Date: 11 Jun 2011
Functional and Emotional Results Differ After Aseptic vs Septic Revision Hip Arthroplasty
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It is widely believed that a deep implant infection leads to poor functional and emotional outcomes following total hip arthroplasty.
The purpose of this retrospective comparative review was to determine if patients who undergo two-stage, septic revision hip arthroplasty will have decreased emotional and general health scores, in addition to decreased function, compared to the aseptic revision group.
Patients and Methods
One hundred forty-five of 195 patients who underwent aseptic total hip revision for aseptic loosening (mean follow-up = 61 months) and 45 of 73 patients who underwent two-stage, septic revision hip arthroplasty (mean follow-up = 48 months) met the inclusion criteria and had a technically successful outcome. All patients were retrospectively evaluated using Harris Hip Scores (HHS), ad hoc questions, and the SF-36 Health Survey.
The average HHS were 73.2 ± 20.5 (aseptic) and 57.4 ± 20.6 (septic). Significant differences in the SF-36 Health Survey were found between the two groups in: physical functioning (p = 0.026) and role limitations due to physical health (p = 0.004). No significant difference in SF-36 scores was seen in: Energy/Fatigue, General Health Perception, Personal or Emotional Problems, Role Limitations due to Emotional Well Being, Social Functioning, and Bodily Pain.
Two-stage, septic revision produces a poor functional outcome compared to aseptic revision; however, the overall impact of a septic revision emotionally and socially was not significantly different than patients undergoing aseptic revision.
Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the reporting of these cases, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participating in the study was obtained.
This work was performed at the Münster University Hospital.
Level of evidence: Level III therapeutic study. See levels of evidence for a complete description.
Gallo J, Rozkydal Z, Sklensky M. Reconstruction of severe acetabular bone defects using Burch-Schneider cage. Acta Chir Orthop Traumatol Cech. 2006;73:157–163.PubMed
Parratte S, Argenson JN, Flecher X, Aubaniac JM. Acetabular revision for aseptic loosening in total hip arthroplasty using cementless cup and impacted morselized allograft. Rev Chir Orthop Reparatrice Appar Mot. 2007; 93:255–263.PubMed
Schlegel UJ, Bitsch RG, Pritsch M, Aldinger PR, Mau H, Breusch SJ. Acetabular reinforcement rings in revision total hip arthroplasty: midterm results in 298 cases. Orthopade. 2008;37:904, 906–913.
Stedry V, Dungl P, Hajny P. Revision of total hip replacement operations at the Orthoedic Clinic IPVZ in Prague, 1999. Acta Chir Orthop Traumatol Cech. 2001;68:18–23.PubMed
Tamvakopoulos GS, Servant CT, Clark G, Ivory JP. Medium-term follow-up series using a modular distal fixation prosthesis to address proximal femoral bone deficiency in revision total hip arthroplasty. A 5-9 year follow-up study. Hip Int. 2007;17:143–149.PubMed
Tarasevicius S, Zegunis V, Tarasevicius R, Kalesinskas RJ, Janusonis V. Hip revision arthroplasty (long-term results). Medicina (Kaunas). 2004;40:332–337.
Tulic G, Dulic B, Vucetic C, Todorovic A. Our first experience with extended proximal femoral osteotomy for revision hip surgery. Hip Int. 2007;17:224–229.PubMed
Wu LD, Xiong Y, Yan SG, Yang QS, Dai XS. Femoral Component Revision using extensively porous-coated cementless stem. Chin J Traumatol. 2005; 8:358–63.PubMed
- Functional and Emotional Results Differ After Aseptic vs Septic Revision Hip Arthroplasty
Volume 7, Issue 3 , pp 235-238
- Cover Date
- Print ISSN
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- hip arthroplasty
- Author Affiliations
- 2. Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA
- 1. Department of Orthopaedics, Münster University Hospital, Münster, Germany