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Perioperative mortality after hemiarthroplasty related to fixation method.
- Source :
- Acta Orthopaedica; Jun2011, Vol. 82 Issue 3, p275-281, 7p, 5 Charts, 4 Graphs
- Publication Year :
- 2011
-
Abstract
- Background and purpose The appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality. Methods We analyzed approximately 25,000 hemiarthroplasty cases from the AOA National Joint Replacement Registry. Deaths at 1 day, 1 week, 1 month, and 1 year were compared for all patients and among subgroups based on implant type. Results Patients treated with cemented monoblock hemiarthroplasty had a 1.7-times higher day-1 mortality compared to uncemented monoblock components (p < 0.001). This finding was reversed by 1 week, 1 month, and 1 year after surgery (p < 0.001). Modular hemiarthroplasties did not reveal a difference in mortality between fixation methods at any time point. Interpretation This study shows lower (or similar) overall mortality with cemented hemiarthroplasty of the hip. [ABSTRACT FROM AUTHOR]
- Subjects :
- BONE surgery
BONE fractures
HIP joint injury treatment
HIP surgery
ARTIFICIAL joints
COMPUTER software
CONFIDENCE intervals
REPORTING of diseases
FRACTURE fixation
ARTIFICIAL implants
REOPERATION
SURGICAL complications
SURVIVAL analysis (Biometry)
TIME
TOTAL hip replacement
DATA analysis
PROPORTIONAL hazards models
Subjects
Details
- Language :
- English
- ISSN :
- 17453674
- Volume :
- 82
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Acta Orthopaedica
- Publication Type :
- Academic Journal
- Accession number :
- 62541178
- Full Text :
- https://doi.org/10.3109/17453674.2011.584208