Prevention of Early Complications Following Total Hip Replacement

Overview

Journal SICOT J

Publisher EDP Sciences

Specialty Orthopedics

Date 2021 Dec 1

PMID 34851264

Citations 10

Authors

Andreas Fontalis

Daniel J Berry

Andrew Shimmin

Pablo A Slullitel

Martin A Buttaro

Cao Li

Henrik Malchau

Fares S Haddad

Affiliations

Soon will be listed here.

Abstract

Total hip arthroplasty (THA) has been quoted as "the operation of the century", owing to its efficacy and the substantial improvements evidenced with respect to functional patient outcomes and quality of life. However, early postoperative complications are often inevitable, hence it is imperative to take every step to prevent them and minimise morbidity and mortality. This manuscript focuses on the most common early complications following THA, namely venous thromboembolism (VTE), prosthetic joint infection, periprosthetic fracture, instability, and leg length inequality. It aims to outline effective risk stratification strategies and prevention measures that could apply to the wider Orthopaedic community.

Citing Articles

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Analysis of Postoperative Complication and Revision Rates and Mid- to Long-Term Implant Survival in Primary Short-Stem Total Hip Arthroplasty.

Stauss R, Becker N, Savov P, Ettinger M, Seeber G J Clin Med. 2024; 13(13).

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Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study.

Monkuntod K, Aree-Ue S, Roopsawang I J Clin Med. 2023; 12(19).

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An Analysis of the Preoperative Factors, Spinopelvic Mobility and Sagittal Spinal Alignment in Pre-THA Patients.

Lazinski M, Niemyjski W, Niemyjski M, Synder M, Drobniewski M, Olewnik L J Clin Med. 2023; 12(17).

PMID: 37685661 PMC: 10488904. DOI: 10.3390/jcm12175594.

References

Arnold N, Anis H, Barsoum W, Bloomfield M, Brooks P, Higuera C . Preoperative cut-off values for body mass index deny patients clinically significant improvements in patient-reported outcomes after total hip arthroplasty. Bone Joint J. 2020; 102-B(6):683-692. DOI: 10.1302/0301-620X.102B6.BJJ-2019-1644.R1. View

Broden C, Mukka S, Muren O, Eisler T, Boden H, Stark A . High risk of early periprosthetic fractures after primary hip arthroplasty in elderly patients using a cemented, tapered, polished stem. Acta Orthop. 2014; 86(2):169-74. PMC: 4404766. DOI: 10.3109/17453674.2014.971388. View

Danoff J, Moss G, Liabaud B, Geller J . Total knee arthroplasty considerations in rheumatoid arthritis. Autoimmune Dis. 2013; 2013:185340. PMC: 3787551. DOI: 10.1155/2013/185340. View

Ransone M, Fehring K, Fehring T . Standardization of lateral pelvic radiograph is necessary to predict spinopelvic mobility accurately. Bone Joint J. 2020; 102-B(7_Supple_B):41-46. DOI: 10.1302/0301-620X.102B7.BJJ-2019-1548.R1. View

Parvizi J, Huang R, Restrepo C, Chen A, Austin M, Hozack W . Low-Dose Aspirin Is Effective Chemoprophylaxis Against Clinically Important Venous Thromboembolism Following Total Joint Arthroplasty: A Preliminary Analysis. J Bone Joint Surg Am. 2017; 99(2):91-98. DOI: 10.2106/JBJS.16.00147. View

Goldstein M, Feldmann C, Wulf H, Wiesmann T . Tranexamic Acid Prophylaxis in Hip and Knee Joint Replacement. Dtsch Arztebl Int. 2017; 114(48):824-830. PMC: 5752977. DOI: 10.3238/arztebl.2017.0824. View

Khan M, Della Valle C, Jacofsky D, Meneghini R, Haddad F . Early postoperative complications after total hip arthroplasty: current strategies for prevention and treatment. Instr Course Lect. 2015; 64:337-46. View

Schloemann D, Edelstein A, Barrack R . Changes in acetabular orientation during total hip arthroplasty. Bone Joint J. 2019; 101-B(6_Supple_B):45-50. DOI: 10.1302/0301-620X.101B6.BJJ-2018-1335.R1. View

McConoughey S, Howlin R, Granger J, Manring M, Calhoun J, Shirtliff M . Biofilms in periprosthetic orthopedic infections. Future Microbiol. 2014; 9(8):987-1007. PMC: 4407677. DOI: 10.2217/fmb.14.64. View

10.

