Population-Based Rates of Revision of Primary Total Hip Arthroplasty: A Systematic Review
Corbett, Kelly L.
Nti, Akosua A.
Prokopetz, Julian J. Z.
Katz, Jeffrey N.
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CitationCorbett, 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)
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.