Group | Overall (n = 75) | Early fixation failure (≤3 months, n = 40) | Late fixation failure (> 3 months, n = 35) | P-value |
---|---|---|---|---|
Stem type | 0.040 | |||
Primary stem | 38 (51%) | 16 (40%) | 22 (63%) | |
Revision stem | 37 (49%) | 24 (60%) | 13 (37%) | |
Age (years) | 79.3 ± 9.8 (32–96) | 80.6 ± 6.2 (67–96) | 77.8 ± 12.7 (32–96) | 0.241 |
Sex | 0.492 | |||
Female | 42 (56%) | 24 (60%) | 18 (51%) | |
Male | 33 (44%) | 16 (40%) | 17 (49%) | |
Body mass index | 24.1 ± 4.7 (16.4–40.3) | 23.9 ± 3.9 (18.1–33.7) | 24.3 ± 5.4 (16.4–40.3) | 0.776 |
ASAa | 0.224 | |||
1 | 2 (3%) | 0 | 2 (6%) | |
2 | 45 (60.0%) | 23 (57.5%) | 22 (63%) | |
3 | 28 (37%) | 17 (42.5%) | 11 (31%) | |
Charlson comorbidity index | 0.230 | |||
2 | 3 (4%) | 0 | 3 (9%) | |
3 | 6 (8%) | 5 (13%) | 1 (3%) | |
4 | 19 (25%) | 12 (30%) | 7 (20%) | |
5+ | 47 (63%) | 23 (57%) | 24 (68%) | |
Bone mineral density, T-score | −3.1 ± 0.5 (−2.4- -3.8) | −3.0 ± 0.7 (−2.4- -3.8) | −3.1 ± 0.6 (−2.5 - -3.7) | 0.523 |
Interval between index procedure and hip arthroplasty (months) | 3 (IQR:9) (1–87) | 1(IQR:1) (1–3) | 7(IQR:4) (4–87) | < 0.001 |
Index procedure | ||||
Cephalomedullary nail | 24 (32%) | 13 (33%) | 11 (31%) | 1.000 |
Plate | 51 (68%) | 27 (67%) | 24 (69%) | |
Failure of index procedure | 0.009 | |||
Lag screw cut-out | 48 (64%) | 31 (78%) | 17 (49%) | |
Implant breakage or fracture collapse | 22 (29%) | 9 (22%) | 13 (37%) | |
Avascular necrosis | 5 (7%) | 0 | 5 (14%) | |
Hip arthroplasty procedure | ||||
Bipolar hemiarthroplasty | 62 (83%) | 31 (78%) | 31 (89%) | 0.206 |
Total hip arthroplasty | 13 (17%) | 9 (22%) | 4 (11%) | |
Surgery duration (mins) | 117.4 ± 48.6 (60–300) | 118.3 ± 43.1 (60–240) | 116.3 ± 54.9 (60–300) | 0.862 |
Intraoperative blood loss (ml) | 587.5 ± 399.2 (100–1500) | 664.3 ± 298.2 (300–1000) | 555.9 ± 438.4 (100–1500) | 0.494 |
Length of stay (days) | 7(IQR: 4) (2–94) | 8(IQR:6) (2–94) | 7(IQR:3) (2–19) | 0.090 |
Follow-up duration (months) | 116.2 ± 61.9 (13–234) | 120.1 ± 59.4 (13–229) | 111.2 ± 65.3 (22–234) | 0.481 |
Mortality rate (one-year mortality) | 8 (11%) | 5 (13%) | 3 (9%) | 0.582 |