BACKGROUND: Hip replacement as a routine procedure was introduced in Lithuania in 1991. At Klaipeda Hospital, one of the 2 hospitals at which this was begun, the arthroplasties were followed prospectively from the start. This study concerns the 10-year results from a country with no previous experience of hip replacement. The results are compared with those from a hospital with considerable experience of total hip replacement. METHODS: We compared the revision rate for the first 658 primary ScanHip arthroplasties inserted at Klaipeda to that for the first 939 ScanHip primary arthroplasties inserted at Lund University Hospital, Sweden. Only patients with osteoarthritis were included, and the endpoint was revision for aseptic loosening with exchange of one or both components. RESULTS: We found that patients operated at Klaipeda Hospital had a significantly higher risk of revision (12%) than those operated in Lund (6%). INTERPRETATION: Although we could not identify any specific reason for the Swedish results being better than the Lithuanian results, it is probable that previous surgical inexperience of hip replacement in Lithuania played a role. We believe that the findings will stimulate surgeons in Lithuania to analyze their failures and improve the results.
BACKGROUND: Hip replacement as a routine procedure was introduced in Lithuania in 1991. At Klaipeda Hospital, one of the 2 hospitals at which this was begun, the arthroplasties were followed prospectively from the start. This study concerns the 10-year results from a country with no previous experience of hip replacement. The results are compared with those from a hospital with considerable experience of total hip replacement. METHODS: We compared the revision rate for the first 658 primary ScanHip arthroplasties inserted at Klaipeda to that for the first 939 ScanHip primary arthroplasties inserted at Lund University Hospital, Sweden. Only patients with osteoarthritis were included, and the endpoint was revision for aseptic loosening with exchange of one or both components. RESULTS: We found that patients operated at Klaipeda Hospital had a significantly higher risk of revision (12%) than those operated in Lund (6%). INTERPRETATION: Although we could not identify any specific reason for the Swedish results being better than the Lithuanian results, it is probable that previous surgical inexperience of hip replacement in Lithuania played a role. We believe that the findings will stimulate surgeons in Lithuania to analyze their failures and improve the results.
Authors: Deborah A Marshall; Karen Pykerman; Jason Werle; Diane Lorenzetti; Tracy Wasylak; Tom Noseworthy; Donald A Dick; Greg O'Connor; Aish Sundaram; Sanne Heintzbergen; Cy Frank Journal: Clin Orthop Relat Res Date: 2014-04-04 Impact factor: 4.176
Authors: Paul van der Voort; Bart G Pijls; Marc J Nieuwenhuijse; Jorrit Jasper; Marta Fiocco; Josepha W M Plevier; Saskia Middeldorp; Edward R Valstar; Rob G H H Nelissen Journal: Acta Orthop Date: 2015 Impact factor: 3.717
Authors: Julian Jz Prokopetz; Elena Losina; Robin L Bliss; John Wright; John A Baron; Jeffrey N Katz Journal: BMC Musculoskelet Disord Date: 2012-12-15 Impact factor: 2.362