Abstract
Aim
We report the results of 60 patients who were assessed using the Oxford Hip Score following surgery for revision of ASL XL and ASR Resurfacing systems at our institution. We included preoperative metal ion levels, surgical approach, revision implant, and post op histology and complications to determine variables for improved outcomes.
Methods
We performed a retrospective review of consecutive series patients who underwent revision surgery between 2007 – 2015. We collected and analysed data from 60 patients regarding time between surgery, surgical technique including approach and anaesthesia, estimated blood loss (EBL), revision implant, post op complications, histology, and length of post-operative stay. We correlated these findings to the patients reported outcomes measures using the Oxford Hip Score, which were obtained by post.
Results
Our data shows a reduction in values for Oxford Hip Scores in at least 24 patients as compared to an improvement in values for 22 patients. 6 patients could not be contacted, 4 patients refused to participate, and 4 patients did not have pre-op Oxford Hip Score values for comparison. Our main findings from 46 patients are summarized in table 2.
Conclusion(s)
Age, Sex, Ion Level, Surgical Approach, and Implant choice may be useful variables in predicting patient satisfaction following revision surgery.
Implications
The major practical implication of this study is that we may be able to predict Outcomes of Revision surgery based on variables mentioned above. This has major implication in suitable patient selection for surgery, and appropriate implant choice.
