EPIDEMIOLOGY OF PRIMARY HIP ARTHROPLASTY: REPORT FROM REGISTER OF VREDEN RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS
- Authors: Shubnyakov I.I.1, Tikhilov R.M.1,2, Nikolaev N.S.3, Grigoricheva L.G.3, Ovsyankin A.V.3, Cherny A.Z.1, Drozdova P.V.1, Denisov A.O.1, Veber Е.V.1, Kuz’mina I.V.4
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Affiliations:
- Vreden Russian Research Institute of Traumatology and Orthopedics
- Mechnikov North-Western State Medical University
- Federal Center of Traumatology, Orthopedics and Endoprosthetics
- St. Petersburg State University
- Issue: Vol 23, No 2 (2017)
- Pages: 81-101
- Section: DATA OF JOINT ARTHOROPLASTY REGISTERS
- URL: https://bakhtiniada.ru/2311-2905/article/view/125299
- DOI: https://doi.org/10.21823/2311-2905-2017-23-2-81-101
- ID: 125299
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Abstract
The paper presents data analysis of the Hip Arthroplasty Register of Vreden Russian Research Institute of Traumatology and Orthopedics, namely information on 37373 primary THA performed at the Vreden Institute and at several other orthopedic centers and 1200 hip replacements at other hospitals of St. Petersburg.
There were 1.5 times more women in the studied cohort than men. A significant predominance of women with dysplastic osteoarthritis (72.4%) and rheumatoid arthritis (82.1%) was reported. A male predominance was noted in patients with secondary osteoarthritis (53.1%), post-traumatic changes of hip (61.0%) and osteonecrosis of the femoral head (68.6 %). The mean age of patients was 58.0±12.9 years (95% CI from 57.9 to 58.1, median 59 years). Age data of the study revealed that patients were 10-12 years younger than reported in the national arthroplasty registers of other countries.
Total hip arthroplasty was performed in the absolute majority of patients – 37295 cases (99,8%). Uncemented implants were used in 59.3% of cases, hybrid – in 29.6%, cemented – in 10.2%, reverse-hybrid – in 0.9% of all patients. The most common bearing used was metal on crosslink polyethylene, which was applied in 50.1% of all cases of arthroplasty. The type of fixation of the implant, and the use of different bearings varied in different age groups. The paper presents not only the absolute numbers of the data, but also demonstrated the dynamics of the changes in time starting from 2007.
The present epidemiological study does not claim the absolute completeness of the presented data, but contains the analysis of the large number of cases, comparable with follow-ups of patients in some national registers of certain European countries. The authors analyzed about 10% of all cases of hip replacements performed on the territory of the Russian Federation in ten-year period.
About the authors
I. I. Shubnyakov
Vreden Russian Research Institute of Traumatology and Orthopedics
Author for correspondence.
Email: shubnyakov@mail.ru
Igor I. Shubnyakov – Cand. Sci. (Med.), Chief Researcher.
8, ul. Akad. Baykova, St. Petersburg, 195427
Russian FederationR. M. Tikhilov
Vreden Russian Research Institute of Traumatology and Orthopedics; Mechnikov North-Western State Medical University
Email: fake@neicon.ru
Rashid M. Tikhilov – Dr. Sci. (Med.), Professor, Director RRITO; Professor NWSMU.
8, ul. Akad. Baykova, St. Petersburg, 195427; 41, Kirochnaya ul., St. Petersburg, 191015
Russian FederationN. S. Nikolaev
Federal Center of Traumatology, Orthopedics and Endoprosthetics
Email: fake@neicon.ru
Nikolai S. Nikolaev – Dr. Sci. (Med.), Head Doctor.
33, ul. Fedora Gladkova, Cheboksary, 428020
Russian FederationL. G. Grigoricheva
Federal Center of Traumatology, Orthopedics and Endoprosthetics
Email: fake@neicon.ru
Lyudmila G. Grigoricheva – Cand. Sci. (Med.), Head Doctor.
1/3, ul. Lyapidevskogo, Barnaul, 656024
Russian FederationA. V. Ovsyankin
Federal Center of Traumatology, Orthopedics and Endoprosthetics
Email: fake@neicon.ru
Anatolii V. Ovsyankin – Cand. Sci. (Med.), Head Doctor.
29, Pr. Stroiteley, Smolensk, 214019
Russian FederationA. Zh. Cherny
Vreden Russian Research Institute of Traumatology and Orthopedics
Email: fake@neicon.ru
Andrey Zh. Cherny – Cand. Sci. (Med), Clinical Director RRITO; Associate Professor at the Department of Public Health, Economy and Health Care Management NWSMU.
