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Peri-operative Morbidity Associated with Bilateral Hip Arthroplasty for Inflammatory Arthritis: Results from a Consecutive Series of 168 Hips.
George, Rahul; Chandy, V J; Christudoss, A I; Hariharan, T D; ArunShankar, A; Antonisamy, B; Oommen, A T; Poonnoose, Pradeep Mathew.
Afiliación
  • George R; Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004 India.
  • Chandy VJ; Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004 India.
  • Christudoss AI; Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004 India.
  • Hariharan TD; Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004 India.
  • ArunShankar A; Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004 India.
  • Antonisamy B; Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu 632002 India.
  • Oommen AT; Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004 India.
  • Poonnoose PM; Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu 632004 India.
Indian J Orthop ; 55(5): 1232-1239, 2021 Oct.
Article en En | MEDLINE | ID: mdl-34824724
AIM: This study aims to assess the risks and peri-operative morbidity associated with a single-stage sequential bilateral hip arthroplasty (SBHA) when performed in patients with arthritis secondary to inflammatory arthropathy. METHODS: Data of patients who underwent SBHA between 2012 and 2018 for inflammatory arthritis were extracted from a database, for peri-operative complications and functional improvement. SBHA for other causes was excluded. RESULTS: Data of 84 consecutive patients with a mean age of 34.5 years were analyzed. The mean follow-up was 2.4 years. 66% had ankylosing spondylitis, while 14% had rheumatoid arthritis. 50% of the patients had bilateral fusion of the hips, and 34% had flexion deformity > 30°.None of the patients had peri-operative cardiac or pulmonary complications. 2.4% had per-operative hypotension (MAP < 50 mmHg) and 1.2% had desaturation (SpO2 < 90%). The mean drop in hematocrit was 9.3%. While 31% did not require blood transfusion, 35% required more than 1 unit of blood. Patients with pre-operative PCV of > 36% had a significantly lower risk of being transfused > 1 unit of blood (p = 0.02). ICU admission was 6%-mostly for post-operative monitoring. While one patient had a local hematoma that needed a wash-out, there were no infections, dislocations, or mortality in these patients. The modified Harris hip score improved from a mean of 26.5-85. The mean hip flexion improved post-operatively from 32° to 92°. CONCLUSIONS: SBHA for inflammatory arthritis can be performed with minimum complications in a multidisciplinary setting. Pre-operatively, PCV of > 36 is advised to reduce transfusion rates.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Indian J Orthop Año: 2021 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Indian J Orthop Año: 2021 Tipo del documento: Article Pais de publicación: Suiza