Total hip arthroplasty in Brazil, 2012-2021

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41831

Keywords:

Osteoarthritis of the hip; Proximal fractures of the femur; Hip arthroplasty.

Abstract

Objectives: to evaluate the benefit of total hip arthroplasty in functional recovery, early rehabilitation and reduction of sequelae in the treatment of pathologies of the proximal femur. Materials and methods: a retrospective epidemiological, qualitative and quantitative study, whose data were obtained by consulting the Ministry of Health - Health Information (TABNET) databases, made available by the Departamento de Informática do Sistema Único de Saúde (DATASUS). The study population is made up of patients submitted, in Brazil, to the hip arthroplasty procedure during the period 2012 - 2021. We evaluated the number of hospital procedures, the sites with the highest numbers of care provided, the value of hospital and professional services, the length of hospital stay and the number of deaths related to the procedure. Results: 251,413 hip arthroplasty procedures were recorded, and cementless total hip arthroplasty was the most commonly used technique (33.1%), followed by partial hip arthroplasty (29.2%), accounting for an average of 7.8 days of hospitalization. Conclusion: Hip arthroplasty is a procedure that is being increasingly used in the treatment of coxarthrosis and proximal femur fracture, and it is an effective treatment when well indicated.

References

Baron, J. E., Westermann, R. W., Bedard, N. A., Willey, M. C., Lynch, T. S., Duchman, K. R. (2020). Is the Actual Failure Rate of Hip Arthroscopy Higher Than Most Published Series? An Analysis of a Private Insurance Database. The Iowa Orthopaedic Journal, 40(1):135-142.

Busato, T. S., Barbosa, G. M. R., Velho, A. E. K., Matioski Filho, G. R., Godoi, L. D., & Capriotti, J. R. V. (2019). Is The Size of the Currently Available Implants for Total Hip Arthroplasty Adequate for Our Population?. Revista brasileira de ortopedia, 54(4), 447–452. https://doi.org/10.1055/s-0039-1694713

Clausen, S., Hartvigsen, J., Boyle, E., Roos, E. M., Grønne, D. T., Ernst, M. T., Arnbak, B., & Skou, S. T. (2021). Prognostic factors of total hip replacement during a 2-year period in participants enrolled in supervised education and exercise therapy: a prognostic study of 3657 participants with hip osteoarthritis. Arthritis research & therapy, 23(1), 235. https://doi.org/10.1186/s13075-021-02608-6

Cosmo, T., & Pércio, P. (2020). Comparação das abordagens anterior, lateral e posterior na artroplastia total de quadril: uma revisão bibliográfica. FAG Journal Of Health (FJH), 2(4), 479-482. https://doi.org/10.35984/fjh.v2i4.244

Demange, M. K., Kakuda, C. M. S., Pereira, C. A. M., Sakaki, M. H., & Albuquerque, R. F. da M. e .. (2007). Influência do ligamento da cabeça do fêmur na mecânica do quadril. Acta Ortopédica Brasileira, 15(4), 187–190. https://doi.org/10.1590/S1413-78522007000400002

Estrela, C. (2018). Metodologia Cientifica: Ciencia, Ensino, Pesquisa. Editora Artes Médicas.

Galia, C. R., Diesel, C. V., Guimarães, M. R., & Ribeiro, T. A. (2017). Total hip arthroplasty: a still evolving technique. Revista brasileira de ortopedia, 52(5), 521–527. https://doi.org/10.1016/j.rboe.2016.09.011

Garland, A., Bülow, E., Lenguerrand, E., Blom, A., Wilkinson, M., Sayers, A., Rolfson, O., & Hailer, N. P. (2021). Prediction of 90-day mortality after total hip arthroplasty. The bone & joint journal, 103-B(3), 469–478. https://doi.org/10.1302/0301-620X.103B3.BJJ-2020-1249.R1

GBD 2019 Diseases and Injuries Collaborators (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet (London, England), 396(10258), 1204–1222. https://doi.org/10.1016/S0140-6736(20)30925-9

IBGE – Instituto Brasileiro de Geografia e Estatística. Produto Interno Bruto – PIB. Rio de Janeiro: IBGE, 2022. https://www.ibge.gov.br/explica/pib.php. Acesso em 16 fev. 2023.

