Revision and complication rates in 654 Exeter total hip replacements, with a maximum follow-up of 20 years.

Background: Iceland's geographical isolation with a stable and small population gives a rare opportunity for follow-up studies of medical interventions. Total hip replacements (THR) have been done at FSA Central Hospital in Akureyri, Iceland since 1982 with the Exeter hip implant being in use f...

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Bibliographic Details
Published in:BMC Musculoskeletal Disorders
Main Authors: Franklin, Jonas, Robertsson, Otto, Gestsson, Julius, Lohmander, Stefan, Ingvarsson, Thorvaldur
Format: Article in Journal/Newspaper
Language:English
Published: BioMed Central (BMC) 2003
Subjects:
Orthopedics
Postoperative Complications: epidemiology
Female
Follow-Up Studies
Hip Prosthesis: statistics & numerical data
Human
Iceland
Male
Hip: statistics & numerical data
Prosthesis Failure
Reoperation: statistics & numerical data
Support
Non-U.S. Gov't
Replacement
Aged
Arthroplasty
Akureyri
Online Access:https://lup.lub.lu.se/record/123060
https://doi.org/10.1186/1471-2474-4-6
https://portal.research.lu.se/files/4701473/624005.pdf
Description
Summary:Background: Iceland's geographical isolation with a stable and small population gives a rare opportunity for follow-up studies of medical interventions. Total hip replacements (THR) have been done at FSA Central Hospital in Akureyri, Iceland since 1982 with the Exeter hip implant being in use from the beginning. Methods: Hospital records for all patients operated on with THR between 1982 and the end of 1999 were reviewed and the patients were followed until the end of 2001. Information was gathered regarding the indication for primary surgery, the reason for revision if needed, as well as that of any complications. Survival statistics were used to calculate the cumulative revision rate. Results: The mean age at primary THR was 68.4 years for males and 68.8 years for females. 654 primary THRs were done; of which 571 (87 %) were due to osteoarthritis. 37 of the primary arthroplasties had been revised before the end of year 2001. Conclusion: We have in this unique 2-20 year study of 654 THRs with no loss to follow-up for the patients, found revision rates that conform with the large Swedish THR registry. Complication rates in general are in agreement with that reported for other comparable patient groups, while infection rates appear lower.

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