[Total hip arthroplasty in patients with digestive ostomies: evaluation and long-term outcomes].

Abstract

Introduction: the relationship between digestive ostomies and the risk of prosthetic joint infection following total hip arthroplasty (THA) is not well-established. This study aimed to assess prosthesis survival, clinical outcomes, and infectious complications in patients with a digestive ostomy undergoing THA.

Material and methods: a single-center, retrospective observational study was conducted, including patients with digestive ostomies who underwent THA between 2005 and 2018, with at least one year of follow-up. Data collected included the site and type of ostomy, underlying disease, type of THA, clinical outcomes measured by the Merle d'Aubigné-Postel (MAP) Score, postoperative infections, and the need for revision surgery.

Results: seven patients with a mean age of 63 years (range 45-80) and a mean follow-up of 10.1 years were included. The most common cause of the ostomy was colon cancer. The average MAP Score one year postoperatively was 17.1. There were no postoperative complications or infections.

Conclusions: the study concludes that THA in patients with digestive ostomies results in favorable clinical outcomes and does not increase the risk of periprosthetic joint infections.