[Reasons for repeated hospitalization of patients with alloplasty of the hip joint.].
The submitted paper is an analysis of 143 patients with cervicocapital femoral endoprostheses (CCP) and 230 patients with total endoprostheses of the hip joint (TE) operated in the Research Institute of Traumatology and Special Surgery in 1985-1990 with special attention paid to reasons for their repeated readmissions. Admissions, the necessity or probability of which was obvious already during the first hospitalization (immobilization on account of instability, extraction of metal after synthesis of the greater trochanter, infection detect during first hospitalization) were not included in the group. Only in one third (31 %) in the CCP group and in half (48 %) the TE group the assumption was confirmed that the most frequent reason for readmission to hospital is loosening of the alloplasty, septic or aseptic. A frequent reason of repeated readmission was dislocation of the prosthesis (9 cases - 2.4 % of the group). In the same number (9 patients - 2.4 %) the reason for admission was pain the cause of which was not revealed; in this group the author assumes in future more cases of loosening of the alloplasty. The analysis of the whole group of rehospitalized patients is presented in tables. In the conclusion the author mentions that repeated hospitalization is called for by a number of serious complications of alloplasties of the hip joint. Key words: alloplasty of the hip joint, repeated hospitalization, analysis of the group.
Palarcík
J
J
Urazová nemocnice, Brno.