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Risk factors for complications in total hip arthroplasty. / Factores de riesgo para complicaciones en artroplastia total de cadera.
Hoyos-Velasco, L A; Palacio, J C; Stangl, W P; Chacón-Castillo, C L; Palacio-Aragón, V; Pulgarín, J P.
Afiliación
  • Hoyos-Velasco LA; Servicio de Ortopedia y Traumatología, Grupo de Cirugía Articular de Cadera y Rodilla, Clínica Imbanaco, Cali, Colombia. Electronic address: lhoyosv@unal.edu.co.
  • Palacio JC; Servicio de Ortopedia y Traumatología, Grupo de Cirugía Articular de Cadera y Rodilla, Clínica Imbanaco, Cali, Colombia.
  • Stangl WP; Servicio de Ortopedia y Traumatología, Grupo de Cirugía Articular de Cadera y Rodilla, Clínica Imbanaco, Cali, Colombia.
  • Chacón-Castillo CL; Medicina General, Servicio de Ortopedia y Traumatología, Clínica Imbanaco, Cali, Colombia.
  • Palacio-Aragón V; Medicina General, Servicio de Ortopedia y Traumatología, Clínica Imbanaco, Cali, Colombia.
  • Pulgarín JP; Medicina General, Servicio de Ortopedia y Traumatología, Clínica Imbanaco, Cali, Colombia.
Article en En, Es | MEDLINE | ID: mdl-38880356
ABSTRACT
INTRODUCTION AND

OBJECTIVE:

Hip arthroplasty represents a significant advancement in the treatment of refractory chronic joint pain, improving quality of life and functionality. The objective of this study is to identify the risk factors associated with local and systemic complications in patients treated with total hip arthroplasty.

METHODS:

Observational, analytical, retrospective cohort study, which included 304 participants treated with total hip replacement. Comparison of variables between two groups was performed; 38 participants in the group with complications and 266 participants in the group without complications.

RESULTS:

The mean age in the complication group was 66 years (SD 18.7) and in the uncomplicated group it was 67,1 years (SD 15.1) (p 0,686). Female sex was observed in 73.3% of the group with complications and 65% in the group without complications. (p 0.292). Risk factors were hip fracture as an indication for arthroplasty RR 1.33 [95% CI 1.004;1.775 p 0.047], coronary heart disease RR 1.31 [95% CI 1.067;1.616 p 0.010] and surgical bleeding equal to or greater than 400 cc RR 1.11 [95% CI 1.012;1.218 p 0.028].

CONCLUSIONS:

The risk factors for complications in total hip arthroplasty were hip fracture as the indication for arthroplasty, coronary artery disease, and surgical bleeding equal to or greater than 400 cc.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En / Es Revista: Rev Esp Cir Ortop Traumatol Año: 2024 Tipo del documento: Article Pais de publicación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En / Es Revista: Rev Esp Cir Ortop Traumatol Año: 2024 Tipo del documento: Article Pais de publicación: España