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Komplikationen nach Hüftoperationen

Complications after hip operations

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Zusammenfassung

In dem 10-Jahres-Zeitraum 1999–2008 ist es gemäß einer prospektiven fortlaufenden Erfassung bei 12.590 Hüftoperationen (11.059 bei Erwachsenen und 1531 bei Kindern) in unserer Klinik bei 4,96% der Operationen postoperativ zu Komplikationen gekommen (5,2% bei Erwachsenen und 1,96% bei Kindern). 110 Thrombosen (0,87% klinisch apparent und bildgebend bestätigt), 191 Wundheilungsstörungen (1,52%), davon 57 Infektionen (0,45%), 53 revisionsbedürftige Hämatome (0,42%) und 88 (0,7%) periphere Nervenläsionen stellen die häufigsten Komplikationen. Verfahrensspezifische Komplikationsstatistiken (Hüftendoprothesen, Prothesenwechsel, proximale Femurosteotomien und Beckenosteotomien, Metallentfernungen und Operationen bei Kindern – Azetabuloplastiken, Femurosteotomien und operative Einstellungen) werden dargestellt. Sie ermöglichen die Beurteilung und den Vergleich von methoden- und abteilungsspezifischen Risiken und deren Entwicklung über die Zeit. Ein offener und offensiver Umgang mit postoperativen Komplikationen kann kostengünstig und wirkungsvoll Behandlungsergebnisse verbessern.

Abstract

From 1999 to 2008, according to a prospective and sequential compilation of data, the 12,590 hip operations (11,059 in adults and 1,531 in children) performed in our hospital showed a postoperative complication rate of 4.96% (5.2% in adults and 1.96% in children). The most frequent complications were 110 thromboses (0.87%), which were clinically apparent and proven by Doppler ultrasonography or phlebography; 191 superficial and deep disorders of wound healing (1.5%), including 57 (0.45%) infections; 88 peripheral nerve lesions (0.7%); and 53 hematoma revisions (0.42%). Operation-specific statistics for complications (total hip replacements, revisions, femoral and pelvic osteotomies, hardware removals, and operations in children, including acetabuloplasty, femoral osteotomies, and open reductions) are presented here. Those statistics make it possible to judge and compare method-specific and department-specific risks and their development over time. An open and active attitude when dealing with postoperative complications can cost effectively and efficiently improve treatment results.

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  1. Orthopädische Klinik, Klinikum, Beurhausstraße 40, 44137, Dortmund, Deutschland

    B.-D. Katthagen & A.-R. Zahedi

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  1. B.-D. Katthagen
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  2. A.-R. Zahedi
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Correspondence to B.-D. Katthagen.

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Katthagen, BD., Zahedi, AR. Komplikationen nach Hüftoperationen. Orthopäde 38, 786–795 (2009). https://doi.org/10.1007/s00132-009-1448-0

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