40-221
Complicaciones a corto plazo de la artroplastia total primaria de cadera
Early complications of primary total hip arthroplasty
V. ÁLVAREZ GARCÍA, C. RODRÍGUEZ ALONSO, M. ZAZO ESPINOSA, J. NISTAL RODRÍGUEZ, M. GARCÍA ALONSO SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO DEL RÍO HORTEGA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Objectives: Our purpose was to analyze the main
early complications (six weeks) after primary total hip arthroplasty.
Materials and Methods: All patients who had undergone
primary total hip replacement during 2003 were reviewed.
The studied outcomes were the rates of dislocation,
blood loss, infection, periprosthetic fractures, neural and
vascular complications, and mortality. Results: Our rates
were 4,4% for hip dislocation, 1,7% for deep vein thrombosis
with 0,87% for pulmonary embolism, 1,7% for wound infection
without cases of deep infection. 14,9% of the patients needed
postoperative transfusion. We reported 3,5% fractures of the
calcar during surgery and 0,87% of postoperative periprosthetic
fractures. We didn´t reported any neural complications
or mortality within six weeks postoperatively. Conclusions:
The most frequent complication is dislocation, mainly in
cases whose underlying diagnose was hip fracture. Although
prophylaxis is done, deep vein thrombosis goes on being a
frequent complication.
early complications (six weeks) after primary total hip arthroplasty.
Materials and Methods: All patients who had undergone
primary total hip replacement during 2003 were reviewed.
The studied outcomes were the rates of dislocation,
blood loss, infection, periprosthetic fractures, neural and
vascular complications, and mortality. Results: Our rates
were 4,4% for hip dislocation, 1,7% for deep vein thrombosis
with 0,87% for pulmonary embolism, 1,7% for wound infection
without cases of deep infection. 14,9% of the patients needed
postoperative transfusion. We reported 3,5% fractures of the
calcar during surgery and 0,87% of postoperative periprosthetic
fractures. We didn´t reported any neural complications
or mortality within six weeks postoperatively. Conclusions:
The most frequent complication is dislocation, mainly in
cases whose underlying diagnose was hip fracture. Although
prophylaxis is done, deep vein thrombosis goes on being a
frequent complication.
Palabras clave (ES):
Fractura
Cadera
Artroplastia
total
Prótesis
Complicaciones
Luxación
Fractura
periprotésica
Sangrado
Infección
Embolismo
pulmonar
Tromboembolismo
Trombosis
venosa
de
calcar
Embolia
Resumen (EN)
Objectives: Our purpose was to analyze the main
early complications (six weeks) after primary total hip arthroplasty.
Materials and Methods: All patients who had undergone
primary total hip replacement during 2003 were reviewed.
The studied outcomes were the rates of dislocation,
blood loss, infection, periprosthetic fractures, neural and
vascular complications, and mortality. Results: Our rates
were 4,4% for hip dislocation, 1,7% for deep vein thrombosis
with 0,87% for pulmonary embolism, 1,7% for wound infection
without cases of deep infection. 14,9% of the patients needed
postoperative transfusion. We reported 3,5% fractures of the
calcar during surgery and 0,87% of postoperative periprosthetic
fractures. We didn´t reported any neural complications
or mortality within six weeks postoperatively. Conclusions:
The most frequent complication is dislocation, mainly in
cases whose underlying diagnose was hip fracture. Although
prophylaxis is done, deep vein thrombosis goes on being a
frequent complication.
early complications (six weeks) after primary total hip arthroplasty.
Materials and Methods: All patients who had undergone
primary total hip replacement during 2003 were reviewed.
The studied outcomes were the rates of dislocation,
blood loss, infection, periprosthetic fractures, neural and
vascular complications, and mortality. Results: Our rates
were 4,4% for hip dislocation, 1,7% for deep vein thrombosis
with 0,87% for pulmonary embolism, 1,7% for wound infection
without cases of deep infection. 14,9% of the patients needed
postoperative transfusion. We reported 3,5% fractures of the
calcar during surgery and 0,87% of postoperative periprosthetic
fractures. We didn´t reported any neural complications
or mortality within six weeks postoperatively. Conclusions:
The most frequent complication is dislocation, mainly in
cases whose underlying diagnose was hip fracture. Although
prophylaxis is done, deep vein thrombosis goes on being a
frequent complication.
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