Document Detail


Pregnancy and childbirth after total hip arthroplasty.
MedLine Citation:
PMID:  15686232     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We surveyed 343 young women with 420 total hip arthroplasties (THAs) regarding pregnancy and childbirth after THA. The mean age at surgery was 35 years (18 to 45). The mean length of follow-up after the initial arthroplasty was 16 years (6 to 27). Of these 343 women, 47 (13.7%) had a successful pregnancy after their primary THA. The first baby after a THA was delivered vaginally in 30 patients and by Caesarean section in 17. Of the 343 patients, 138 underwent a revision. For the entire series, the risk of revision at five years was 5%, at ten years 24%, and at 20 years 50%. After adjusting for age at surgical intervention, the risk of revision was not significantly associated with childbirth. Of the 47 patients who had a successful pregnancy, 28 (60%) noted an increase in pain in the hip during pregnancy and ten of these patients had persistent pain after their pregnancy. Seven patients complained of pain in the groin in the replaced hip after childbirth. At the time of this survey, five of these patients (70%) had had revision THA. Childbirth is not affected by the presence of a THA. Pregnancy after THA is not associated with decreased survival of the prosthesis. Pain in the hip is common during pregnancy in these patients. Pain in the groin which persists after delivery commonly leads to revision of the THA.
Authors:
R J Sierra; R T Trousdale; M E Cabanela
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  87     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-02     Completed Date:  2005-02-22     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  21-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arthroplasty, Replacement, Hip* / methods
Female
Follow-Up Studies
Humans
Middle Aged
Pain / etiology
Parturition*
Pregnancy*
Pregnancy Outcome
Prosthesis Failure
Reoperation
Risk Assessment / methods
Survival Analysis
Comments/Corrections
Comment In:
J Bone Joint Surg Br. 2005 Dec;87(12):1702; author reply 1702   [PMID:  16326893 ]

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


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