Early failure in total hip arthroplasty

Clinical Orthopaedics and Related Research
Matthew DobzyniakSusan Odum

Abstract

Although some patients experience a success rate greater than 90% after total hip arthroplasty, others require revision surgery within 5 years after the index procedure. The purpose of our study was to analyze the failure mechanisms in patients who had revision surgery within 5 years after index total hip arthroplasty. We retrospectively reviewed 824 revision total hip arthroplasties performed in 692 patients from 1986-2001. Seven hundred forty-five patients had adequate data. Two hundred ninety-one (39%) patients had revisions within 5 years after index arthroplasty. Ninety-six (33%) patients had revision surgery for instability, 88 (30%) for aseptic loosening, 41 (14%) for infection, 14 (5%) for osteolysis, 44 (15%) for failed painful hemiarthroplasties, and eight (3%) for periprosthetic fractures. Early revisions for aseptic loosening decreased from 38% in the early period to 24% in the current period, whereas revisions for instability increased from 9% to 42%. We were alarmed that 39% of the revisions at our institution were performed during the first 5 years after index surgery. Although improved fixation methods decreased early revisions for loosening, early revisions for instability increased substantially during the sam...Continue Reading

References

Oct 1, 1995·The Journal of Bone and Joint Surgery. American Volume·K L Garvin, A D Hanssen
Oct 1, 1995·The Journal of Arthroplasty·U HedlundhH Fredin
Jan 26, 1999·Clinical Orthopaedics and Related Research·P M PellicciR Poss
Nov 22, 2001·Clinical Orthopaedics and Related Research·T K FehringM Nadaud
Jun 18, 2002·The Journal of Arthroplasty·Charles A Engh, Robert H Hopper
May 6, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·L Daniel WurtzPatrick J Kay

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Citations

Jan 11, 2008·International Orthopaedics·Frank R KolisekSlif D Ulrich
Aug 25, 2012·World Journal of Orthopedics·Brian C Werner, Thomas E Brown
Nov 19, 2013·Stem Cell Research & Therapy·Yannis ReissisJia Hua
Nov 9, 2014·The Bone & Joint Journal·H J Cooper, C J Della Valle
Jan 19, 2017·The Journal of Bone and Joint Surgery. American Volume·R Michael MeneghiniBryan D Springer
Jun 8, 2017·The Journal of Bone and Joint Surgery. American Volume·Mike B AndersonJeremy M Gililland
Sep 14, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Simo S A MiettinenVille Remes
Nov 10, 2009·Clinical Orthopaedics and Related Research·Dewei ZhaoFengde Tian
Nov 4, 2008·Clinical Orthopaedics and Related Research·Lawrence D DorrZhinian Wan
Sep 3, 2010·Clinical Orthopaedics and Related Research·Todd C MoenS David Stulberg
Jul 11, 2007·Clinical Orthopaedics and Related Research·G HoltR M D Meek
Aug 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Aamer MalikLawrence D Dorr
Jun 13, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael A FlierlDonald G Eckhoff
Nov 3, 2010·The Journal of Bone and Joint Surgery. British Volume·B J McGroryB Barbour
Oct 24, 2013·Clinical Orthopaedics and Related Research·Tiare SalassaTerence J Gioe
Apr 19, 2020·JBJS Reviews·Dimitrios A FlevasAndreas F Mavrogenis
Oct 28, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jelle P van der ListAndrew D Pearle
Jan 13, 2011·Journal of Evaluation in Clinical Practice·Parham DaneshvarGeoffrey F Dervin
Nov 30, 2010·Acta Orthopaedica·Esa JämsenLars Lidgren
Mar 1, 2014·Revista Brasileira De Ortopedia·Edson Hidenori MiashiroFausto Boccatto Rosa
Jun 10, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Syed H MufarrihShahryar Noordin
Jun 7, 2012·Clinical Orthopaedics and Related Research·James A KeeneyJohn C Clohisy
Nov 29, 2013·Arthritis Care & Research·Christopher J DyStephen Lyman
Mar 20, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Nicola CapuanoCarlo Luca Romanò
Aug 24, 2017·European Journal of Medical Research·Patrick StelmachHagen S Bachmann
Aug 21, 2007·Clinical Orthopaedics and Related Research·Brandon J FerneyWilliam L Bargar
Dec 29, 2020·World Journal of Orthopedics·Zachary C LumJohn P Meehan
Feb 7, 2009·The Journal of Arthroplasty·Peter M BonuttiMichael A Mont

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