Age at hip or knee joint replacement surgery predicts likelihood of revision surgery

Wainwright, Chris; Theis, Jean‐Claude; Garneti, N.; Melloh, Markus

doi:10.1302/0301-620x.93b10.27100

Cited by 77 publications

(48 citation statements)

References 10 publications

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“…Furthermore, because the volume of TKAs is disproportionately increasing in younger patients, function and satisfaction in this group of patients becomes even more important [23,43]. In a retrospective review of 60 patients with a mean age of 55.4 years by Price et al [35], 25 (42%) reported persistent pain, and implant survivorship was only 82% at 12 years.…”

Section: Discussionmentioning

confidence: 99%

New Total Knee Arthroplasty Designs: Do Young Patients Notice?

Nunley

Nam

Berend

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Although the volume of total knee arthroplasties (TKAs) performed in the United States continues to increase, recent reports have shown the percentage of patients who remain ''unsatisfied'' is as high as 15% to 30%. Recently, several newer implant designs have been developed to potentially improve patient outcomes. Questions/purposes The purpose of this study was to determine the impact of high-flex, gender-specific, and rotating-platform TKA designs on patient satisfaction and functional outcomes. Methods A four-center study was designed to quantify the degree of residual symptoms and functional deficits in patients undergoing TKA with newer implant designs compared with a 10-year-old, cruciate-retaining (CR) TKA system introduced in 2003. Each contributing surgeon was fellowship-trained and specialized in joint replacement surgery. Only patients younger than 60 years old were included. Data were collected by an independent, thirdparty survey center blinded to the implant type, who

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Section: Discussionmentioning

confidence: 99%

New Total Knee Arthroplasty Designs: Do Young Patients Notice?

Nunley

Nam

Berend

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…Current joint registries record between 92% at 11 years and 86% at 22 years survival for these implants [14,15,18] . These improved survival statistics have been interpreted as a cemented THR is likely to be a "life long" implant for patients aged sixty-two or older, whereas for a fifty-eight-year-old patient there is a 50:50 chance of undergoing a revision within their life time [23] . There are currently two philosophies of cemented femoral fixation: composite beam and polished, tapered wedge.…”

Section: Modern Primary Femoral Stemmentioning

confidence: 99%

Survival outcomes of cemented compared to uncemented stems in primary total hip replacement

Wyatt

Hooper

Frampton

et al. 2014

WJO

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Total hip replacement (THR) is a successful and reliable operation for both relieving pain and improving function in patients who are disabled with end stage arthritis. The ageing population is predicted to significantly increase the requirement for THR in patients who have a higher functional demand than those of the past. Uncemented THR was introduced to improve the long term results and in particular the results in younger, higher functioning patients. There has been controversy about the value of uncemented compared to cemented THR although there has been a world-wide trend towards uncemented fixation. Uncemented acetabular fixation has gained wide acceptance, as seen in the increasing number of hybrid THR in joint registries, but there remains debate about the best mode of femoral fixation. In this article we review the history and current worldwide registry data, with an in-depth analysis of the New Zealand Joint Registry, to determine the results of uncemented femoral fixation in an attempt to provide an evidence-based answer as to the value of this form of fixation.

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“…While originally considered a procedure for older, less active patients, in the past decade, younger and presumably more active patients have been the fastest growing segment of the TKA population [35]. TKA in young patients has been associated with higher rates of revision [63] and residual symptoms and dissatisfaction [50]. Surgical techniques and component designs have evolved in recent years that have focused on improving function and outcome after TKA.…”

Section: Introductionmentioning

confidence: 99%

Impact of Socioeconomic Factors on Outcome of Total Knee Arthroplasty

Barrack¹,

Ruh²,

Chen³

et al. 2014

Clinical Orthopaedics &Amp; Related Research

149

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Background Few data exist regarding the impact of socioeconomic factors on results of current TKA in young patients. Predictors of TKA outcomes have focused primarily on surgical technique, implant details, and individual patient clinical factors. The relative importance of these factors compared to patient socioeconomic status is not known. Questions/purposes We determined whether (1) socioeconomic factors, (2) demographic factors, or (3) implant factors were associated with satisfaction and functional outcomes after TKA in young patients. MethodsWe surveyed 661 patients (average age, 54 years; range, 18-60 years; 61% female) 1 to 4 years after undergoing modern primary TKA for noninflammatory arthritis at five orthopaedic centers. Data were collected by an independent third party with expertise in collecting healthcare data for state and federal agencies. We examined specific questions regarding satisfaction, pain, and function after TKA and socioeconomic (household income, education, employment) and demographic (sex, minority status) factors. Multivariable analysis was conducted to examine the relative importance of these factors for each outcome of interest. One of the authors certifies that he (RLB) has or may receive payments or benefits, during the study period, an amount of more than USD 1,000,001 from Smith & Nephew, Inc, and an amount of more than USD 1,000,001 from Stryker Orthopaedics. One of the authors certifies that he (AVL) has or may receive payments or benefits, during the study period, an amount of more than USD 1,000,001 from Biomet Inc, and an amount of USD 10,000 to 100,000 from Innomed, Inc (Savannah, GA, USA). One of the authors certifies that he (KRB) has or may receive payments or benefits, during the study period, an amount of more than USD 1,000,001 from Biomet Inc.One of the authors certifies that he (JP) has or may receive payments or benefits, during the study period, an amount of USD 10,000 to 100,000 from Smith & Nephew, Inc, an amount of USD 10,000 to 100,000 from 3 M, an amount of USD 10,000 to 100,000 from Cadence Pharmaceuticals, Inc (San Diego, CA, USA), an amount of USD 10,000 to 100,000 from CeramTec (Laurens, SC, USA), an amount of USD 10,000 to 100,000 from Pfizer (New York, NY, USA), an amount of USD 10,000 to 100,000 from Salient Surgical (Minneapolis, MN, USA), an amount of USD 10,000 to 100,000 from TissueGene (Rockville, MD, USA), and an amount of USD 10,000 to 100,000 from Zimmer Inc. One of the authors certifies that he (CDV) has or may receive payments or benefits, during the study period, an amount of USD 10,000 to 100,000 from Biomet Inc, an amount of USD 10,000 to 100,000 from Smith & Nephew, Inc, an amount of less than USD 10,000 from ConvaTec (Skillman, NJ, USA), and an amount of less than USD 10,000 from CD Diagnostics (Wynnewood, PA, USA). One of the authors certifies that he (WGH) has or may receive payments or benefits, during the study period, an amount of USD 100,001 to 1,000,000 from DePuy, a Johnson and Johnson company, and an amount of USD 1...

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Age at hip or knee joint replacement surgery predicts likelihood of revision surgery

Cited by 77 publications

References 10 publications

New Total Knee Arthroplasty Designs: Do Young Patients Notice?

New Total Knee Arthroplasty Designs: Do Young Patients Notice?

Survival outcomes of cemented compared to uncemented stems in primary total hip replacement

Impact of Socioeconomic Factors on Outcome of Total Knee Arthroplasty

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