The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments

 

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dc.contributor.advisor Nortje, Marc
dc.contributor.author Noconjo, Lubabalo
dc.date.accessioned 2021-09-15T14:10:32Z
dc.date.available 2021-09-15T14:10:32Z
dc.date.issued 2021_
dc.identifier.citation Noconjo, L. 2021. The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments. . ,Faculty of Health Sciences ,Division of Orthopaedic Surgery. http://hdl.handle.net/11427/33918 en_ZA
dc.identifier.uri http://hdl.handle.net/11427/33918
dc.description.abstract Background: Highly porous Trabecular Metal™ acetabular components are increasingly being used in revision hip arthroplasty as they facilitate ingrowth, provide a useful mechanism to deal with bone loss and may decrease the risk of infection. The purpose of this audit was to describe: 1) the short-term radiological outcomes of revision hip arthroplasty with Trabecular Metal™ components and augments. 2) the total number of hip arthroplasty surgeries over five years, and indications for revision. Methods: A retrospective folder and radiograph review of all patients who had revision total hip arthroplasty (THA) at a tertiary level hospital from February 2012 to February 2017 was done. Results: There were 979 THAs performed over the period – 863 (87%) primary THAs, and 116 (12%) hip revision cases performed in 107 patients. Of the 116 (107 patients) hip revisions, there were seven (6%) re-revisions in five patients. Trabecular Metal™ was used for revision in 16 hips (14 patients), which is 13.7% of the total 116 revisions. There were ten females and four males with an average age of 61 years. The average duration of follow-up in this group was 18.5 months (1.5– 39.2). In these 16 Trabecular Metal™ hips, there were three (18.7%) early failures of fixation due to technical errors. The indications for revision were aseptic loosening 67 (58.6%), septic loosening 11 (9.5%), liner wear 18 (15.5%), periprosthetic fracture five (4.3%), other 15 (13%). Conclusion: In our institution, Trabecular Metal™ revisions had a 18.7% early failure rate due to technical error. 12% of the arthroplasty is revision surgery. The indications for revision are similar to published literature.
dc.subject Trabecular Metal
dc.subject Augments
dc.subject Total Hip Arthroplasty
dc.subject Revision hip Arthroplasty
dc.title The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments
dc.type Master Thesis
dc.date.updated 2021-09-15T00:55:03Z
dc.language.rfc3066 eng
dc.publisher.faculty Faculty of Health Sciences
dc.publisher.department Division of Orthopaedic Surgery
dc.type.qualificationlevel Masters
dc.type.qualificationlevel MMed
dc.identifier.apacitation Noconjo, L. (2021). <i>The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments</i>. (). ,Faculty of Health Sciences ,Division of Orthopaedic Surgery. Retrieved from http://hdl.handle.net/11427/33918 en_ZA
dc.identifier.chicagocitation Noconjo, Lubabalo. <i>"The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments."</i> ., ,Faculty of Health Sciences ,Division of Orthopaedic Surgery, 2021. http://hdl.handle.net/11427/33918 en_ZA
dc.identifier.vancouvercitation Noconjo L. The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments. []. ,Faculty of Health Sciences ,Division of Orthopaedic Surgery, 2021 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/33918 en_ZA
dc.identifier.ris TY - Master Thesis AU - Noconjo, Lubabalo AB - Background: Highly porous Trabecular Metal™ acetabular components are increasingly being used in revision hip arthroplasty as they facilitate ingrowth, provide a useful mechanism to deal with bone loss and may decrease the risk of infection. The purpose of this audit was to describe: 1) the short-term radiological outcomes of revision hip arthroplasty with Trabecular Metal™ components and augments. 2) the total number of hip arthroplasty surgeries over five years, and indications for revision. Methods: A retrospective folder and radiograph review of all patients who had revision total hip arthroplasty (THA) at a tertiary level hospital from February 2012 to February 2017 was done. Results: There were 979 THAs performed over the period – 863 (87%) primary THAs, and 116 (12%) hip revision cases performed in 107 patients. Of the 116 (107 patients) hip revisions, there were seven (6%) re-revisions in five patients. Trabecular Metal™ was used for revision in 16 hips (14 patients), which is 13.7% of the total 116 revisions. There were ten females and four males with an average age of 61 years. The average duration of follow-up in this group was 18.5 months (1.5– 39.2). In these 16 Trabecular Metal™ hips, there were three (18.7%) early failures of fixation due to technical errors. The indications for revision were aseptic loosening 67 (58.6%), septic loosening 11 (9.5%), liner wear 18 (15.5%), periprosthetic fracture five (4.3%), other 15 (13%). Conclusion: In our institution, Trabecular Metal™ revisions had a 18.7% early failure rate due to technical error. 12% of the arthroplasty is revision surgery. The indications for revision are similar to published literature. DA - 2021_ DB - OpenUCT DP - University of Cape Town KW - Trabecular Metal KW - Augments KW - Total Hip Arthroplasty KW - Revision hip Arthroplasty LK - https://open.uct.ac.za PY - 2021 T1 - The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments TI - The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments UR - http://hdl.handle.net/11427/33918 ER - en_ZA


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