gms | German Medical Science

Joint German Congress of Orthopaedics and Trauma Surgery

02. - 06.10.2006, Berlin

Article

Send article

The functional outcome and quality of life of septic and aseptic revision total hip replacement

Meeting Abstract

Search Medline for

  • F. Böttner - Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum Münster, Münster, Germany
  • T. Kluthe - Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum Münster, Münster, Germany
  • W. Winkelmann - Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum Münster, Münster, Germany
  • C. Götze - Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum Münster, Münster, Germany

Deutscher Kongress für Orthopädie und Unfallchirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 92. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie und 47. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 02.-06.10.2006. Düsseldorf, Köln: German Medical Science; 2006. DocW.6.2-1158

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgu2006/06dgu0843.shtml

Published: September 28, 2006

© 2006 Böttner et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

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.