Long-term outcome after revision of hip arthroplasty with the BioBall® adapter system in multimorbid patients

• Verfasst von: Kock, Hans-Jürgen [VerfasserIn]
• Verfasst von: Cho, Christopher [VerfasserIn]
• Verfasst von: Buhl, Klaus [VerfasserIn]
• Verfasst von: Hillmeier, Joachim S. [VerfasserIn]
• Verfasst von: Huber, Franz-Xaver [VerfasserIn]
• Titel: Long-term outcome after revision of hip arthroplasty with the BioBall® adapter system in multimorbid patients
• Verf.angabe: Hans-Jürgen Kock, Christopher Cho, Klaus Buhl, Joachim Hillmeier, Franz X. Huber
• Jahr: 2020
• Jahr des Originals: 2019
• Umfang: 7 S.
• Teil: volume:22
• Teil: year:2020
• Teil: pages:43-49
• Teil: extent:7
• Fussnoten: Available online 20 September 2019 ; Im Titel ist das R im Kreis und hochgestellt ; Gesehen am 19.03.2021
• Titel Quelle: Enthalten in: Journal of orthopaedic translation
• Ort Quelle: Singapore [u.a.] : Elsevier, 2013
• Jahr Quelle: 2020
• Band/Heft Quelle: 22(2020), Seite 43-49
• ISSN Quelle: 2214-0328
• DOI: doi:10.1016/j.jot.2019.08.007
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: BioBall® adapter system
• Sach-SW: Revision arthroplasty
• Sach-SW: THA dislocation
• Sach-SW: THA instability
• Sach-SW: Total hip replacement
• K10plus-PPN: 1751841847

Abstract

Introduction - Long-term study evidence about the BioBall® adapter system is limited, especially in highly morbid elderly patients. Thus, we analysed the long-term outcome of revision hip arthroplasty using this system in highly morbid elderly patients. - Materials and methods - We included 19 patients undergoing revision hip arthroplasty after primary or secondary total hip arthroplasty dislocations between July 2002 and August 2004 and followed up their long-term outcome until 2015. - Results - The patients achieved a median of 17 points in the Merle d'Aubigné hip score in 2004 and a median of 18 points in 2011, and the 4 surviving patients in 2015 achieved 18 points. For the four 12-year survivors, the Merle d'Aubigné score was virtually stable over the complete observation period. The Harris Hip Score showed comparable results. The patients had a median Barthel index of 90 in 2004 and 100 in 2011, and the 4 survivors in 2015 had Barthel indices of 65, 95, 100, and 100, respectively, in 2015. - Conclusions - In multimorbid patients, using the BioBall® adapter system for total hip arthroplasty, revision due to dislocation results in good long-term outcome without impairment of quality of life. - Translational potential - Our study provides long-term evidence in a vulnerable patient population. It shows how the therapeutic concept of revision hip replacement with an adapter device translates into long-term outcome and quality of life in these patients. Thus, it adds important information for evaluation of therapeutic options in this field.