English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    G. V. Gayko, V. M. Pidgaietskyi, V. P. Torchynskyi, O. M. Sulyma, O. A. Haluzynskyi, T. V. Nizalov, R .A. Kozak

    NON-INFECTIOUS COMPLICATIONS OF TOTAL HIP ARTHROPLASTY THAT ARE NOT ASSOCIATED WITH INSTABILITY OF COMPONENTS


    About the author: G. V. Gayko, V. M. Pidgaietskyi, V. P. Torchynskyi, O. M. Sulyma, O. A. Haluzynskyi, T. V. Nizalov, R .A. Kozak
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation We analysed outcomes of 369 cases in 364 patients with complications after total hip arthroplasty. In this study we focused on cases with non-infectious complications of total hip arthroplasty that are not associated with instability of components which included prosthetic head dislocations, paraarticular heterotopic ossification, periprosthetic fractures of the femur, pain in replaced joint (not associated with the instability). The effectiveness of surgical elimination of the dislocations was significantly higher compared to the closed reposition. The only efficient method to manage heterotopic ossification was its prompt removal. Open reposition, followed with metal osteosynthesis, was the only effective remedy for 100% of periprosthetic fractures. In case of vertebrogenous pain syndrome, the best results had patients with lesions of posterior column of the lumbar spine.
    Tags hip joint, complications of arthroplasty, dislocation, heterotopic ossification, periprosthetic fracture, revision prosthetics
    Bibliography
    • Afzal I, Radha S, Smoljanović T, Stafford G, Twyman R, Field R. Validation of revision data for total hip and knee replacements undertaken at a high volume orthopaedic centre against data held on the National Joint Registry. JOrthop Surg Res, 2019, 14(1):318. https://doi: 10.1186/s13018–019–1304–9.
    • Agarwal Shailesh, Sorkin Michael, Levi Benjamin. Heterotopic ossification and hypertrophic scars. Clin Plast Surg. Author manuscript; available in PMC 2018 Oct 1. Published in final edited form as: Clin Plast Surg., 2017, 44(4): 749–755. https://doi: 10.1016/j.cps.2017.05.006
    • Baum C, Leimbacher M, Kriechling P, Platz A, Cadosch D. Treatment of Periprosthetic Femoral Fractures Vancouver Type B2: Revision Arthroplasty Versus Open Reduction and Internal Fixation with Locking Compression Plate. Geriatr Orthop Surg Rehabil, 2019, 10: 2151459319876859. https://doi: 10.1177/2151459319876859.
    • Benedetto Paolo Di, Zangari Andrea, Magnanelli Stefano, Cainero Vanni, Beltrame Alessandro, Gisonni Renato, et al. Heterotopic Ossification in Primary Total Hip Arthroplasty: which is the role of drainage? Acta Biomed, 2019, 90(Suppl 1): 92–97. https://doi: 10.23750/abm.v90i1-S.8077.
    • Delanois R, Gwam C, Piuzzi N, Chughtai M, Malkani A, Bonutti P et al. Hip and Knee Arthroplasty Orthopedic Literature in Medical JournalsIs It Negatively Biased? J Arthroplasty, 2018, 33(2):615-9. https://doi: 10.1016/j.arth.2017.09.017.
    • Fakler Johannes, Pönick Cathleen, Edel Melanie, Möbius Robert, Giselher Brand Alexander, Roth Andreas et al. A new classification of TKA periprosthetic femur fractures considering the implant type. BMC Musculoskelet Disord, 2017, 18: 490.  https://doi: 10.1186/s12891-017-1855-z.
    • Gwam C, Mistry J, Mohamed N, Thomas M, Bigart K, Mont M et al. Current Epidemiology of Revision Total Hip Arthroplasty in the United States: National Inpatient Sample 2009 to 2013. J Arthroplasty, 2017, 32(7):2088-2092. https://doi: 10.1016/j.arth.2017.02.046.
    • Karam James, Campbell Paul, Desai Shivang, Hunter Michael. Periprosthetic proximal femoral fractures in cemented and uncemented stems according to Vancouver classification: observation of a new fracture pattern. J Orthop Surg Res, 2020, 15: 100.  https://doi: 10.1186/s13018-020-01619–4.
    • Lee Joong-Myung, Kim Tae–sup, Kim Tae-ho. Treatment of Periprosthetic Femoral Fractures Following Hip Arthroplasty. Hip Pelvis, 2018, 30(2): 78–85.  https://doi: 10.5371/hp.2018.30.2.78.
    • Łęgosz Paweł, Otworowski Maciej, Sibilska Aleksandra, Starszak Krzysztof, Kotrych Daniel, Kwapisz Adam et al. Heterotopic Ossification: A Challenging Complication of Total Hip Arthroplasty: Risk Factors, Diagnosis, Prophylaxis, and Treatment. Biomed Res Int., 2019, https://doi: 10.1155/2019/3860142
    • Lespasio Michelle, Guarino A. Awareness of Heterotopic Ossification in Total Joint Arthroplasty: A Primer. Perm J, 2020, 24: 19.211. https://doi: 10.7812/TPP/19.211
    • Meyers C, Lisiecki J, Miller S, Levin A, Fayad L, Ding C et al. Heterotopic Ossification: A Comprehensive Review. JBMR Plus, 2019, 3(4): e10172. https: //doi: 10.1002/jbm4.10172
    • Mohammed J, Mukka S, Hedbeck C-J, Chammout G, Gordon M, Sköldenberg O. Reduced periprosthetic fracture rate when changing from a tapered polished stem to an anatomical stem for cemented hip arthroplasty: an observational prospective cohort study with a follow–up of 2 years. Acta Orthop, 2019, 90(5): 427–432. https://doi: 10.1080/17453674.2019.1624339.
    • Paxton Elizabeth,  Inacio Maria,  Slipchenko Tamara,  Fithian Donald. The Kaiser Permanente National Total Joint Replacement Registry. Perm J. 2008 Summer; 12(3): 12–16.
    • Rowan FE, Benjamin B, Pietrak JR, Haddad FS. Prevention of Dislocation After Total Hip Arthroplasty. J Arthroplasty. 2018 May; 33(5):1316-1324. doi: 10.1016/j.arth.2018.01.047. Epub 2018 Mar 7.
    Publication of the article «World of Medicine and Biology» №1(75), 2021 year, 031-035 pages, index UDK 616.728.2-089.843-77-06
    DOI 10.26724/2079-8334-2021-1-75-31-35