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PLoS One. 2010 Oct 20;5(10):e13520. doi: 10.1371/journal.pone.0013520.

Population-based rates of revision of primary total hip arthroplasty: a systematic review.

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  • 1Department of Orthopedic Surgery, Orthopedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.

Abstract

BACKGROUND:

Most research on failure leading to revision total hip arthroplasty (THA) is reported from single centers. We searched PubMed between January 2000 and August 2010 to identify population- or community-based studies evaluating ten-year revision risks. We report ten-year revision risk using the Kaplan-Meier method, stratifying by age and fixation technique.

RESULTS:

Thirteen papers met the inclusion criteria. Cemented prostheses had Kaplan-Meier estimates of revision-free implant survival of ten years ranging from 88% to 95%; uncemented prostheses had Kaplan-Meier estimates from 80% to 85%. Estimates ranged from 72% to 86% in patients less than 60 years old and from 90 to 96% in older patients.

CONCLUSION:

Data reported from national registries suggest revision risks of 5 to 20% ten years following primary THA. Revision risks are lower in older THA recipients. Uncemented implants may have higher ten-year rates of revision, regardless of age.

PMID:
20976011
PMCID:
PMC2958142
DOI:
10.1371/journal.pone.0013520
[PubMed - indexed for MEDLINE]
Free PMC Article
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