Population-Based Rates of Revision of Primary Total Hip Arthroplasty: A Systematic Review
Date
2010-10-20
Authors
Corbett, Kelly L.
Losina, Elena
Nti, Akosua A.
Prokopetz, Julian J. Z.
Katz, Jeffrey N.
Version
OA Version
Citation
Corbett, Kelly L., Elena Losina, Akosua A. Nti, Julian J. Z. Prokopetz, Jeffrey N. Katz. "Population-Based Rates of Revision of Primary Total Hip Arthroplasty: A Systematic Review" PLoS ONE 5(10): e13520. (2010)
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.
Description
License
Corbett et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.