Local intraoperative and early postoperative complications after endoprosthetics of the hip

Волокитина Е.А., Зайцева О.П., Колотыгин Д.А., Вишняков А.А.

Abstract


The data on the most common local intra- and postoperative complications after endoprosthetics of the hip are reported. Among 1096 cases of the hip endoprostheses implantations the local complications of slight and medium severity developed in 3,9% of the cases (wound edge necrosis – 0,9%, postoperative wound hematoma – 1,0%, ligature fistula – 0,2%, fractures of the greater trochanter – 0,7%, femoral diaphyseal fractures of the upper third – 0,2%, prosthesis head dislocation – 0,4%, sciatic nerve neuropathy of fibular type – 0,3 %, femoral nerve neuropathy − 0,3%), and those of high severity were observed in 2,8% of the cases (endoprosthesis total aseptic instability – 2,1%, total infected instability – 0,7%). The causes of local intraoperative and early postoperative complications have been analyzed, the measures for their prevention and optimal treatment techniques have been reported.

Keywords


endoprosthesis, the hip (joint), errors and complications of endoprosthetics, prosthesis head dislocation, peri-prosthetic fracture, hematoma, neuropathy

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