The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments
| 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.date.updated | 2021-09-15T00:55:03Z | |
| 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.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.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.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 |
| dc.identifier.uri | http://hdl.handle.net/11427/33918 | |
| 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.language.rfc3066 | eng | |
| dc.publisher.department | Division of Orthopaedic Surgery | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| 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.type.qualificationlevel | Masters | |
| dc.type.qualificationlevel | MMed |