Document Detail


Outcomes of isolated acetabular revision.
MedLine Citation:
PMID:  19789935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Isolated acetabular revision can be associated with variable patient outcomes; there is a risk of hip instability. We evaluated 42 isolated acetabular revision operations and investigated the impact of patient age, diagnosis, bone stock, bone loss, bone augmentation, and obesity on pain and the Harris hip score. Preoperative radiographs were graded according to Paprosky et al. Postoperative radiographs were graded according to Moore et al. and for implant position, prosthetic fixation, and osteolysis. Complications, patient outcome, reoperations, and acetabular rerevisions were recorded. All patients had complete clinical and radiographic followup with a minimum followup of 2 years (mean, 6.4 years; range, 2-13 years). The mean pain score and the mean Harris hip score improved postoperatively. There was one infection 6 months after operation. There were no dislocations. There were three acetabular rerevisions (7%) for aseptic loosening. Patient age, preoperative diagnosis, bone loss, and pelvic bone augmentation had no influence on pain or Harris hip scores. Before operation, obese patients tended to have less pain than nonobese patients but at followup obese patients had less improvement in pain scores than nonobese patients. Level of Evidence: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
Authors:
Bryan M Lawless; William L Healy; Sanjeev Sharma; Richard Iorio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  468     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-02-08     Revised Date:  2011-07-22    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  472-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedics, The Lahey Clinic, 41 Mall Road, Burlington, MA 01805, USA. bmlawles@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / radiography,  surgery*
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / adverse effects,  instrumentation*
Body Mass Index
Female
Hip Joint / physiopathology,  radiography,  surgery*
Hip Prosthesis* / adverse effects
Humans
Joint Instability / etiology,  physiopathology,  radiography,  surgery*
Male
Middle Aged
Obesity / complications
Osteolysis / etiology,  physiopathology,  radiography,  surgery*
Pain / etiology,  prevention & control
Pain Measurement
Prosthesis Failure
Prosthesis-Related Infections / etiology,  prevention & control
Recovery of Function
Reoperation
Retrospective Studies
Severity of Illness Index
Time Factors
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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