Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Neuner, J.
Revision Surgery After Total Joint Arthroplasty: A Complication-Based Analysis Using Worldwide Arthroplasty Registers
Humanmedizin; [ Diplomarbeit ] Medizinische Universität Graz; 2023. pp. 47
[OPEN ACCESS]
FullText
- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Hauer Georg
- Sadoghi Patrick
- Altmetrics:
- Abstract:
- Background Ten years ago, a comprehensive study was carried out to examine the causes and frequencies of revision surgeries in total hip arthroplasty (THA), total knee arthroplasty (TKA) and total ankle arthroplasty (TAA) using a complication-based analysis of arthroplasty registers. The aim of this thesis was to assess whether there have been any changes in the causes and the associated risk of revision surgeries over the past decade, aiming to provide an updated analysis. Methods A systematic review of national arthroplasty registers from seven countries was conducted to investigate the causes and revision rates in THA, TKA and TAA. The thesis focused on a descriptive analysis that provided an updated overview without statistical significance values. Results The primary causes for revisions in THA comprised aseptic loosening (35.1%), deep infection (18.2%), dislocation/instability (15.9%) and periprosthetic fracture (PPF) (11.4%). In TKA, the prevailing reasons were deep infection (21.6%), aseptic loosening (18.3%), instability (14.1%) and pain (10.9%). As for TAA, the most frequent causes for reoperation were aseptic loosening (44.8%), unclear pain (38.5%) and implant breakage (12.2%). Conclusion The findings of this thesis have unveiled noteworthy shifts in the underlying causes of revision surgeries over the past decade. Notably, septic complications have emerged as the predominant reason for revision in primary TKA, and they have also gained prominence as a cause of failure THA. Although aseptic loosening continues to be the primary cause for reoperation in THA, the relative risk has decreased for both THA and TKA. In the case of TAA, it is striking that aseptic loosening has become an even more frequent reason for revision and pain has almost tripled as a reason for revision surgery.