Complicaciones a corto plazo de la artroplastia total primaria de cadera

  1. Rodríguez Alonso, C.
  2. Zazo Espinosa, M.
  3. García Alonso, Manuel Francisco
  4. Alvarez García, Verónica
  5. Nistal Rodríguez, Francisco Javier
Journal:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Year of publication: 2005

Volume: 40

Issue: 221

Pages: 13-17

Type: Article

More publications in: Revista española de cirugía osteoarticular

Abstract

Objectives: Our purpose was to analyze the main early complications (six weeks) after primary total hip arthroplasty. Materials and Methods: All patients who had undergone primary total hip replacement during 2003 were reviewed. The studied outcomes were the rates of dislocation, blood loss, infection, periprosthetic fractures, neural and vascular complications, and mortality. Results: Our rates were 4,4% for hip dislocation, 1,7% for deep vein thrombosis with 0,87% for pulmonary embolism, 1,7% for wound infection without cases of deep infection. 14,9% of the patients needed postoperative transfusion. We reported 3,5% fractures of the calcar during surgery and 0,87% of postoperative periprosthetic fractures. We didn ́t reported any neural complications or mortality within six weeks postoperatively. Conclusions: The most frequent complication is dislocation, mainly in cases whose underlying diagnose was hip fracture. Although prophylaxis is done, deep vein thrombosis goes on being a frequent complication.