Complicaciones en artroplastía total de cadera con prótesis doble movilidad: Experiencia en un hospital de tercer nivel.

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Title: Complicaciones en artroplastía total de cadera con prótesis doble movilidad: Experiencia en un hospital de tercer nivel.
Alternate Title: Complications in total hip arthroplasty with double mobility prosthesis: Experience in a third level hospital.
Authors: I. E., Hernández-Téllez1,2, J. R., García-Andino1,3, R. B., Palmieri-Bouchan1,4, P. E., Áviles-Jiménez1,4, I. N., Estrada-Hernández1,4 docihernandez@hotmail.com
Source: Acta Ortopédica Mexicana. ene/feb2025, Vol. 39 Issue 1, p2-7. 6p.
Subjects: TOTAL hip replacement, PERIPROSTHETIC fractures, PULMONARY embolism, SCIATIC nerve, CHRONIC pain
Abstract (English): Introduction: total hip arthroplasty (THA) is a successful surgical intervention for end-stage hip arthritis, however, it is not extent for complications. The risk of instability after THA with conventional design is up to 7% for primary procedures and 5-20% for revisions. The purpose of this study is to document the complications that occur with the double mobility prosthetic design. Materials and methods: observational, longitudinal, retrospective and descriptive study. A sample of 542 patients undergoing primary THA using a double mobility design was included, complications occurring from December 1, 2015 to December 31, 2021 were recorded. Results: the complications that occurred were: 13 (2.39%) patients with postoperative dislocation, five (0.92%) with periprosthetic fracture, five (0.92%) with transient neuropraxia of the sciatic nerve, three (0.55%) with periprosthetic infection, one (0.18%) with chronic pain and one (0.18%) with pulmonary thromboembolism. Conclusions: the double mobility design is an appropriate option to reduce the risk of prosthetic dislocation in patients undergoing total hip arthroplasty. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la artroplastía total de la cadera (ATC) es una intervención quirúrgica exitosa para la coxartrosis en estadios avanzados; sin embargo, no está exenta de complicaciones. El riesgo de inestabilidad después de la ATC con diseño convencional es de hasta 7% para procedimientos primarios y de 5-20% para revisiones. El propósito de este estudio es documentar las complicaciones ocurridas en las ATC con el diseño protésico de doble movilidad. Materiales y métodos: estudio observacional, longitudinal, retrospectivo y descriptivo. Se incluyó una muestra de 542 pacientes sometidos a ATC primaria utilizando un diseño de doble movilidad. Se registraron las complicaciones ocurridas del 1 de Diciembre de 2015 al 31 de Diciembre de 2021. Resultados: las complicaciones que se presentaron fueron: 13 (2.39%) pacientes con luxación postoperatoria, cinco (0.92%) con fractura periprotésica, cinco (0.92%) con neuropraxia transitoria del nervio ciático (0.92%), tres (0.55%) con infección periprotésica, uno (0.18%) con dolor crónico y uno (0.18%) con tromboembolia pulmonar. Conclusiones: el diseño de doble movilidad es una opción adecuada para disminuir el riesgo de luxación protésica en pacientes operados de artroplastía total de cadera. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Introduction: total hip arthroplasty (THA) is a successful surgical intervention for end-stage hip arthritis, however, it is not extent for complications. The risk of instability after THA with conventional design is up to 7% for primary procedures and 5-20% for revisions. The purpose of this study is to document the complications that occur with the double mobility prosthetic design. Materials and methods: observational, longitudinal, retrospective and descriptive study. A sample of 542 patients undergoing primary THA using a double mobility design was included, complications occurring from December 1, 2015 to December 31, 2021 were recorded. Results: the complications that occurred were: 13 (2.39%) patients with postoperative dislocation, five (0.92%) with periprosthetic fracture, five (0.92%) with transient neuropraxia of the sciatic nerve, three (0.55%) with periprosthetic infection, one (0.18%) with chronic pain and one (0.18%) with pulmonary thromboembolism. Conclusions: the double mobility design is an appropriate option to reduce the risk of prosthetic dislocation in patients undergoing total hip arthroplasty. [ABSTRACT FROM AUTHOR]
ISSN:23064102
DOI:10.35366/118845