Functional and Emotional Results Differ After Aseptic vs Septic Revision Hip Arthroplasty. Academic Article uri icon

Overview

abstract

  • BACKGROUND: It is widely believed that a deep implant infection leads to poor functional and emotional outcomes following total hip arthroplasty. QUESTIONS/PURPOSE: The 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 METHODS: One 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. RESULTS: The 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. CONCLUSIONS: Two-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.

publication date

  • June 11, 2011

Identity

PubMed Central ID

  • PMC3192895

Scopus Document Identifier

  • 34548284861

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2007.04.024

PubMed ID

  • 23024619

Additional Document Info

volume

  • 7

issue

  • 3