Total hip arthroplasty in Malaysia--the Universiti Kebangsaan Malaysia and Hospital Kuala Lumpur experience.

B. H. Tay, O. Masbah, M. Razak, G. N. Ruslan

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    Abstract

    The results of 109 primary total hip arthroplasties in 92 patients performed in Hospital Kuala Lumpur from January 1987 to December 1996 were reviewed after a mean follow-up of 30.8 months. There were 22 males and 70 females with the average age of 49.9 years (range 19 to 94 years). Chinese females comprised the largest group of patients (52.2%). Avascular necrosis was the most common diagnosis (33.1%) followed by hip dysplasia and primary osteoarthritis (17.4%). The procedure was performed more on the right hip (64.2%) compared to the left (35.8%). All patients received prophylactic antibiotics but none were given deep vein thrombosis prophylaxis. The Charnley prosthesis was most commonly used and the majority of the arthroplasties were cemented (60.5%). About 80% of the THA were performed via the lateral approach. The functional hip score improved from an average of 8.9 to 15.0 with 66.3% of the patients categorized as good and excellent results. There were 16 patients (17.4%) with poor outcome. The most common complications encountered were dislocation (10.1%), aseptic loosening (9.2%) and periprosthetic fracture (5.5%). Other complications were deep infection (1.8%), deep vein thrombosis (0.9%), trochanteric osteotomy complications (1.8%), superficial infection (7.3%), urinary tract infection (5.5%), pressure sore (3.7%) and respiratory complication (1.8%). Fifteen hips (13.8%) required revision. The causes for revision were aseptic loosening, dislocation and infection. Technical anomalies were recognized as one of the factors contributing to poor results. Five-year survival rate was 87.3%. Better results can be expected with increasing experience and technical skulls.

    Original languageEnglish
    Pages (from-to)74-85
    Number of pages12
    JournalMedical Journal of Malaysia
    Volume55 Suppl C
    Publication statusPublished - Sep 2000

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    Malaysia
    Arthroplasty
    Hip
    Venous Thrombosis
    Infection
    Periprosthetic Fractures
    Tacrine
    Hip Dislocation
    Pressure Ulcer
    Osteotomy
    Skull
    Urinary Tract Infections
    Osteoarthritis
    Prostheses and Implants
    Necrosis
    Survival Rate
    Anti-Bacterial Agents

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Total hip arthroplasty in Malaysia--the Universiti Kebangsaan Malaysia and Hospital Kuala Lumpur experience. / Tay, B. H.; Masbah, O.; Razak, M.; Ruslan, G. N.

    In: Medical Journal of Malaysia, Vol. 55 Suppl C, 09.2000, p. 74-85.

    Research output: Contribution to journalArticle

    Tay, B. H. ; Masbah, O. ; Razak, M. ; Ruslan, G. N. / Total hip arthroplasty in Malaysia--the Universiti Kebangsaan Malaysia and Hospital Kuala Lumpur experience. In: Medical Journal of Malaysia. 2000 ; Vol. 55 Suppl C. pp. 74-85.
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    abstract = "The results of 109 primary total hip arthroplasties in 92 patients performed in Hospital Kuala Lumpur from January 1987 to December 1996 were reviewed after a mean follow-up of 30.8 months. There were 22 males and 70 females with the average age of 49.9 years (range 19 to 94 years). Chinese females comprised the largest group of patients (52.2{\%}). Avascular necrosis was the most common diagnosis (33.1{\%}) followed by hip dysplasia and primary osteoarthritis (17.4{\%}). The procedure was performed more on the right hip (64.2{\%}) compared to the left (35.8{\%}). All patients received prophylactic antibiotics but none were given deep vein thrombosis prophylaxis. The Charnley prosthesis was most commonly used and the majority of the arthroplasties were cemented (60.5{\%}). About 80{\%} of the THA were performed via the lateral approach. The functional hip score improved from an average of 8.9 to 15.0 with 66.3{\%} of the patients categorized as good and excellent results. There were 16 patients (17.4{\%}) with poor outcome. The most common complications encountered were dislocation (10.1{\%}), aseptic loosening (9.2{\%}) and periprosthetic fracture (5.5{\%}). Other complications were deep infection (1.8{\%}), deep vein thrombosis (0.9{\%}), trochanteric osteotomy complications (1.8{\%}), superficial infection (7.3{\%}), urinary tract infection (5.5{\%}), pressure sore (3.7{\%}) and respiratory complication (1.8{\%}). Fifteen hips (13.8{\%}) required revision. The causes for revision were aseptic loosening, dislocation and infection. Technical anomalies were recognized as one of the factors contributing to poor results. Five-year survival rate was 87.3{\%}. Better results can be expected with increasing experience and technical skulls.",
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