2026, Number 1
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Acta Med 2026; 24 (1)
Epidemiological profile of hip revision prosthesis in a third-level hospital
Rosas MR, Millán DG, Velasco DJA, Braña RK, Velázquez MCI, Mora RFG
Language: Spanish
References: 25
Page: 30-35
PDF size: 261.28 Kb.
ABSTRACT
Introduction: hip revision arthroplasty represents a burden for healthcare systems due to its higher degree of complexity and less favorable prognosis. Therefore, understanding the causes that lead to reintervention in our patients is crucial.
Objective: to identify the causes of hip revision surgery in patients from a tertiary care hospital.
Material and methods: a cross-sectional, retrospective, and descriptive study was conducted to determine the epidemiology of hip revision prostheses. A total of 42 medical records were reviewed, identifying the patient's age, sex, date of primary arthroplasty, cause of revision surgery, side of the affected hip, and date of revision surgery.
Results: a selection of postoperative patients with revision prostheses was analyzed. The most frequent cause of reintervention was aseptic loosening (64.2%), followed by periprosthetic fractures (16.6%). The average age was 62.2 years, with a predominance of female patients. Notably, there was a higher rate of early failure (64.2%).
Conclusion: unlike international literature, a higher proportion of patients underwent sooner reintervention, with aseptic loosening and periprosthetic fractures being the two leading causes.
REFERENCES
Nucete-Gallego B. Revisiones de artroplastia de cadera: motivos y componentes protésicos implicados. Panorama Actual del Medicamento. 2014; 38 (377): 921-924.
Gómez-García F. Historia y desarrollo de la artroplastia de cadera. Una visión de sus aciertos, fallas y enseñanzas. (Primera parte). Acta Ortop Mex. 2021; 35 (4): 369-383.
González MJJ, Ramírez SB. Corta reseña de la historia de la artroplastia de cadera. Orthotips. 2021; 17 (2): 112-120.
Ulrich SD, Seyler TM, Bennett D, Delanois RE, Saleh KJ, Thongtrangan I et al. Total hip arthroplasties: what are the reasons for revision? Int Orthop. 2008; 32 (5): 597-604.
Capón-García D, López-Pardo A, Alves-Pérez MT. Causes for revision surgery in total hip replacement. A retrospective epidemiological analysis. Rev Esp Cir Ortop Traumatol. 2016; 60 (3): 160-166.
Parilla FW, Hannon CP, Pashos GE, Gresham KJ, Clohisy JC. Outcomes of revision total hip arthroplasty in patients 60 years and younger. Iowa Orthop J. 2023; 43 (2): 38-44.
Longo UG, Papalia R, Salvatore G, Tecce SM, Jedrzejczak A, Marcozzi M et al. Epidemiology of revision hip replacement in Italy: a 15-year study. BMC Surg. 2022; 22 (1): 355. doi: 10.1186/s12893-022-01785-8.
Bozic K, Kurtz S, Lau E, Ong K, Vail TP, Berry DJ. The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am. 2009; 91 (1): 128-133.
Rueda-Escallón G, Nossa JM, Romo-Ojeda R, Napoleón-Osuna J, Segura O. Revisión de artroplastia total de cadera en el hospital de San José y el Hospital Infantil Universitario de San José (2009-2012): frecuencia de la reintervención y la mortalidad. Rev Colomb Ortop Traumatol. 2017; 31 (1): 27-33.
Upfill-Brown A, Hsiue PP, Sekimura T, Patel JN, Adamson M, Stavrakis AI. Instability is the most common indication for revision hip arthroplasty in the United States: national trends from 2012 to 2018. Arthroplast Today. 2021; 11: 88-101.
Feng X, Gu J, Zhou Y. Primary total hip arthroplasty failure: aseptic loosening remains the most common cause of revision. Am J Transl Res. 2022; 14 (10): 7080-7089.
Grieco F, Pinto A, Jiménez F. Revisión de artroplastia total de cadera: epidemiologia en base a 10 años de experiencia. Rev Venez Cir Ortop Traumatol. 2015; 47 (2).
Reyes de la Parra V. Aflojamiento aséptico en la prótesis total de cadera. Orthotips. 2019; 15 (4): 206-213.
Mesías de Concepción S, Blanco SM, Barrio MJ, Moussallem J. Enfermedad por micropartículas en prótesis de cadera de larga evolución. Nuevo Hospital. 2023; 19 (1): 63-67.
Cabrera-Escamilla JA. Estudio clínico de aflojamiento protésico en pacientes del Hospital de Ortopedia "Dr. Victorio de la Fuente Narváez" [Tesis de licenciatura, Instituto Mexicano del Seguro Social]. México: Repositorio Universitario UNAM; 2024. Disponible en: https://ru.dgb.unam.mx/bitstream/20.500.14330/TES01000329285/3/0329285.pdf
Sauri-Arce JCA, Azcona-Cervera R. Fracturas periprotésicas de cadera. Acta Ortop Mex. 2014; 28 (2): 77-81.
Fernández-Fairen M, Hernández-Vaquero D, Murcia-Mazón A, Querales-Leal V, Torres-Pérez AI, Murcia-Asensio A. Inestabilidad de la artroplastia total de cadera. Una aproximación desde los criterios de la evidencia científica. Rev Esp Cir Ortop Traumatol. 2011; 55 (6): 460-475.
Hernández-Téllez I, García-Andino J, Palmieri-Bouchan R, Áviles-Jiménez PE, Estrada-Hernández IN. Complicaciones en artroplastia total de cadera con prótesis doble movilidad: experiencia en un hospital de tercer nivel. Acta Ortop Mex. 2025; 39 (1): 2-7. doi: 10.35366/118845.
Bains SS, Dubin JA, Salib CG, Monárrez R, Remily E, Hameed D et al. The epidemiology of the revision total hip arthroplasty in the United States from 2016 to 2022. Arthroplast Today. 2024; 30: 101517. doi: 10.1016/j.artd.2024.101517.
Zeng ZJ, Yao FM, He W, Wei QS, He MC. Incidence of periprosthetic joint infection after primary total hip arthroplasty is underestimated: a synthesis of meta-analysis and bibliometric analysis. J Orthop Surg Res. 2023; 18 (1): 610.
JY Jenny, J Gaudias. Principe du traitement de l'infection osseuse. Encycl méd-chir. 2000; 44 (1): 1-10.
Parvizi J, Tan TL, Goswami K, Higuera C, Della Valle C, Chen AF et al. The 2018 definition of periprosthetic hip and knee infection: an evidence-based and validated criteria. J Arthroplasty. 2018; 33 (5): 1309-1314.e2.
Jenny JY. Specificities of total hip and knee arthroplasty revision for infection. Orthop Traumatol Surg Res. 2020; 106 (1S): S27-S34.
Gutiérrez-Zúñiga D, Manrique-Succar J, Restrepo C, Parvizi J, Eduardo-Manrique J. Infecciones periprotésicas de cadera y rodilla: diagnóstico y manejo. Revisión de conceptos actuales. Rev Colomb Ortop Traumatol. 2017; 31 (2): 87-92.
Schwartz AM, Farley KX, Guild GN, Bradbury TL Jr. Projections and epidemiology of revision hip and knee arthroplasty in the United States to 2030. J Arthroplasty. 2020; 35 (6S): S79-S85. doi: 10.1016/j.arth.2020.02.030.