Letters Hip arthroplasty endpoints

Excess mortality can be explained by case mix selection

BMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e7137 (Published 30 October 2012) Cite this as: BMJ 2012;345:e7137
  1. Steffen J Breusch, consultant orthopaedic surgeon1,
  2. Colin R Howie, consultant orthopaedic surgeon1
  1. 1Edinburgh Royal Infirmary, Edinburgh EH16 4SA, UK
  1. steffen.breusch{at}gmail.com

McMinn and colleagues’ conclusion that cemented total hip replacement increases the risk of death compared with uncemented hip replacement and hip resurfacing through an increased risk of fat embolism is misleading.1

Their paper shows a late apparent difference in mortality, but not an increased risk of death at 30 days, as would be expected if fat embolism had been …

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