RESEARCH - Pregnancy and childbirth after total hip arthroplasty

[Guest guest]

J Bone Joint Surg Br. 2005 Jan;87(1):21-4.

Pregnancy and childbirth after total hip arthroplasty.

Sierra RJ, Trousdale RT, Cabanela ME.

Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota 55905,

USA.

We surveyed 343 young women with 420 total hip arthroplasties (THAs)

regarding pregnancy and childbirth after THA. The mean age at surgery was 35

years (18 to 45). The mean length of follow-up after the initial

arthroplasty was 16 years (6 to 27). Of these 343 women, 47 (13.7%) had a

successful pregnancy after their primary THA. The first baby after a THA was

delivered vaginally in 30 patients and by Caesarean section in 17. Of the

343 patients, 138 underwent a revision. For the entire series, the risk of

revision at five years was 5%, at ten years 24%, and at 20 years 50%. After

adjusting for age at surgical intervention, the risk of revision was not

significantly associated with childbirth. Of the 47 patients who had a

successful pregnancy, 28 (60%) noted an increase in pain in the hip during

pregnancy and ten of these patients had persistent pain after their

pregnancy. Seven patients complained of pain in the groin in the replaced

hip after childbirth. At the time of this survey, five of these patients

(70%) had had revision THA. Childbirth is not affected by the presence of a

THA. Pregnancy after THA is not associated with decreased survival of the

prosthesis. Pain in the hip is common during pregnancy in these patients.

Pain in the groin which persists after delivery commonly leads to revision

of the THA.

PMID: 15686232

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\

ct & list_uids=15686232

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[Guest guest]

thats kind of scary, risk of revision at 10 years is 24%? both of my hips

will be 11 years old in august. my right hip will be 12 years on feb 16, my

due date is feb 7. im confused, does this research say that these women

have had 1 hip replacement? what if you have had both done? thanks for the

help finding this information. i will post my ortho says, and what ob/gyn

says. its interesting tho, this research is from the mayo clinic? my ortho

did training there.

thanks, brandy hendricks