8, ul. Akad. Baykova, St. Petersburg, 195427
Russian FederationP. V. Drozdova
Vreden Russian Research Institute of Traumatology and Orthopedics
Email: fake@neicon.ru
Polina V. Drozdova – Cand. Sci. (Med), Esearcher of Hip Pathology Department.
8, ul. Akad. Baykova, St. Petersburg, 195427
Russian FederationA. O. Denisov
Vreden Russian Research Institute of Traumatology and Orthopedics
Email: fake@neicon.ru
Alexei O. Denisov – Cand. Sci. (Med), Academic Secretary, Head of Hip Pathology Department.
8, ul. Akad. Baykova, St. Petersburg, 195427
Russian FederationЕ. V. Veber
Vreden Russian Research Institute of Traumatology and Orthopedics
Email: fake@neicon.ru
Evgenii V. Veber – Assistant Researcher of Administration and guidance Department.
8, ul. Akad. Baykova, St. Petersburg, 195427
Russian FederationI. V. Kuz’mina
St. Petersburg State University
Email: fake@neicon.ru
Iliya V. Kuz’mina – Student of the 4th year of the Faculty of Mathematics and Mechanics.
7-9, Universitetskaya nab., St. Petersburg, 199034
Russian FederationReferences
- Загородний Н.В., Ломтатидзе Е.Ш., Батыгин Г.Г. Регистры по эндопротезированию тазобедренного сустава. Вестник РУДН. Серия: Медицина. 2012;(3):66-71.
- Кавалерский Г.М., Середа А.П., Мурылев В.Ю., Рукин Я.А., Гаврилов А.В., Архипов И.В., Ятченко А.М., Бычков И.Ю. 2D-планирование эндопротезирования тазобедренного сустава. Травматология и ортопедия
- Кегги К.Дж., Хуо М.Ш., Заторски Л.И. Передний доступ к тотальному замещению тазобедренного сустава. Материалы VI съезда травматологов ортопедов СНГ. Ярославль, 1993. С. 432-446.
- Фоломеева О.М., Галушко Е.А., Эрдес Гу Ш.Ф. Распространенность ревматических заболеваний в популяциях взрослого населения России и США. Научно-практическая ревматология. 2008;(4):4-13. doi: 10.14412/1995-4484-2008-529.
- Dreinhöfer K.E., Dieppe P., Stürmer T., Gröber-Grätz D., Flören M., Günther K.P., Puhl W., Brenner H. Indications for total hip replacement: comparison of assessments of orthopaedic surgeons and referring physicians. Ann Rheum Dis. 2006;65(10):1346-1350.
- Havelin L.I., Fenstad A.M., Salomonsson R. et al. The Nordic Arthroplasty Register Association: a unique collaboration between 3 national hip arthroplasty registries with 280,201 THRs. Acta Orthop. 2009;80(4):393-401.
- Keeney J.A., Nunley R.M., Baca G.R., Clohisy J.C. Are younger patients undergoing THA appropriately characterized as active? Clin Orthop Relat Res. 2015;473(3):1083-1092. doi: 10.1007/s11999-014-3952-8.
- Kusswetter w. Introduction. Noncemented total hip replacement. International Symposium Tubingen. Stuttgart; N.Y., 1991. рр. 1-3.
- Loder R.T., Skopelja E.N. The epidemiology and demographics of hip dysplasia. ISRN Orthop. 2011;2011:238607. doi: 10.5402/2011/238607.
- Morscher E., Schmassmann A. Failures of total hip arhtroplasty and probable incidence of revision surgery in the future. Arch Orthop Trauma Surg. 1983;101(2):137-143.
- Ostendorf M., Johnell O., Malchau H., Dhert W.J., Schrijvers A.J., Verbout A.J. The epidemiology of total hip replacement in The Netherlands and Sweden: present status and future needs. Acta Orthop Scand. 2002;73(3):282-286.
- Pivec R., Johnson A.J., Mears S.C., Mont M.A. Hip arthroplasty. Lancet. 2012;380(9855):1768-1777. doi: 10.1016/S0140-6736(12)60607-2.
- Singh J.A., Schleck C., Harmsen S., Lewallen D. Clinically important improvement thresholds for Harris Hip Score and its ability to predict revision risk after primary total hip arthroplasty. BMC Musculoskelet Disord. 2016;17(1):256. doi: 10.1186/s12891-016-1106-8.
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