Kimura, O. de S., Moraes, R. F. P., Fernandes, M. B. C., Freitas, E. H. C., Seabra, A., & Lima, G. K. (2020). Bilateral Femoral Neck Fracture Secondary to Seizure: Treatment with Total Hip Arthroplasty by the Direct Anterior approach. Revista Brasileira De Ortopedia, 55(2), 254–257. https://doi.org/10.1016/j.rbo.2017.12.024

Knight, S. R., Aujla, R., Biswas, S. P. (2011) Total Hip Arthroplasty - over 100 years of operative history. Orthop Rev (Pavia). 3(2):e16. 10.4081/or.2011.e16.

Lopes, B. de M., Araujo, F. X. de, Ferreira, G., Baroni, B. M., & Silva, M. F. (2022) Patients Who Present with Functional Limitations, Limited Range of Motion and Reduced Muscle Strength 6 Months after Total Hip Arthroplasty: A Cross-Sectional Study, Rev bras ortop 57(6):953–61. https://doi.org/10.1055/s-0041-1732388

Manfredi, V. M., Machado, M. B., Barbato, N. G., Takata, E. T., & Dobashi, E. T. (2021). Eficácia da prevenção da trombose venosa profunda na artroplastia total do quadro. Acta Ortopédica Brasileira, 29 (6), 293–296. https://doi.org/10.1590/1413-785220212906243045

Mannion, A. F., Balagué, F., Pellisé, F., & Cedraschi, C. (2007) Pain measurement in patients with low back pain. Nat Clin Pract Rheumatol. 3(11):610-618. 10.1038/ncprheum0646

Matta, J. M., Shahrdar, C., & Ferguson, T. (2005) Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res. 441:115–24.

McKellop, H., Shen, F. W., Lu, B., Campbell, P., Salovey, R. (1999) Development of an extremely wear-resistant ultra high molecular weight polyethylene for total hip replacements. J Orthop Res. 17(2):157–67.

Moreira, E. M., Vaz, M. R., Rivero, L. G., Ribeiro, R., Hoffmeister, I. Z., Bragança, G. C. M., & Guterres, L. M. B. (2021). Artrose: perfil de conhecimento de mulheres bajeenses sobre prevenção, diagnóstico e tratamento / Arthrosis: knowledge profile of bajeense women on prevention, diagnosis and treatment. Brazilian Journal of Development, 7(9), 87045–87073. https://doi.org/10.34117/bjdv7n9-051

Park, S., & Shin, B. K. (2022). Intermittent fasting with a high-protein diet mitigated osteoarthritis symptoms by increasing lean body mass and reducing inflammation in osteoarthritic rats with Alzheimer's disease-like dementia. The British journal of nutrition, 127(1), 55–67. https://doi.org/10.1017/S0007114521000829

Queiroz, R. D., Borger, R. A., Heitzmann, L. G., Fingerhut, D. J. P., & Saito, L. H. (2022). Intracapsular Femoral Neck Fractures in the Elderly . Revista Brasileira De Ortopedia, 57(3), 360–368. https://doi.org/10.1055/s-0041-1736473

Ran, T. F., Ke, S., Li, J., Lyu, M. R., Zhou, Y. Y., Zhang, R., Song, X., & Wang, M. (2021). Relieved Low Back Pain after Total Hip Arthroplasty in Patients with Both Hip Osteoarthritis and Lumbar Degenerative Disease. Orthopaedic surgery, 13(6), 1882–1889. https://doi.org/10.1111/os.13135

Rice, J., Prenderville, T., Murray, P., McCormack, B., & Quinlan, W. (1998). Femoral cementing techniques in total hip replacement. International orthopaedics, 22(5), 308–311. https://doi.org/10.1007/s002640050266

