| A comparison of osteonecrosis and osteoarthritis patients following total hip arthroplasty. A long-term follow-up study. | |
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MedLine Citation:
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PMID: 3708966 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between November 1969 and December 1983, 105 total hip arthroplasties were performed on 82 patients with a diagnosis of idiopathic osteonecrosis (ON). During the same period, 891 total hip surgeries were performed on 706 osteoarthritis (OA) patients. In order to statistically compare these two diseases, the records of each patient were examined for possible differences in bilaterality, sex, age, and acute postoperative complications including infections, pain, nonunions, and heterotopic bone (HB). Sixty-four ON hips and 615 OA hips (all with at least three years of follow-up data) were then evaluated for acetabular and femoral radiolucency, acetabular and femoral loosening, and pain. The same long-term complications were evaluated in some of these patients at five-, seven-, and ten-year follow-up periods. The ON patients were significantly younger than the OA patients (p less than .001). Bilateral involvement and male/female distributions were found to be similar. Except for HB, acute postoperative complications (zero to six months) were similar. Early HB surrounding one-third or more of the hip joint was statistically less in the ON patient population (p less than .001). No significant differences in long-term complications were found. However, a much higher death rate was found in ON patients (24%) as compared to OA patients (15%) (significant at p less than .07). This difference was not due to any postoperative complication or the hip arthroplasty itself, because both were the same in the two populations. |
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Authors:
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M A Ritter; J B Meding |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: - ISSN: 0009-921X ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 1986 May |
Date Detail:
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Created Date: 1986-07-08 Completed Date: 1986-07-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 139-46 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Bone and Bones Choristoma / epidemiology Female Femur Head Necrosis / surgery* Follow-Up Studies Hip Joint Hip Prosthesis* Humans Male Middle Aged Osteoarthritis / surgery* Postoperative Complications / epidemiology Prosthesis Failure Sex Factors Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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