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  1. Patient-related risk factors for early revision of total hip replacements : A population register-based case-control study of 674 revised hips.

    Article - En anglais

    In this population register-based, matched case-control study, we assessed patient-related factors and early risk of revision after total hip replacement (THR).

    Information was obtained via a mail survey among patients reported to the Norwegian Arthroplasty Register during the period 1987-1993.

    The study included 674 revised hips, as cases, and 1,343 hips with a primary operation only, as controls.

    Completed questionnaires were received from 81% of the 2,017 individual cases and controls.

    We identified a set of patient-related factors associated with poor THR prognosis.

    Increasing weight was a risk factor among male patients older than 67 years who were more than 1.77 m tall (p=0.01).

    Smoking had no overall effect, but former heavy smokers had an increased risk of 2.6 compared to never-smokers.

    Alcohol intake was associated with an increased risk of dislocation.

    Revision due to infection was commoner among patients taking antidiabetic drugs (OR=14) than among patients taking no medication.

    An increased overall revision risk was found among patients using systemic steroids (OR=2.8) or local pulmonary steroids (OR=6.0).

    The risk also increased in male patients performing regular exercise before the primary operation (OR=2.6), and in female patients of working-age doing heavy work r (OR=1.9).

    Mots-clés Pascal : Epidémiologie, Facteur risque, Précoce, Réintervention, Prothèse, Total, Hanche, Homme, Chirurgie orthopédique

    Mots-clés Pascal anglais : Epidemiology, Risk factor, Early, Reoperation, Prosthesis, Total, Hip, Human, Orthopedic surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0388160

    Code Inist : 002B25I. Création : 12/09/1997.