The research questions this study aims to answer are as follows: Primary research question: "Do primary total hip arthroplasties for patients with OA, hip fracture or osteonecrosis with the 150mm Lubinus SPII hip stem have better mortality and stem revision rates than primary total hip arthroplasties with the 130mm hip stem?" Secondary aims include: * How does line-to-line cementation, compare to undersized cementation in primary total hip arthroplasty for patients with OA, hip fracture, or osteonecrosis when comparing equal size Lubinus SPII hip stems implanted with different cementation techniques? * Does the Lubinus SPII 150mm hip stem perform equal to the Lubinus SPII 130mm hip stem in primary total hip arthroplasties for patients with OA, hip fracture or osteonecrosis when comparing patient reported outcome measures? To answer these questions, this study has been allowed use of registered data from the LROI (dutch arthroplasty registry) and the SAR (swedish arthroplasty registry). After exclusion of patients who did not meet inclusion criteria between 2007-2020, approximately 110000 patients remain eligible for analysis.
Study Type
OBSERVATIONAL
Enrollment
110,000
Shorter length of the SPII hip stem
Longer length of the SPII hip stem
OLVG
Amsterdam, North Holland, Netherlands
Mortality rate
Time from primary hip surgery to patient death, per hip stem length
Time frame: From date of surgery to date of event (death), minimally 2 years up to 16 years (2007-2023)
Revision rate
Time from primary hip surgery to implant failure, per hip stem length
Time frame: From date of surgery to date of event (revision), minimally 2 years up to 16 years (2007-2023)
NRS pain score
pain score for rest and activity, rated 0 - 10 (10 is max pain)
Time frame: before surgery, 3-6 months after surgery, 12 months after surgery
Oxford hip score
Hip functionality and pain intensity score , 0 - 60, 60 is max pain/least functionality
Time frame: before surgery, 3-6 months after surgery, 12 months after surgery
EQ - 5D
Quality of life measurement based on 5 questions with a score of 0 - 100 (how well does patient experience health, 100 is best)
Time frame: before surgery, 3-6 months after surgery, 12 months after surgery
HOOS - PS
Hip functionality, disability and pain test, 5 point liker scale ( 0 - 4), higher score is more functional difficulty
Time frame: before surgery, 3-6 months after surgery, 12 months after surgery
Revision rate
Time from primary hip surgery to implant failure, per cementation type
Time frame: From date of surgery to date of event (death), minimally 2 years up to 16 years (2007-2023)
Mortality rate
Time from primary hip surgery to patient death, per cementation type
Time frame: From date of surgery to date of event (revision), minimally 2 years up to 16 years (2007-2023)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.