Elizabeth B Gausden1, Joseph E Popper2, Peter K Sculco3, Barret Rush4. 1. Department of Orthopedics, Hospital for Special Surgery, 535 E. 70th Street, New York, NY, 10021, USA. GausdenE@hss.edu. 2. Mohawk Valley Orthopedics, Amsterdam, NY, USA. 3. Department of Orthopedics, Hospital for Special Surgery, 535 E. 70th Street, New York, NY, 10021, USA. 4. Division of Critical Care Medicine, University of Manitoba, Winnipeg, Canada.
Abstract
INTRODUCTION: The objective was to evaluate if the use of CA-THA was associated with lower complications in the first 90 days following THA compared with conventional THA. METHODS: The Nationwide Readmission Database (NRD) was queried to identify patients who underwent THA between 2012 and 2014. The primary outcome was arthroplasty-related complications within the first 90 days following THA. Multivariate models predicting the risk of complications, readmission, and revision-related readmission within 90 days of discharge were created. RESULTS: A total of 309,252 patients with a minimum 90-day follow-up following elective primary THA were identified. After controlling for age, sex, comorbidities, indication, income, and type of insurance, the use of CA during THA resulted in a 12% reduced odds of 90-day complications (OR 0.88, 95% CI 0.77-0.99, p = 0.04). DISCUSSION: The use of CA-THA resulted in lower 90-day complication rates and readmission rates compared with traditional THA after controlling for confounding variables. There was no significant difference in the rates of revision surgery between the groups within the first 90 days.
INTRODUCTION: The objective was to evaluate if the use of CA-THA was associated with lower complications in the first 90 days following THA compared with conventional THA. METHODS: The Nationwide Readmission Database (NRD) was queried to identify patients who underwent THA between 2012 and 2014. The primary outcome was arthroplasty-related complications within the first 90 days following THA. Multivariate models predicting the risk of complications, readmission, and revision-related readmission within 90 days of discharge were created. RESULTS: A total of 309,252 patients with a minimum 90-day follow-up following elective primary THA were identified. After controlling for age, sex, comorbidities, indication, income, and type of insurance, the use of CA during THA resulted in a 12% reduced odds of 90-day complications (OR 0.88, 95% CI 0.77-0.99, p = 0.04). DISCUSSION: The use of CA-THA resulted in lower 90-day complication rates and readmission rates compared with traditional THA after controlling for confounding variables. There was no significant difference in the rates of revision surgery between the groups within the first 90 days.
Entities:
Keywords:
Complications following total hip arthroplasty; Computer-assisted total hip arthroplasty; THA
Authors: Blake K Montgomery; Abiram Bala; James I Huddleston; Stuart B Goodman; William J Maloney; Derek F Amanatullah Journal: J Arthroplasty Date: 2019-05-16 Impact factor: 4.757
Authors: Christina I Esposito; Brian P Gladnick; Yuo-Yu Lee; Stephen Lyman; Timothy M Wright; David J Mayman; Douglas E Padgett Journal: J Arthroplasty Date: 2014-07-11 Impact factor: 4.757
Authors: Trevor Simcox; Vivek Singh; Christian T Oakley; Omid S Barzideh; Ran Schwarzkopf; Joshua C Rozell Journal: Knee Surg Relat Res Date: 2022-03-18