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Functional and Emotional Results Differ After Aseptic vs Septic Revision Hip Arthroplasty

Authors
  • Boettner, Friedrich1
  • Cross, Michael B.1
  • Nam, Denis1
  • Kluthe, Tobias2
  • Schulte, Miriam2
  • Goetze, Christian2
  • 1 Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA , New York (United States)
  • 2 Münster University Hospital, Department of Orthopaedics, Münster, Germany , Münster (Germany)
Type
Published Article
Journal
HSS Journal ®
Publisher
Springer New York
Publication Date
Jun 11, 2011
Volume
7
Issue
3
Pages
235–238
Identifiers
DOI: 10.1007/s11420-011-9211-6
Source
Springer Nature
Keywords
License
Yellow

Abstract

BackgroundIt is widely believed that a deep implant infection leads to poor functional and emotional outcomes following total hip arthroplasty.Questions/PurposeThe purpose of this retrospective comparative review was to determine if patients who undergo two-stage, septic revision hip arthroplasty will have decreased emotional and general health scores, in addition to decreased function, compared to the aseptic revision group.Patients and MethodsOne hundred forty-five of 195 patients who underwent aseptic total hip revision for aseptic loosening (mean follow-up = 61 months) and 45 of 73 patients who underwent two-stage, septic revision hip arthroplasty (mean follow-up = 48 months) met the inclusion criteria and had a technically successful outcome. All patients were retrospectively evaluated using Harris Hip Scores (HHS), ad hoc questions, and the SF-36 Health Survey.ResultsThe average HHS were 73.2 ± 20.5 (aseptic) and 57.4 ± 20.6 (septic). Significant differences in the SF-36 Health Survey were found between the two groups in: physical functioning (p = 0.026) and role limitations due to physical health (p = 0.004). No significant difference in SF-36 scores was seen in: Energy/Fatigue, General Health Perception, Personal or Emotional Problems, Role Limitations due to Emotional Well Being, Social Functioning, and Bodily Pain.ConclusionsTwo-stage, septic revision produces a poor functional outcome compared to aseptic revision; however, the overall impact of a septic revision emotionally and socially was not significantly different than patients undergoing aseptic revision.

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