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Table 1: Comparative analysis of literature on hip arthroplasty in Paget’s Disease of Bone. |
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Author |
Patients |
Hips |
Age (range) |
Sex |
Follow-up |
Implant |
Revision rate |
Revision cause |
Bleeding |
Meds |
Med complications |
C. qx |
PO scores |
|
D’Ambrosi R |
1 |
2 |
57 |
M |
Custom-made (55 mm stem, 56 mm cementless cup, 56/36 mm poly insert, 2 screws, vit E) |
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|
Arif M |
4,211 |
72.9 (49-92) |
50% F |
7.2 y (0-20) |
1.4% at 1 y 4.4% overall |
880 mL (100- 3,500) |
UTIs 11.8% (285) Respiratory complications 7.7% (185) VTE 7.3% (175) |
HO 4% (168) Aseptic loosening 3.1% (129) SSI 3% (125) Dislocation 2.4% (103) Fracture 1.1% (47) Other 0.6% (25) |
HHS 85.2 |
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Giaretta S |
1 |
1 |
82 |
F |
3 m |
Indomethacin 50 mg/12 h 15 d |
HHS 82 |
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Di Martino A |
26 |
29 (14 R 48% / 15 L 52%) |
69 (53-85) |
14 M (54%) 12 F (46%) |
Clinical 84.2 m (1-195 m) / Rx 30.7 m (1-132 m) |
Cementless 20 (69%) 3 (15%) aug screw Cemented 9 (31%) 1 (3.4%) full 8 (27.6%) hybrid 3 (37.5%) screw Cer-cer 25 (86.2%) Cer-poliet 3 (10.3%) Met-poliet 1 (3.5%) |
6.9% at 7 y |
One femoral head fracture, one cup mobilization |
Bisph 13 (45%) |
HO 15 (51.7%) 2 y Brooker I 6 (40%), II 6 (40%), III 3 (20%) |
Periacet osteolysis 4 (13.8%) |
HHS 89 (70.8-99.8) |
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Makaram N |
144 |
152 |
76.6 (52-97) |
76 M (53%) 68 F |
4 at 5 y (2.8%) |
< 30 days 4 acute cardiovasc events 1 acute renal impairment 1 non surgical site infection 1 atelectasia 1 paralytic ileus 1 year 3 anaemia for transfusion 8 ACE 1 congestive heart failure 7 NSSI 1 cerebrovascular accident 1 atelectasia 1 pleural effusion |
< 1 y 2 haemorrhage (1.4%) 2 dislocation of prosthetic joint (1.4%) 2 revision arthroplasty (1.4%) |
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C. qx = Complications. F = Female. HHS = Harris Hip Score. HO = Heterotopic Ossification. L = Left. M = Male. m = months. NSSI = Non Surgical Site Infection. PO = postoperative. R = right. Rx = radiologic. SSI = surgical site infection. UTI = urinary tract infection. VTE = venous thromboembolism. y = years. |
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