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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2026, Number 1

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Acta Ortop Mex 2026; 40 (1)

Comorbidity with increased risk for the development of secondary coxarthrosis in patients undergoing total reconstructive treatment

Paz-Zamora J, Gómez-Espíndola J, Díaz-De JB, Sánchez-Rodríguez J, Cortez-Ríos N, García-Delgadillo O, Castillo-García M, Torres-Olivo M

Language: Spanish
References: 17
Page: 3-8
PDF size: 293.55 Kb.


ABSTRACT

Introduction: primary coxarthrosis has no apparent cause, but secondary coxarthrosis is related to comorbidities such as rheumatic diseases. Reconstructive treatment by total hip arthroplasty is an alternative to treat secondary coxarthrosis. Although comorbidities associated with this condition have been investigated in the medical literature, little is known about which ones imply a higher risk for its development. Research question: what is the comorbidity with the highest risk for the development of secondary coxarthrosis in patients undergoing total hip reconstructive treatment? Material and methods: descriptive, retrospective, non-experimental, cross-sectional study. Sample: clinical records of patients who underwent total hip arthroplasty for primary or secondary coxarthrosis. The method for calculating the sample was probabilistic by convenience. Statistical analysis included reports of frequencies, percentages, means and standard deviation, and bivariate analysis to identify relationships between variables. The odds ratio test was used to identify the comorbidity with the highest risk for the development of secondary coxarthrosis. Results: of the total sample, 56 patients presented trauma; 23, hypertension; 16, rheumatic diseases. Relationships were found between the type of coxarthrosis and trauma (0.00), rheumatic diseases (0.000) and age (0.000). Only 41.2% of the patients had secondary coxarthrosis. The odds ratio test for secondary coxarthrosis yielded a value of 2.697 for trauma and 1.219 for rheumatic diseases. Conclusions: trauma represents an increased risk for the development of secondary coxarthrosis and should be considered a significant risk factor.


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EVIDENCE LEVEL

II, estudio retrospectivo




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