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Cementless Tapered Femoral Stems for Total Hip Arthroplasty in Octogenarians.
- Source :
-
The Journal of arthroplasty [J Arthroplasty] 2016 Dec; Vol. 31 (12), pp. 2810-2813. Date of Electronic Publication: 2016 May 12. - Publication Year :
- 2016
-
Abstract
- Background: The use of cementless femoral components has become the standard in younger patients due to increased implant survivorship and decreased loosening. However, it remains controversial whether these femoral stems can provide comparable results in elderly patients. Therefore, our purpose was to compare the (1) incidence of revisions; (2) clinical outcomes; (3) incidence of postoperative blood transfusions; and (4) differences in complications between the 2 cohorts.<br />Methods: Seventy-four consecutive patients (78 hips) aged 80 years or older, who underwent primary total hip arthroplasty using a cementless, tapered, femoral stem were retrospectively compared with a matched cohort of 76 patients (78 hips) who were less than 80 years. Mean age was 83 years (range, 80-91 years) vs 59 years (range, 17-79 years) for the matched group. Minimum follow-up was 2 years. Revision rates, clinical outcomes using the Harris Hip Score, incidences of complications, and postoperative transfusion rates were evaluated.<br />Results: In the octogenarian cohort, the aseptic survivorship was 99%, compared with 95% in the matched group. There were 2 aseptic loosenings (2.6%): 1 femoral implant loosening (1.3%) and 1 acetabular loosening, but only 1 revision was performed, as one of the patients declined revision surgery. In the matched cohort, there were 6 revisions (7.7%). There were no significant differences in revision rates between the 2 cohorts, and no significant differences in final Harris Hip Score scores. The incidence of blood transfusion in the study group was 42% vs 19% in control group (P < .01).<br />Conclusion: The use of cementless, tapered, femoral stems yielded excellent results in the octogenarian group, although adequate patient preoperative optimization is necessary given the significantly higher transfusion incidence.<br /> (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Subjects :
- Acetabulum surgery
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip adverse effects
Arthroplasty, Replacement, Hip mortality
Female
Femur surgery
Follow-Up Studies
Humans
Kentucky epidemiology
Male
Middle Aged
Postoperative Complications etiology
Postoperative Period
Retrospective Studies
Survival Rate
Treatment Outcome
Young Adult
Arthroplasty, Replacement, Hip instrumentation
Blood Transfusion statistics & numerical data
Hip Prosthesis
Postoperative Complications epidemiology
Reoperation statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8406
- Volume :
- 31
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The Journal of arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 27325368
- Full Text :
- https://doi.org/10.1016/j.arth.2016.05.010