Complications of Total Hip Arthroplasty: Standardized List, Definitions, and Stratification Developed by The Hip Society
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- 1 February 2016
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Clinical Orthopaedics and Related Research
- Vol. 474 (2), 357-364
- https://doi.org/10.1007/s11999-015-4341-7
Abstract
Reporting of complications after total hip arthroplasty (THA) is not standardized, and it is done inconsistently across various studies on the topic. Advantages of standardizing complications include improved patient safety and outcomes and better reporting in comparative studies. The purpose of this project was to develop a standardized list of complications and adverse events associated with THA, develop standardized definitions for each complication, and stratify the complications. A further purpose was to validate these standardized THA complications. The Hip Society THA Complications Workgroup proposed a list of THA complications, definitions for each complication, and a stratification scheme for the complications. The stratification system was developed from a previously validated grading system for complications of hip preservation surgery. The proposed complications, definitions, and stratification were validated with an expert opinion survey of members of The Hip Society, a case study evaluation, and analysis of a large administrative hospital system database with a focus on readmissions. One hundred five clinical members (100%) of The Hip Society responded to the THA complications survey. Initially, 21 THA complications were proposed. The validation process reduced the 21 proposed complications to 19 THA complications with definitions and stratification that were endorsed by The Hip Society (bleeding, wound complication, thromboembolic disease, neural deficit, vascular injury, dislocation/instability, periprosthetic fracture, abductor muscle disruption, deep periprosthetic joint infection, heterotopic ossification, bearing surface wear, osteolysis, implant loosening, cup-liner dissociation, implant fracture, reoperation, revision, readmission, death). Acceptance and use of these standardized, stratified, and validated THA complications and adverse events could advance reporting of outcomes of THA and improve assessment of THA by clinical investigators. Level V, therapeutic study.Keywords
This publication has 11 references indexed in Scilit:
- Variation in Hospital-Level Risk-Standardized Complication Rates Following Elective Primary Total Hip and Knee ArthroplastyJournal of Bone and Joint Surgery, 2014
- Stratification of Standardized TKA Complications and Adverse Events: A Brief CommunicationClinical Orthopaedics and Related Research, 2014
- Complications of Total Knee Arthroplasty: Standardized List and Definitions of The Knee SocietyClinical Orthopaedics and Related Research, 2013
- Reliability of a Complication Classification System for Orthopaedic SurgeryClinical Orthopaedics and Related Research, 2012
- Complication Reporting in Orthopaedic TrialsJournal of Bone and Joint Surgery, 2009
- The Clavien-Dindo Classification of Surgical ComplicationsAnnals of Surgery, 2009
- The operation of the century: total hip replacementThe Lancet, 2007
- Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030The Journal of Bone & Joint Surgery, 2007
- Classification of Surgical ComplicationsAnnals of Surgery, 2004
- Patient satisfaction compared with general health and disease-specific questionnaires in knee arthroplasty patientsThe Journal of Arthroplasty, 2001