Saiki, F., Tanaka, T., Tachibana, N., Oshima, H., Kaneko, T., Horii, C., Nakamoto, H., Kato, S., Doi, T., Matsubayashi, Y., Taniguchi, Y., Tanaka, S., & Oshima, Y. (2021). Effect of Spinal Alignment Changes on Lower Back Pain in Patients Treated with Total Hip Arthroplasty for Hip Osteoarthritis. Medicina (Kaunas, Lithuania), 57(11), 1219. https://doi.org/10.3390/medicina57111219

Schwartsmann, C. R., Boschin, L. C., Gonçalves, R. Z., Yépez, A. K., & Spinelli, L. de F.. (2012). Novas superfícies em artroplastia total do quadril. Revista Brasileira De Ortopedia, 47(2), 154–159. https://doi.org/10.1590/S0102-36162012000200002

Sculco, P. K., Windsor, E. N., Jerabek, S. A., Mayman, D. J., Elbuluk, A., Buckland, A. J., & Vigdorchik, J. M. (2021). Preoperative spinopelvic hypermobility resolves following total hip arthroplasty. The bone & joint journal, 103-B(12), 1766–1773. https://doi.org/10.1302/0301-620X.103B12.BJJ-2020-2451.R2

Sikorski, J., Hampson, W., & Staddon, G. (1981). A história natural e etiologia da trombose venosa profunda após artroplastia total do quadril. The Journal of Bone & Joint Surgery British Volume , 63-B (2), 171-177. https://doi.org/10.1302/0301-620X.63B2.7217137

Silva, J. C. A., Caland, L. M. Q., Paiva, T. A. F. de ., Oliveira, M. R., Bezerra, L. M. A., & Cavalcante, T. B.. (2023). Association between the level of functional independence and the subjective experience of pain in older adults after hip replacement. Fisioterapia E Pesquisa, 30, e22012823en. https://doi.org/10.1590/1809-2950/e22012823en

Smektala, R., Endres, H. G., Dasch, B., Maier, C., Trampisch, H. J., Bonnaire, F., & Pientka, L. (2008). The effect of time-to-surgery on outcome in elderly patients with proximal femoral fractures. BMC musculoskeletal disorders, 9, 171. https://doi.org/10.1186/1471-2474-9-171

Soni, J., Fratti, S.R., Kantovitz, P.C.J., Souza Filho, R.M., Netto, E.B.V. (2000) A fratura do colo do fêmur como fator de maior morbidade e mortalidade. Revista Brasileira de Ortopedia, 33(6).

Soohoo, N. F., Farng, E., Lieberman, J. R., Chambers, L., & Zingmond, D. S. (2010). Factors that predict short-term complication rates after total hip arthroplasty. Clinical orthopaedics and related research, 468(9), 2363–2371. https://doi.org/10.1007/s11999-010-1354-0

Sporer, S. M., & Paprosky, W. G. (2005). Biologic fixation and bone ingrowth. The Orthopedic clinics of North America, 36(1), 105–vii. https://doi.org/10.1016/j.ocl.2004.06.007

Viana, L. M. A. T., Nogueira, I. A. L., Fontenele, A. M. M., & de Oliveira, L. P.. (2021). Thromboembolism in Arthroplasty: Compliance to Prophylaxis. Revista Brasileira De Ortopedia, 56(5), 647–655. https://doi.org/10.1055/s-0041-1731657

Published

28/05/2023

How to Cite

CHOI, M. S. de A. .; NASCIMENTO, N. M. A. .; CERQUEIRA FILHO, R. S. C. P. de .; SOUZA, V. A. S. de .; QUEIROZ, V. I. O. .; RIBEIRO, R. S. . Total hip arthroplasty in Brazil, 2012-2021 . Research, Society and Development, [S. l.], v. 12, n. 5, p. e26812541831, 2023. DOI: 10.33448/rsd-v12i5.41831. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41831. Acesso em: 27 apr. 2024.

Issue

Section

Health Sciences