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Complications following total hip arthroplasty and hemiarthroplasty for femoral neck fractures in patients with a history of lumbar spinal fusion

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The purpose of this study was to examine whether previous lumbar spinal fusion (LSF) was an independent risk factor for complications in patients undergoing total hip arthroplasty (THA) or hemiarthroplasty for displaced femoral neck fractures.

Methods and materials

An administrative database was queried from 2010 to Q2 of 2019 to analyze and compare complications in patients undergoing either THA or hemiarthroplasty for femoral neck fracture with a history of LSF versus no history of LSF. Joint complications including periprosthetic fracture, prosthetic joint infection (PJI), prosthetic joint dislocation (PJD), aseptic loosening, and prosthetic revision were examined at 90 days and 1 year post-operatively.

Results

In the THA cohort, patients with prior LSF had significantly higher likelihood of aseptic loosening at 90 days and 1 year post-operatively in comparison to those without prior LSF (90-day: OR 2.22; 1-year: OR 1.95). Patients in the hemiarthroplasty cohort with prior LSF had significantly higher likelihood of PJI (90-day: OR 2.18; 1-year: OR 2.37), aseptic loosening (90-day: OR 3.42; 1-year: OR 4.68), and prosthetic revision (90-day: OR 2.27; 1-year: OR 2.25) in both the 90-day and 1-year postoperative period in comparison to those without prior LSF. Additionally, for the same cohort, periprosthetic fracture (1-year: OR 2.32) and PJD (1-year: OR 2.31) were significantly higher at 1-year postoperative.

Conclusion

Presence of LSF was found to be an independent risk factor for increased joint complications in patients undergoing either a THA or hemiarthroplasty for displaced femoral neck fractures.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA, 70112, USA

    Sione A. Ofa, Gregory M. Lupica & William F. Sherman

  2. Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA

    Olivia C. Lee

Authors
  1. Sione A. Ofa
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  2. Gregory M. Lupica
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  3. Olivia C. Lee
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  4. William F. Sherman
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Correspondence to William F. Sherman.

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The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethics approval

Institutional review board exemption was granted for this study by Tulane University Human Research Protection Program, because provided data were deidentified and compliant with the Health Insurance Portability and Accountability Act.

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Appendix

Appendix

Tables 7 and 8.

Table 7 Codes used to create Urgent total hip arthroplasty cohort, and hemiarthroplasty cohort
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Table 8 Codes used to evaluate for joint complications
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Ofa, S.A., Lupica, G.M., Lee, O.C. et al. Complications following total hip arthroplasty and hemiarthroplasty for femoral neck fractures in patients with a history of lumbar spinal fusion. Arch Orthop Trauma Surg 143, 817–827 (2023). https://doi.org/10.1007/s00402-021-04158-7

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  • DOI: https://doi.org/10.1007/s00402-021-04158-7

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