title: Total hip arthroplasty revision in elderly patients.
abstract: In the last years, the number of total hip arthroplasty is increased both in young patients and elderly with a poor bone quality due to extension of surgical indications. According to this trend, also revision surgery showed a growth of its number, especially in elderly patients, because of implant loosening, failed osseointegration of prosthetic components, errors in biomechanical restoration and infections. The aim of this study is to analyze life quality improvement through evaluation of articular functionality and postoperative pain, and to examine osseointegration of implant components with periprosthetic bone. During total hip arthroplasty revision, the orthopedic surgeon often has to face complex cases, especially in elderly patients with a preexisting status of poor bone quality and sarcopenia. In these cases, a correct planning and a surgical procedure well-executed are able to ensure a good outcome that led to pain relief and functional recovery. Furthermore anti-osteoporotic therapy surely represents a useful resource both in primary total hip arthroplasty and in revisions, mainly for elderly patients with a poor bone quality.
authors.affiliation: Department of Orthopedics and Traumatology, University of Rome "Tor Vergata", "Policlinico Tor Vergata" Foundation, V.le Oxford 81, 00133, Rome, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Gasbarra
authors.forename: Fabio Luigi
authors.initials: FL
authors.lastname: Perrone
authors.forename: Monica
authors.initials: M
authors.lastname: Celi
authors.forename: Cecilia
authors.initials: C
authors.lastname: Rao
authors.forename: Maurizio
authors.initials: M
authors.lastname: Feola
authors.forename: Nicola
authors.initials: N
authors.lastname: Cuozzo
authors.forename: Umberto
authors.initials: U
authors.lastname: Tarantino
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods*; D001696:Biomechanical Phenomena; D001842:Bone and Bones / Q000473:pathology; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D058866:Osteoporotic Fractures / Q000601:surgery; D010149:Postoperative Pain; D011475:Prosthesis Failure; D020127:Recovery of Function; D012086:Reoperation; D055948:Sarcopenia / Q000150:complications