People with spinal deformity also requiring a total hip replacement are at greater risk for dislocation or follow-up revision surgery, suggesting that these higher-risk patients may benefit from a more personalized approach to their surgeries to reduce the risk of poorer outcomes.
It is a known fact that obese patients undergoing total joint arthroplasty (TJA) are at higher risk of all complications in general, particularly infection. An increased risk for wound healing, infection, anemia, acute renal insufficiency, respiratory failure and urinary tract infection have been linked to obesity in patients undergoing TJA. Multiple studies have shown obesity can negatively impact the technical performance of both total hip arthroplasty (THA) and total knee arthroplasty (TKA), as well as influence the implant survivorship
The longer a hip fracture patient stays in a hospital, the more likely that patient will die within 30 days of leaving, according to a study led by Stephen Kates, M.D., chair of the Department of Orthopaedic Surgery at the Virginia Commonwealth University School of Medicine.
Total hip arthroplasty performed with first-generation annealed highly cross-linked polyethylene bearings in young, active patients showed 97% survivorship at 10 years and a low revision rate for wear-related failure.