Desai A, Dramis A, Board T . Leg length discrepancy after total hip arthroplasty: a review of literature. Curr Rev Musculoskelet Med. 2013; 6(4):336-41. PMC: 4094096. DOI: 10.1007/s12178-013-9180-0. View

11.

Wang Z, Hou J, Wu C, Zhou Y, Gu X, Wang H . A systematic review and meta-analysis of direct anterior approach versus posterior approach in total hip arthroplasty. J Orthop Surg Res. 2018; 13(1):229. PMC: 6127950. DOI: 10.1186/s13018-018-0929-4. View

12.

Thien T, Chatziagorou G, Garellick G, Furnes O, Havelin L, Makela K . Periprosthetic femoral fracture within two years after total hip replacement: analysis of 437,629 operations in the nordic arthroplasty register association database. J Bone Joint Surg Am. 2014; 96(19):e167. DOI: 10.2106/JBJS.M.00643. View

13.

Aalirezaie A, Bauer T, Fayaz H, Griffin W, Higuera C, Krenn V . Hip and Knee Section, Diagnosis, Reimplantation: Proceedings of International Consensus on Orthopedic Infections. J Arthroplasty. 2018; 34(2S):S369-S379. DOI: 10.1016/j.arth.2018.09.021. View

14.

Parvizi J, Huang R, Raphael I, Arnold W, Rothman R . Symptomatic pulmonary embolus after joint arthroplasty: stratification of risk factors. Clin Orthop Relat Res. 2013; 472(3):903-12. PMC: 3916633. DOI: 10.1007/s11999-013-3358-z. View

15.

Eftekhary N, Shimmin A, Lazennec J, Buckland A, Schwarzkopf R, Dorr L . A systematic approach to the hip-spine relationship and its applications to total hip arthroplasty. Bone Joint J. 2019; 101-B(7):808-816. DOI: 10.1302/0301-620X.101B7.BJJ-2018-1188.R1. View

16.

Chatziagorou G, Lindahl H, Karrholm J . The design of the cemented stem influences the risk of Vancouver type B fractures, but not of type C: an analysis of 82,837 Lubinus SPII and Exeter Polished stems. Acta Orthop. 2019; 90(2):135-142. PMC: 6461110. DOI: 10.1080/17453674.2019.1574387. View

17.

Wilson J, Farley K, Bradbury T, Guild G . Is Spinal Anesthesia Safer than General Anesthesia for Patients Undergoing Revision THA? Analysis of the ACS-NSQIP Database. Clin Orthop Relat Res. 2019; 478(1):80-87. PMC: 7000063. DOI: 10.1097/CORR.0000000000000887. View

18.

Kaspar S, de V de Beer J . Infection in hip arthroplasty after previous injection of steroid. J Bone Joint Surg Br. 2005; 87(4):454-7. DOI: 10.1302/0301-620X.87B4.15546. View

19.

Dorr L, Gendelman V, Maheshwari A, Boutary M, Wan Z, Long W . Multimodal thromboprophylaxis for total hip and knee arthroplasty based on risk assessment. J Bone Joint Surg Am. 2007; 89(12):2648-57. DOI: 10.2106/JBJS.F.00235. View

20.

Sheth N, Brown N, Moric M, Berger R, Della Valle C . Operative treatment of early peri-prosthetic femur fractures following primary total hip arthroplasty. J Arthroplasty. 2012; 28(2):286-91. DOI: 10.1016/j.arth.2012.06.003. View