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Urethral instrumentation and deep sepsis in total hip replacement
Clinical Orthopaedics and Related Research
|January 1, 1980
Summary
Urinary retention occurred in 195 males after hip replacement surgery. Prostatectomy was needed for 70 patients, resulting in an 8.6% mortality rate, highlighting the need for pre-operative urinary tract evaluation.
Area of Science:
- Orthopedic Surgery
- Urology
- Postoperative Complications
Background:
- Charnley low friction arthroplasty is a common hip replacement procedure.
- Urinary retention is a potential postoperative complication following major surgery.
- Male patients may have pre-existing conditions affecting the urinary tract.
Purpose of the Study:
- To investigate the incidence and outcomes of urinary retention after Charnley low friction arthroplasty.
- To assess the need for prostatectomy and associated mortality in these patients.
- To determine if pre-operative evaluation of urinary symptoms is warranted.
Main Methods:
- Retrospective analysis of 195 male patients undergoing Charnley low friction arthroplasty.
- Documentation of urinary retention, need for prostatectomy, and mortality rates.
- Review of deep sepsis rates associated with the implant.
Main Results:
- 195 male patients developed urinary retention post-arthroplasty.
- 70 patients required prostatectomy, with an 8.6% mortality rate.
- The overall deep sepsis rate for the implant was 6.2%.
Conclusions:
- Male patients undergoing total hip replacement require thorough pre-operative assessment for urinary tract symptoms.
- Untreated urinary issues may lead to severe complications like urinary retention and necessitate prostatectomy.
- Early investigation and treatment of lower urinary tract symptoms can mitigate risks associated with hip arthroplasty.
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