Do Rerevision Rates Differ After First-time Revision of Primary THA With a Cemented and Cementless Femoral Component?

Clinical Orthopaedics and Related Research
Kirill GromovAnders Troelsen

Abstract

Worldwide use of cementless fixation for total hip arthroplasty (THA) is on the rise despite some evidence from the world's registries suggesting inferior survivorship compared with cemented techniques. The patterns of bone loss associated with failed cementless and cemented THAs may prejudice the results of future revision procedures; however, this has not been documented. The purpose of this study was to compare (1) the risk for rerevision of first revision THA; (2) the patterns of femoral bone loss at the time of first revision of primary THA; (3) the reasons for first revision of primary THA; and (4) the time to first revision of primary THA between primary cementless and cemented femoral components. Primary THAs with cemented (n = 1791) and uncemented (n = 805) femoral components that subsequently sustained first revision of the femoral component were identified from the Danish Hip Arthroplasty Registry (DHR). As of 2012, 120,988 primary THAs and 19,282 revisions were registered in the DHR with completeness of 97% and 90% for primary and revision THA, respectively. Median followup for revisions of primary THA with cemented and cementless femoral component was 4 years (range, 0-17 years) and 2 years (range, 0-16 years), res...Continue Reading

References

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Citations

Mar 30, 2016·Clinical Orthopaedics and Related Research·Joseph T MoskalAnders Troelsen
Feb 8, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Khaled J SalehThomas M Grupp
Nov 7, 2019·Der Orthopäde·Max EttingerSven Hungerer
Jan 4, 2020·Clinical Orthopaedics and Related Research·Kristine Ifigenia BunyozAnders Troelsen
Feb 19, 2017·Journal of Orthopaedic Surgery and Research·Peng TianXin-Long Ma
Dec 28, 2019·Sensors·João Henrique CachãoJosé A O Simões
Jul 15, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·George A MacherasTheofilos S Karachalios
Oct 13, 2021·Archives of Orthopaedic and Trauma Surgery·Max JaenischDieter Christian Wirtz

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