Imaging After Hip Joint Replacement Surgery in the Elderly Population

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Alberto Bazzocchi ◽  
Alessandra Bartoloni ◽  
Eugenio Rimondi ◽  
Ugo Albisinni ◽  
Giuseppe Guglielmi
Keyword(s):  
Hip Joint ◽  
Joint Replacement ◽  
Elderly Population ◽  
The Elderly ◽  
Hip Joint Replacement ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Surgery In The Elderly

Pelvic Tilt Displacement Before and After Artificial Hip Joint Replacement Surgery

2018 ◽  
Vol 33 (3) ◽  
pp. 925-930 ◽  
Author(s):  
Toru Nishiwaki ◽  
Ryosuke Hata ◽  
Akihito Oya ◽  
Masaya Nakamura ◽  
Morio Matsumoto ◽  
...  
Keyword(s):  
Hip Joint ◽  
Joint Replacement ◽  
Pelvic Tilt ◽  
Hip Joint Replacement ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Artificial Hip Joint ◽  
Artificial Hip ◽  
Before And After

Venous thromboembolism in patients hospitalized for knee and hip joint replacement surgery

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
K Keller ◽  
L Hobohm ◽  
S Barco ◽  
I Schmidtmann ◽  
T Munzel ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Hip Joint ◽  
Joint Replacement ◽  
Temporal Trends ◽  
Hospitalized Patients ◽  
Hospital Death ◽  
Funding Source ◽  
Hip Joint Replacement ◽  
Joint Replacement Surgery ◽  
Replacement Surgery

Abstract Background Venous thromboembolism (VTE) is a frequent acute cardiovascular disease, leading to significant morbidity and mortality worldwide. Major trauma, surgery, immobilisation and joint replacements are major provoking factors for VTE. In particular, patients undergoing knee and hip joint replacement surgery are at high risk of developing VTE perioperatively, even in the era of established pharmacological thromboprophylaxis. Without thromboprophylaxis, as many as 20–60% of patients may develop perioperative VTE. Purpose As recent studies indicate an increasing number of total knee and hip replacement surgeries in European countries and the United States, aims of our study were to investigate a) total burden and temporal trends of VTE complications following knee (KJR) and hip joint replacement (HJR) in Germany 2005–2016 and to identify b) predictors of VTE during hospitalization. Methods In an analysis of the nationwide German inpatient sample, we included all hospitalized patients with elective primary KJR and HJR in Germany between 2005 and 2016 (source: Research Data Center (RDC) of the Federal Statistical Office and the Statistical Offices of the federal states, DRG Statistics 2005–2016, own calculations). We analyzed temporal trends of surgical procedure, mortality, and VTE, and identified predictors of VTE. Results A total of 1,804,496 hospitalized patients underwent KJR (65.1% women, 53.4% aged ≥70 years) and 1,885,839 received HJR (59.1% women, 51.4% ≥70 years). VTE was documented in 23,297 (1.3% of total) KJR patients and in 11,554 HJR patients (0.6%). The number of primary KJR (129,832 in 2005 to 167,881 in 2016 [β-(slope)-estimate 1978 per year; 95% CI 1951 to 2004, P<0.001]) and primary HJR (145,223 in 2005 to 171,421 in 2016 [β-estimate 1818 per year; 95% CI 1083 to 2553, P<0.001]) increased during this twelve-year period. In-hospital VTE decreased from 1.9% to 0.9% (β-estimate −0.77 [95% CI: −0.81 to −0.72], P<0.001) after KJR and from 0.9% to 0.5% (β-estimate −0.71 (95% CI: −0.77 to −0.65), P<0.001) after HJR. In parallel, in-hospital death rate dropped from 0.14% (184 deaths) to 0.09% (146 deaths) (β-estimate −0.44 [95% CI: −0.59 to −0.30], P<0.001) after KJR and from 0.33% to 0.29% (β-estimate −0.11 (95% CI: −0.20 to −0.02), P=0.018) after HJR. Infections during hospitalization were associated with a higher VTE risk. VTE events were associated with in-hospital death in KJR (OR 20.86 [95% CI: 18.78–23.15], P<0.001) and HJR (OR 15.19 [95% CI: 14.19–16.86], P<0.001) independently from age, sex and comorbidities. Conclusions While total numbers of KJR and HJR interventions increased in Germany between 2005 and 2016, the rate of VTE decreased substantially. VTE complications were associated with 15-to 21-fold increase of in-hospital case-fatality rate. Perioperative infections increased the risk for VTE substantially. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): This study was supported by the German Federal Ministry of Education and Research (BMBF 01EO1503), institutional grant for the Center for Thrombosis and Hemostasis. The authors are responsible for the contents of this publication.

scholarly journals Preexisting Cognitive Impairment and Mild Cognitive Impairment in Subjects Presenting for Total Hip Joint Replacement

2011 ◽  
Vol 114 (6) ◽  
pp. 1297-1304 ◽  
Author(s):  
Lisbeth A. Evered ◽  
Brendan S. Silbert ◽  
David A. Scott ◽  
Paul Maruff ◽  
David Ames ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Alzheimer Disease ◽  
Hip Joint ◽  
Joint Replacement ◽  
Verbal Learning ◽  
Hip Joint Replacement ◽  
Total Hip ◽  
Joint Replacement Surgery ◽  
Replacement Surgery

Background The prevalence of preexisting cognitive impairment (PreCI) is documented before cardiac surgery, but there is less information before noncardiac surgery. In addition, the prevalence of mild cognitive impairment, defined by different cognitive criteria and subjective complaints, and which may progress to Alzheimer disease, is unknown in these subjects. Because anesthesia and surgery have been implicated in Alzheimer disease pathology, we prospectively measured PreCI and mild cognitive impairment in subjects scheduled for total hip joint replacement surgery in an observational study. Methods One hundred fifty-two subjects 60 y of age and older who were scheduled for total hip joint replacement surgery underwent assessment, including neuropsychologic testing, 1 week before surgery. Test results were compared with published norms. PreCI was defined as impairment in two or more of seven cognitive tests, for which impairment in an individual test was defined as ≥ 2 SD below norms for that test. Amnestic mild cognitive impairment (aMCI) was defined as impairment ≥1.5 SD below norms for results of the immediate and/or delayed Auditory Verbal Learning Test plus a subjective complaint. Results Subjects performed worse compared with normative data on five of seven neuropsychologic tests. Thirty (20% [95% CI, 13-26%]) subjects were classified as having PreCI. Thirty-four (22% [95% CI, 16-29%]) were classified as having aMCI. Ten (7%) subjects were classified as having both PreCI and aMCI, representing 33% of the 30 subjects with PreCI. Conclusions The prevalence of aMCI in subjects scheduled for total hip joint replacement surgery is similar to that in the general community. PreCI and aMCI tend to identify different subjects. Because aMCI is known to progress to Alzheimer disease, future studies that track cognition before and after anesthesia and surgery should document the presence or absence of aMCI so that the rate of conversion to Alzheimer disease after anesthesia and surgery can be compared with the rate in the nonsurgical population.

Venous thromboembolism in patients hospitalized for hip joint replacement surgery

2020 ◽  
Vol 190 ◽  
pp. 1-7 ◽  
Author(s):  
Karsten Keller ◽  
Lukas Hobohm ◽  
Stefano Barco ◽  
Irene Schmidtmann ◽  
Thomas Münzel ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Hip Joint ◽  
Joint Replacement ◽  
Hip Joint Replacement ◽  
Joint Replacement Surgery ◽  
Replacement Surgery
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