Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Hauer, G; Rasic, L; Klim, S; Leitner, L; Leithner, A; Sadoghi, P.
Septic complications are on the rise and aseptic loosening has decreased in total joint arthroplasty: an updated complication based analysis using worldwide arthroplasty registers.
Arch Orthop Trauma Surg. 2024; 144(12):5199-5204
Doi: 10.1007/s00402-024-05379-2
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- Führende Autor*innen der Med Uni Graz
- Hauer Georg
- Co-Autor*innen der Med Uni Graz
- Klim Sebastian Martin
- Leithner Andreas
- Leitner Lukas
- Rasic Laura
- Sadoghi Patrick
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- Abstract:
- INTRODUCTION: A decade ago, a comprehensive study was conducted to investigate the reasons for revision surgeries and their respective frequencies in cases of total hip arthroplasty (THA) and total knee arthroplasty (TKA) based on a complication-based analysis of joint replacement registries. The aim of the present study was to determine whether the causes and risks of their occurrence have changed over the last ten years and to present an updated analysis. MATERIALS AND METHODS: A systematic review of national arthroplasty registries from seven countries examined the causes and rates of revisions of THA and TKA. The study focused on a descriptive analysis that provided an updated overview without statistical significance values. RESULTS: The most common causes for revisions of THA were aseptic loosening (35.1%), deep infection (18.2%), dislocation/instability (15.9%), and periprosthetic fractures (11.4%). The most common causes for revisions of TKA were deep infection (21.6%), aseptic loosening (18.3%), instability (14.1%), and pain (10.9%). CONCLUSION: The findings of this study revealed significant shifts in the underlying causes of revision surgeries in the last decade. Notably, septic complications emerged as the predominant reason for revision of primary TKA, while they also gained prominence as a cause of failure of THA. Although aseptic loosening remains the primary cause for re-operation of THA, the relative risk has decreased for both THA and TKA.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Reoperation - statistics & numerical data
- Arthroplasty, Replacement, Hip - adverse effects, statistics & numerical data
- Registries - administration & dosage
- Prosthesis Failure - administration & dosage
- Arthroplasty, Replacement, Knee - adverse effects, statistics & numerical data
- Prosthesis-Related Infections - epidemiology, etiology
- Postoperative Complications - epidemiology, etiology
- Periprosthetic Fractures - epidemiology, etiology
- Find related publications in this database (Keywords)
- Arthroplasty
- Register data
- Complication
- Total hip arthroplasty
- Total knee arthroplasty
- Revision