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Revision total hip arthroplasty

P M Pellicci, P D Wilson, C B Sledge

    Clinical Orthopaedics and Related Research
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    Revision total hip arthroplasty can yield good results, but higher rates of infection and mechanical failure, along with radiolucent zones, complicate long-term outcomes.

    Area of Science:

    • Orthopedic Surgery
    • Biomedical Engineering

    Background:

    • Revision total hip arthroplasty (THA) addresses failures in primary THA.
    • Understanding outcomes and complications is crucial for patient selection and surgical planning.

    Purpose of the Study:

    • To evaluate the outcomes and complications of revision total hip arthroplasty.
    • To identify factors influencing the success of revision THA.

    Main Methods:

    • Retrospective review of 110 revision THA cases across two hospitals.
    • Minimum two-year follow-up (average 3.4 years).
    • Analysis of failure modes, clinical outcomes (good, fair, poor), and complications.

    Main Results:

    • Loosening was the primary reason for revision (femoral, acetabular, or both).

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  • 66 hips had good/excellent results, 25 fair, and 19 poor (infection, mechanical failure, dislocation).
  • Complications included infection (3.6%), trochanteric problems (13%), mechanical failure (14%), and radiolucent zones (26%).

    • Conclusions:

    • Revision THA can achieve results comparable to primary THA.
    • Increased risks of infection and mechanical failure impact long-term success.
    • High incidence of radiolucent zones necessitates caution in predicting very long-term outcomes.