Survivorship After Primary Total Hip Arthroplasty in Solid-Organ Transplant Patients

Brian P. Chalmers, Cameron K. Ledford, Joseph M. Statz, Kevin I. Perry, Tad M. Mabry, Arlen D. Hanssen, Matthew Abdel

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Background: Although a growing number of primary total hip arthroplasties (THAs) are being performed on solid-organ transplant (SOT) recipients, long-term patient and implant survivorships have not been well studied in contemporary transplant and arthroplasty practices. Methods: A total of 136 THAs (105 patients) with prior SOT were retrospectively reviewed from 2000 to 2013 at mean clinical follow-up of 5 years. The mean age was 59 years, with 39% being females. The most common SOT was renal (56%), followed by liver (24%). Results: Patient mortality was 3.8% and 13.3% at 2 and 5 years, respectively. There were 9 revisions (6.6%), including 5 (4%) for deep periprosthetic infection. Implant survivorship free of any revision was 95% and 94% at 2 and 5 years, respectively. Transplant type or surgical indication did not significantly impact patient or implant survivorship. Conclusion: Compared with the general population, SOT patients undergoing THA have slightly higher mortality rates at 5 years. Implant survivorship free of revision was slightly lower than the general population, primarily due to an increased risk of periprosthetic joint infection.

Original languageEnglish (US)
JournalJournal of Arthroplasty
DOIs
StateAccepted/In press - Feb 23 2016

Keywords

  • Deep periprosthetic joint infection
  • Level IV
  • Solid-organ transplant
  • Survivorship
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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    Chalmers, B. P., Ledford, C. K., Statz, J. M., Perry, K. I., Mabry, T. M., Hanssen, A. D., & Abdel, M. (Accepted/In press). Survivorship After Primary Total Hip Arthroplasty in Solid-Organ Transplant Patients. Journal of Arthroplasty. https://doi.org/10.1016/j.arth.2016.04.012