Local intraoperative and early postoperative complications after endoprosthetics of the hip

Abstract

The data on the most common local intra- and postoperative complications after endoprosthetics of the hip are reported. Among 1096 cases of the hip endoprostheses implantations the local complications of slight and medium severity developed in 3,9% of the cases (wound edge necrosis – 0,9%, postoperative wound hematoma – 1,0%, ligature fistula – 0,2%, fractures of the greater trochanter – 0,7%, femoral diaphyseal fractures of the upper third – 0,2%, prosthesis head dislocation – 0,4%, sciatic nerve neuropathy of fibular type – 0,3 %, femoral nerve neuropathy − 0,3%), and those of high severity were observed in 2,8% of the cases (endoprosthesis total aseptic instability – 2,1%, total infected instability – 0,7%). The causes of local intraoperative and early postoperative complications have been analyzed, the measures for their prevention and optimal treatment techniques have been reported.