Obesity and it's Impact on Subsidence and Clinical Outcomes After Short Stem Total Hip
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Harris Hip Score
研究概览
简要总结
The purpose of this study is to review the impact of obesity on subsidence and clinical outcome after short stem total hip arthroplasty.
详细描述
Short stem total hip arthroplasty (THA) has gained popularity due to its bone-sparing technique, but its outcomes in obese patients remain uncertain.
While studies on the mid-term outcome in a general patient cohort provide excellent results in terms of the clinical and radiological outcome as well as the complication rate of short stem THA, data on its use in obese patients is still rare and not sufficiently conclusive. Some studies have found no evidence of increased subsidence in obese patients, while other studies have shown contrary trends.
In this context, the aim of this study was to investigate the relationship between BMI, postoperative subsidence and clinical outcomes in the setting of short stem THA.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •patients who underwent primary short stem hip arthroplasty with Mathys Optimys short stem between 01.01.2018 and 31.12.2020
- •availability of preoperative and postoperative radiographs for assessment of subsidence
- •a minimum BMI of 30kg/m2 for the obese group
- •a minimum follow-up of 24 months.
排除标准
- •former surgeries of the hip in question
- •incomplete clinical data
- •incomplete radiological data
结局指标
主要结局
Harris Hip Score
时间窗: 2 years
Clinical outcome, \[0-100points\]
Subsidence
时间窗: 2 years
subsidence of the short stem measured via EBRA (Einzelbild Röntgenanalyse), \[mm\]
次要结局
- surgery time(2 years)
- Length of stay(2 years)
- Blood loss(2 years)