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Hepatitis C Is Associated With Higher Short-Term Complication Rates After Initial Aseptic and Septic Revision Total Hip Arthroplasty: A Matched Cohort Study.
Ross, Bailey J; Cole, Matthew W; Ross, Austin J; Guild, George N; Lee, Olivia C; Sherman, William F.
Afiliación
  • Ross BJ; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.
  • Cole MW; Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
  • Ross AJ; Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
  • Guild GN; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.
  • Lee OC; Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana; Department of Orthopaedic Surgery, LSUHSC School of Medicine, New Orleans, Louisiana.
  • Sherman WF; Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
J Arthroplasty ; 38(3): 548-554, 2023 03.
Article en En | MEDLINE | ID: mdl-36130698
BACKGROUND: It is unclear if hepatitis C virus (HCV) negatively impacts outcomes of revision total hip arthroplasty (rTHA). The purpose of this study is to trend recent rTHA utilization in patients who have HCV and compare postoperative complication rates versus a matched cohort. METHODS: All patients who underwent rTHA were retrospectively identified in a national database. Patients who had HCV (n = 1,746) were matched 1:3 with a matching group (n = 5,238) for age, gender, and several comorbidities. Cochran-Armitage tests were used to analyze trends in the annual proportion of rTHA performed in patients who had HCV from 2010 to 2019. Rates of 90-day medical and prosthesis-related complications within 2 years postoperatively were compared with multivariable logistic regressions. RESULTS: The annual proportion of rTHA performed in patients who had HCV significantly increased from 2010 to 2019 (P < .001). Patients who had HCV exhibited significantly higher rates of acute kidney injuries (7.6% versus 4.4%; odds ratio [OR] 1.50), transfusions (20.6% versus 14.6%; OR 1.38), and re-revisions for prosthetic joint infection (10.9% versus 6.5%; OR 1.73). In subgroup analyses, rates of re-revision for prosthetic joint infection after initial aseptic rTHA (7.1% versus 3.8%; OR 1.82) and periprosthetic fracture after initial septic rTHA (4.5% versus 1.6%; OR 2.77) were significantly higher in the HCV cohort. CONCLUSION: Similar to primary THA, patients who have HCV exhibit significantly increased complication rates after rTHA. With growing utilization in recent years, these data suggest that this population will comprise an increasingly larger proportion of rTHA procedures performed in the coming years.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hepatitis C / Artroplastia de Reemplazo de Cadera Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2023 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hepatitis C / Artroplastia de Reemplazo de Cadera Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2023 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Estados Unidos