Artikel
The functional outcome and quality of life of septic and aseptic revision total hip replacement
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Veröffentlicht: | 28. September 2006 |
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Introduction: The current study evaluates the functional outcome and quality of life of patients undergoing septic and aseptic revision total hip replacement.
Methods: 195 patients with a aseptic revision and 79 patients with a septic revision total hip replacement were compared. There was no significant difference in age, body mass index, number of prior surgeries, and prior total hip replacements. The average follow up was 60 months for patients undergoing aseptic revision and 48 months for patients undergoing septic revision.
Results: Of the 79 septic revision patients 9 patients had a recurrent infection, 4 patients underwent aseptic revisions and 15 patients died. Of the 195 aspetic revision patients 1 patient had an infection, 33 patients underwent aseptic revision and 16 patients died during the follow-up. Patient with a septic revision had significant lower Harris Hip Score (73,2 versus 57,4). The SF36 showed a significant lower physical functioning (47 versus 29), physical role functioning (57 verus 26), energy (53 verus 46) and general health status (53 versus 46) in patients with a septic revision total hip replacement. There was no difference in emotional role functioning (54 versus 61), emotion (60 versus 59) Social Function (74 versus 67) and Pain (66 versus 61).
Conclusion: The current study highlights that although septic revision shows a poor functional outcome the overall impact on emotional role functioning, emotions and social functioning is comparable to aseptic revisions.