Do Trabecular Metal Acetabular Components Reduce the Risk of Rerevision After Revision THA Performed for Periprosthetic Joint Infection? A Study Using the NJR Data Set

Clinical Orthopaedics and Related Research
G S MatharuH G Pandit

Abstract

A single-center study of 144 THAs revised specifically for periprosthetic joint infection (PJI) observed that trabecular metal (TM) acetabular components had a reduced risk of rerevision for subsequent infection compared with non-TM implants. It was suggested that TM was protective against infection after revision and that TM may be useful when revising THAs for PJI. Three registry studies have subsequently assessed the effect of TM on future infection. In the National Joint Registry (NJR) for England and Wales, we earlier reported lower revision rates for infection when TM (versus non-TM) was used in primary THA, but no difference in rerevision rates for infection when TM was used for all-cause revision THAs. The latter findings in all-cause revisions were also confirmed in a study from the Swedish and Australian registries. It is possible that TM only reduces the risk of infection when it is specifically used for PJI revisions (rather than all-causes). However, to date, the registry analyses have not had large enough cohorts of such cases to assess this meaningfully. (1) In revision THAs performed for PJI, are rerevision rates for all-cause acetabular indications lower with TM acetabular components compared with non-TM design...Continue Reading

References

May 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Donald S GarbuzClive P Duncan
Oct 8, 2009·Clinical Orthopaedics and Related Research·S Mehdi JafariWilliam J Hozack
Jun 22, 2012·The Journal of Bone and Joint Surgery. American Volume·Hilal Maradit KremersDavid G Lewallen
Sep 18, 2012·Clinical Orthopaedics and Related Research·Keith R BerendMichael A Sneller
Jan 9, 2015·The Bone & Joint Journal·A T TokarskiJ Parvizi
Sep 4, 2015·The Bone & Joint Journal·J Parvizi, F S Haddad
Jun 25, 2017·Clinical Orthopaedics and Related Research·Inari LaaksonenMaziar Mohaddes
Mar 13, 2018·Clinical Orthopaedics and Related Research·Gulraj S MatharuHemant G Pandit

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