 |
|
|
|
 Bookmark Health Information
 Make Health Information Homepage
|
 |
|
Factors that lower a patient’s chances for a good outcome from hip revision
surgery include the following:
• Sex. Men are more likely to have poor
outcomes from revision surgery than women, other factors being equal.
•
Age. Older patients, particularly those over 75, are more likely to have
complications following revision surgery.
• Race. African Americans have
a higher rate of complications than Caucasian or Asian Americans.
•
Socioeconomic status (SES). Patients with lower incomes do not do as well as
patients in higher income brackets.
• Presence of other chronic diseases
or disorders.
• Obesity. Many surgeons will not perform hip revision
surgery on patients weighing 300 pounds or more.
• Genetic factors.
Recent British research indicates that patients who carry an inflammation
control gene known as TNF-238A are twice as likely to require replacement of a
hip prosthesis as those who lack this gene.
Specific risks of hip revision surgery
Risks following hip revision
surgery are similar to those following hip replacement surgery, including deep
venous thrombosis and infection. The length of the patient’s leg, however, is
more likely to be affected following revision surgery. Dislocation is
considerably more common because the tissues surrounding the bone are weaker as
well as the bone itself usually being more fragile. One group of researchers
found that the longterm rate of dislocation following revision surgery may be as
high as 7.4%.
Normal results
In general, hip revision surgery has less favorable
outcomes than first-time replacement surgery. The greater length and complexity
of the procedure often require a longer hospital stay as well as a longer period
of recovery at home. The range of motion in the new joint is usually smaller
than in the first prosthesis, and the patient may experience greater long-term
discomfort. In addition, the new prosthesis is not expected to last as long. The
life expectancy of implants used in first-time hip replacement surgery is
usually given as 10–15 years, whereas revision implants may need to be removed
after eight to 10 years.
Morbidity and mortality rates
There are relatively few analyses of
mortality and morbidity following hip revision surgery in comparison to studies
of complications following THR. One study published in 2003 reported the
following figures for complications following hip revision surgeries (after 90
days) performed in the United States:
• mortality: 2.6%
• pulmonary
embolism: 0.8%
• wound infection: 0.95%
• hospital readmission: 10.0%
•
dislocation of prosthesis: 8.4%
Alternatives
Nonsurgical alternatives
In some cases medications can be
used to control the patient’s pain, or the patient may prefer to use assistive
devices rather than undergo revision surgery. If infection is present, however,
surgery is necessary in order to remove the old prosthesis and any areas of
surrounding bone that may be infected.
Alternative and complementary treatments
Alternative and complementary
approaches that have been shown to control discomfort after hip revision surgery
include mindfulness meditation, biofeedback, acupuncture, and relaxation
techniques. Music therapy, humor therapy, and aromatherapy are helpful to some
patients in maintaining a positive mental attitude and relieving emotional
stress before surgery or during recovery at home.
Hit: 794 times
 Print Health Information
Health Home
| |
|
|
|
|
|
Advertise with Draligus.org