records, lab results, and prosthesis evaluation.
  • Statistical analysis using Statistica v. 12.6 (p < 0.05).

Main Results:

  • Aseptic component instability was diagnosed in 41.76% of rTHA cases.
  • High BMI (≥30) and older age were significant factors for mechanical loosening.
  • Infectious complications were linked to chronic infectious diseases (t=3.37, p=0.001).

Conclusions:

  • Standardized terminology and a comprehensive hip arthroplasty registry are urgently needed.
  • Cement-free fixation is superior for aseptic instability revision; two-stage arthroplasty for infections.
  • Open repositioning and osteosynthesis are effective for periprosthetic femoral fractures.
Abstract

Keywords:
Aseptic loosening (weakening)ComplicationsInstabilityRevision re-replacementTotal hip replacement

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