Relationship between surgical volume and early outcomes of total hip arthroplasty

Sharkey P., Shastri S., Teloken M., Parvizi J., Hozack W., Rothman R.

JOURNAL OF ARTHROPLASTY, vol.19, no.6, pp.694-699, 2004 (SCI-Expanded, Scopus) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 19 Issue: 6
  • Publication Date: 2004
  • Doi Number: 10.1016/j.arth.2004.02.040
  • Journal Name: JOURNAL OF ARTHROPLASTY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.694-699
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

This retrospective study explored the relationship between the volume of total hip arthroplasties (THA) and postoperative mortality and early complications from a single institution. One thousand hip arthroplasties in 932 patients were identified during a 1-year period, which included 786 primary and 214 revision hip arthroplasties. The postoperative 6-month combined medical and orthopedic complication rate for primary and revision THA was 7.9% and 16.5%, respectively. The 6-month mortality rate for the overall group was 0.5% (5 deaths), for the primary hips was 0.4% (3 deaths), and for the revision hip was 0.9% (2 deaths). The mortality and complication rates of many surgical procedures, including joint arthroplastics, are inversely related to hospital and surgical volume. The reduction in complication rate, however, approaches a plateau and does not improve regardless of an increase in the Surgical and hospital volume.