TY  - JOUR
A1  - Arnholdt, Jörg
A1  - Gilbert, Fabian
A1  - Blank, Marc
A1  - Papazoglou, Jannis
A1  - Rudert, Maximilian
A1  - Nöth, Ulrich
A1  - Steinert, Andre F.
T1  - The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department
JF  - BMC Muskoskeletal Disorders
N2  - Background:
To prevent bone loss in hip arthroplasty, several short stem systems have been developed, including the Mayo conservative hip system. While there is a plethora of data confirming inherent advantages of these systems, only little is known about potential complications, especially when surgeons start to use these systems.
Methods:
In this study, we present a retrospective analysis of the patients’ outcome, complications and the complication management of the first 41 Mayo conservative hips performed in 37 patients. For this reason, functional scores, radiographic analyses, peri- and postoperative complications were assessed at an average follow-up of 35 months.
Results:
The overall HHS improved from 61.2 pre-operatively to 85.6 post-operatively. The German Extra Short Musculoskeletal Function Assessment Questionnaire (XSFMA-D) improved from 30.3 pre-operatively to 12.2 post-operatively. The most common complication was an intraoperative non-displaced fracture of the proximal femur observed in 5 cases (12.1%). Diabetes, higher BMI and older ages were shown to be risk factors for these intra-operative periprosthetic fractures (p < 0.01). Radiographic analysis revealed a good offset reconstruction in all cases.
Conclusion:
In our series, a high complication rate with 12.1% of non-displaced proximal femoral fractures was observed using the Mayo conservative hip. This may be attributed to the flat learning curve of the system or the inherent patient characteristics of the presented cohort."
KW  - total hip arthroplasty
KW  - short hip stem
KW  - mayo stem
KW  - minimal invasive surgery
Y1  - 2017
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-157812
VL  - 18
IS  - 250
ER  -