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. 2011 Oct;7(3):235-8.
doi: 10.1007/s11420-011-9211-6. Epub 2011 Jun 11.

Functional and Emotional Results Differ After Aseptic vs Septic Revision Hip Arthroplasty

Friedrich Boettner  1 , Michael B Cross, Denis Nam, Tobias Kluthe, Miriam Schulte, Christian Goetze
Affiliations

Functional and Emotional Results Differ After Aseptic vs Septic Revision Hip Arthroplasty

Friedrich Boettner et al. HSS J. 2011 Oct.

Abstract

Background: It is widely believed that a deep implant infection leads to poor functional and emotional outcomes following total hip arthroplasty.

Questions/purpose: The purpose of this retrospective comparative review was to determine if patients who undergo two-stage, septic revision hip arthroplasty will have decreased emotional and general health scores, in addition to decreased function, compared to the aseptic revision group.

Patients and methods: One hundred forty-five of 195 patients who underwent aseptic total hip revision for aseptic loosening (mean follow-up = 61 months) and 45 of 73 patients who underwent two-stage, septic revision hip arthroplasty (mean follow-up = 48 months) met the inclusion criteria and had a technically successful outcome. All patients were retrospectively evaluated using Harris Hip Scores (HHS), ad hoc questions, and the SF-36 Health Survey.

Results: The average HHS were 73.2 ± 20.5 (aseptic) and 57.4 ± 20.6 (septic). Significant differences in the SF-36 Health Survey were found between the two groups in: physical functioning (p = 0.026) and role limitations due to physical health (p = 0.004). No significant difference in SF-36 scores was seen in: Energy/Fatigue, General Health Perception, Personal or Emotional Problems, Role Limitations due to Emotional Well Being, Social Functioning, and Bodily Pain.

Conclusions: Two-stage, septic revision produces a poor functional outcome compared to aseptic revision; however, the overall impact of a septic revision emotionally and socially was not significantly different than patients undergoing aseptic revision.

Keywords: aseptic; hip arthroplasty; outcomes; revision; septic.

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Figures

Fig. 1
Fig. 1
The components of the RAND SF-36-item Health Survey. a Physical Functioning, Role Limitations due to Physical Health Problems, Role Limitations due to Personal or Emotional Problems, and Energy/Fatigue. b Emotional Well-Being, Social Functioning, Bodily Pain, and General Health Perception. *p < 0.05 (significant differences found between the two-stage septic and aseptic revision patients)
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