Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 29:11:1408343.
doi: 10.3389/fsurg.2024.1408343. eCollection 2024.

Incidence and risk factors for unplanned readmission after total hip arthroplasty for osteonecrosis of the femoral head

Meng Wang  1 , Xuemei Yang  2 , Junyong Li  1 , Chengsi Li  3 , Yulong Zhang  1 , Xuewei Hao  1
Affiliations

Incidence and risk factors for unplanned readmission after total hip arthroplasty for osteonecrosis of the femoral head

Meng Wang et al. Front Surg. .

Abstract

Objective: To investigate the incidence, primary causes, and risk factors for unplanned readmissions within one year after the first primary total hip arthroplasty (THA) for osteonecrosis of the femoral head (ONFH).

Methods: Data were retrospectively collected from patients who had undergone the first primary THA for ONFH at two tertiary hospitals between January 2021 and December 2022, with complete 1-year follow-up assessments. Patients who experienced an unplanned readmission within 1 year were classified as the readmission group, while the others as the non-readmission group. The incidence rate and primary causes of unplanned readmission were determined, and the risk factors were identified through univariate and multivariate analyses.

Results: A total of 594 eligible patients were included, with 363 being men (61.1%) and an average age of 59.2 years at the time of surgery. Forty-seven patients were readmitted within one year, representing an accumulated rate of 7.9%. Among these, 18 (38.3%) readmissions occurred within 30 days and 27 (57.4%) within 90 days. The primary reasons for readmissions included hip dislocation (35.3%), followed by periprosthetic fracture, deep vein thrombosis, delayed incision healing, surgical site infection and others. The multivariate regression model revealed that age (every 10-year increment, OR, 1.39; 95% CI, 1.12-1.88), ARCO stage IV vs. Ⅲ (OR, 3.72; 95% CI, 1.96-7.22), CCI ≥4 vs. <4 (OR = 5.49; 95% CI, 2.16-13.77), admission anemia (OR, 2.72; 95% CI, 1.37-6.83) and surgeon inexperience (OR, 2.74; 95% CI, 1.29-6.73) were significantly associated with unplanned readmission.

Conclusions: These findings provide valuable clinical insights into unplanned readmission after THA for ONFH and may aid in preoperative counselling for patients and enhance perioperative care.

Keywords: clinical characteristics investigation; hip replacement; osteonecrosis of the femoral head; risk factors; unplanned readmission.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Similar articles

See all similar articles

Cited by

References

    1. Serong S, Haversath M, Tassemeier T, Dittrich F, Landgraeber S. Results of advanced core decompression in patients with osteonecrosis of the femoral head depending on age and sex-a prospective cohort study. J Orthop Surg Res. (2020) 15(1):124. 10.1186/s13018-020-01643-4 - DOI - PMC - PubMed
    1. Liu F, Wang W, Yang L, Wang B, Wang J, Chai W, et al. An epidemiological study of etiology and clinical characteristics in patients with nontraumatic osteonecrosis of the femoral head. J Res Med Sci. (2017) 22:15. 10.4103/1735-1995.200273 - DOI - PMC - PubMed
    1. Zhao D, Zhang F, Wang B, Liu B, Li L, Kim SY, et al. Guidelines for clinical diagnosis and treatment of osteonecrosis of the femoral head in adults (2019 version). J Orthop Translat. (2020) 21:100–10. 10.1016/j.jot.2019.12.004 - DOI - PMC - PubMed
    1. Sax OC, Pervaiz SS, Douglas SJ, Remily EA, Mont MA, Delanois RE. Osteoarthritis and osteonecrosis in total hip arthroplasty: 90-day postoperative costs and outcomes. J Arthroplasty. (2021) 36(7):2343–7. 10.1016/j.arth.2020.10.039 - DOI - PubMed
    1. Sodhi N, Anis HK, Coste M, Piuzzi NS, Jones LC, Mont MA. Thirty-day complications in osteonecrosis patients following total hip arthroplasty. J Arthroplasty. (2020) 35(8):2136–43. 10.1016/j.arth.2020.02.067 - DOI - PubMed

LinkOut - more resources