EPIDEMIOLOGY OF PRIMARY HIP ARTHROPLASTY: REPORT FROM REGISTER OF VREDEN RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS

I. I. Shubnyakov; R. M. Tikhilov; N. S. Nikolaev; L. G. Grigoricheva; A. V. Ovsyankin; A. Zh. Cherny; P. V. Drozdova; A. O. Denisov; Е. V. Veber; I. V. Kuz’mina

doi:10.21823/2311-2905-2017-23-2-81-101

Traumatology and Orthopedics of Russia ›› 2017, Vol. 23 ›› Issue (2) : 81 -101. DOI: 10.21823/2311-2905-2017-23-2-81-101

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EPIDEMIOLOGY OF PRIMARY HIP ARTHROPLASTY: REPORT FROM REGISTER OF VREDEN RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS

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Vreden Russian Research Institute of Traumatology and Orthopedics

Mechnikov North-Western State Medical University

Federal Center of Traumatology, Orthopedics and Endoprosthetics

St. Petersburg State University

Igor I. Shubnyakov – Cand. Sci. (Med.), Chief Researcher.

8, ul. Akad. Baykova, St. Petersburg, 195427

Rashid M. Tikhilov – Dr. Sci. (Med.), Professor, Director RRITO; Professor NWSMU.

8, ul. Akad. Baykova, St. Petersburg, 195427; 41, Kirochnaya ul., St. Petersburg, 191015

Nikolai S. Nikolaev – Dr. Sci. (Med.), Head Doctor.

33, ul. Fedora Gladkova, Cheboksary, 428020

Lyudmila G. Grigoricheva – Cand. Sci. (Med.), Head Doctor.

1/3, ul. Lyapidevskogo, Barnaul, 656024

Anatolii V. Ovsyankin – Cand. Sci. (Med.), Head Doctor.

29, Pr. Stroiteley, Smolensk, 214019

Andrey Zh. Cherny – Cand. Sci. (Med), Clinical Director RRITO; Associate Professor at the Department of Public Health, Economy and Health Care Management NWSMU.

8, ul. Akad. Baykova, St. Petersburg, 195427

Polina V. Drozdova – Cand. Sci. (Med), Esearcher of Hip Pathology Department.

8, ul. Akad. Baykova, St. Petersburg, 195427

Alexei O. Denisov – Cand. Sci. (Med), Academic Secretary, Head of Hip Pathology Department.

8, ul. Akad. Baykova, St. Petersburg, 195427

Evgenii V. Veber – Assistant Researcher of Administration and guidance Department.

8, ul. Akad. Baykova, St. Petersburg, 195427

Iliya V. Kuz’mina – Student of the 4th year of the Faculty of Mathematics and Mechanics.

7-9, Universitetskaya nab., St. Petersburg, 199034

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Abstract

The paper presents data analysis of the Hip Arthroplasty Register of Vreden Russian Research Institute of Traumatology and Orthopedics, namely information on 37373 primary THA performed at the Vreden Institute and at several other orthopedic centers and 1200 hip replacements at other hospitals of St. Petersburg.

There were 1.5 times more women in the studied cohort than men. A significant predominance of women with dysplastic osteoarthritis (72.4%) and rheumatoid arthritis (82.1%) was reported. A male predominance was noted in patients with secondary osteoarthritis (53.1%), post-traumatic changes of hip (61.0%) and osteonecrosis of the femoral head (68.6 %). The mean age of patients was 58.0±12.9 years (95% CI from 57.9 to 58.1, median 59 years). Age data of the study revealed that patients were 10-12 years younger than reported in the national arthroplasty registers of other countries.

Total hip arthroplasty was performed in the absolute majority of patients – 37295 cases (99,8%). Uncemented implants were used in 59.3% of cases, hybrid – in 29.6%, cemented – in 10.2%, reverse-hybrid – in 0.9% of all patients. The most common bearing used was metal on crosslink polyethylene, which was applied in 50.1% of all cases of arthroplasty. The type of fixation of the implant, and the use of different bearings varied in different age groups. The paper presents not only the absolute numbers of the data, but also demonstrated the dynamics of the changes in time starting from 2007.

The present epidemiological study does not claim the absolute completeness of the presented data, but contains the analysis of the large number of cases, comparable with follow-ups of patients in some national registers of certain European countries. The authors analyzed about 10% of all cases of hip replacements performed on the territory of the Russian Federation in ten-year period.

Keywords

hip osteoarthritis / total hip arthroplasty / hemiarthroplasty hip / arthroplasty register

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I. I. Shubnyakov, R. M. Tikhilov, N. S. Nikolaev, L. G. Grigoricheva, A. V. Ovsyankin, A. Zh. Cherny, P. V. Drozdova, A. O. Denisov, Е. V. Veber, I. V. Kuz’mina. EPIDEMIOLOGY OF PRIMARY HIP ARTHROPLASTY: REPORT FROM REGISTER OF VREDEN RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS. Traumatology and Orthopedics of Russia, 2017, 23(2): 81-101 DOI:10.21823/2311-2905-2017-23-2-81-101

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