P Curtin1, J Harty, E Sheehan, P Nicholson, J McElwain. 1. Department of Elective Orthopaedics, The Adelaide and Meath Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland. pauldcurtin@hotmail.com
Abstract
BACKGROUND: There are little data available on complication rates following primary total hip arthroplasty (THA) surgery in Ireland. AIMS: To determine self-reported complication rates and national data for primary THA. METHODS: A postal questionnaire surveyed Irish orthopaedic association consultant members. Additional data were obtained from the economic and social research institute (ESRI). RESULTS: We achieved an 83% response rate. 5,424 THAs were self-reported. Mean dislocation rates were 1%, but higher using a posterior surgical approach (p < 0.05). Mean deep infection rates were 0.4%. 29% were MRSA. No reduction was reported from additional barrier prophylaxes. Mean venous thrombo-embolism (VTE) rates were 3.5%. No reduction was reported from commencing prophylaxis preoperatively or extending treatment duration. National rates for dislocation, deep infection and VTE were 25.7, 0.87, and <0.1%, respectively. CONCLUSIONS: The creation of a National Hip Register is strongly recommended. A register would improve surgical practices and patient outcomes, and provide significant healthcare savings.
BACKGROUND: There are little data available on complication rates following primary total hip arthroplasty (THA) surgery in Ireland. AIMS: To determine self-reported complication rates and national data for primary THA. METHODS: A postal questionnaire surveyed Irish orthopaedic association consultant members. Additional data were obtained from the economic and social research institute (ESRI). RESULTS: We achieved an 83% response rate. 5,424 THAs were self-reported. Mean dislocation rates were 1%, but higher using a posterior surgical approach (p < 0.05). Mean deep infection rates were 0.4%. 29% were MRSA. No reduction was reported from additional barrier prophylaxes. Mean venous thrombo-embolism (VTE) rates were 3.5%. No reduction was reported from commencing prophylaxis preoperatively or extending treatment duration. National rates for dislocation, deep infection and VTE were 25.7, 0.87, and <0.1%, respectively. CONCLUSIONS: The creation of a National Hip Register is strongly recommended. A register would improve surgical practices and patient outcomes, and provide significant healthcare savings.
Authors: John J Callaghan; Jesse E Templeton; Steve S Liu; Douglas R Pedersen; Devon D Goetz; Patrick M Sullivan; Richard C Johnston Journal: J Bone Joint Surg Am Date: 2004-04 Impact factor: 5.284