Comparison of clinical characteristics and 10-year survival rates of revision hip arthroplasties among revision time groups

Abstract

Introduction: No significant regression has been reported in revision total hip arthroplasty (THA) rates despite substantial progress in implant technologies and surgical techniques. It is critical to investigate how patient demographics, THA indications, surgical techniques, types of implants, and other factors influence the frequency of early and late revision surgery. The main purpose of the present study was to evaluate the clinical characteristics and 10-year survival rates of revision hip arthroplasties among revision time groups. Material and methods: The clinical data of 396 patients who underwent revision hip arthroplasty between 2005 and 2011 were evaluated in this multi-centre study. Patients were assigned to one of four revision time groups based on the interval between the index hip arthroplasty and the revision surgery (< 2, 2-5, 5-10, and > 10 years). Results: There were significant differences among revision time groups in terms of aetiology for primary hip arthroplasty, indications for revision hip arthroplasty, and types of revision procedures. Patients with hip dysplasia more frequently received revision hip arthroplasty within two years in contrast to those with osteoarthritis. Revision hip arthroplasties due to periprosthetic infection and instability were conducted earlier compared to aseptic loosening. The overall 10-year survival rate of revision hip arthroplasty was 83.2%, and it was highest for the very early revisions (< 2 years). Conclusions: According to our results, early revision hip arthroplasty was found to be mostly dependent on surgery-related factors rather than demographic factors. On the other hand, we observed that survival rates of very early revision hip arthroplasties are higher than late revision hip arthroplasties.

Bisphosphonates’ use and risk of aseptic loosening following total hip arthroplasty: a systematic review

“…A recent metaanalysis demonstrated 85.7% and 77.6% THA survival at 15 and 25 years, respectively (2). The most common causes of THA failure are aseptic loosening (AL), deep periprosthetic joint infections (PJI) and instability, followed by periprosthetic fractures (PPF), dislocations, implant breakage and metallosis (3,4). The proper implants' osseointegration is vital for a long-lasting THA, depending on multiple peri-and post-operative factors (5).…”

“…Hip dysplasia, rheumatoid arthritis, avascular necrosis, younger age and male sex have been linked with the increased failure rate (4,5,6). The type of implant fixation, the surgical approach and the surgeon's technical expertise can also affect the THA outcomes (3,4,5).…”

Brush‐Like Coatings Provide a Cloak of Invisibility to Titanium Implants

“…[ 7 ] However, up to 15% of the implants fail due to insufficient biological adaptation of the patient. [ 8 ] Implant‐related infections are one of the main reasons for implant failure. [ 9 ] They result from the ability of microbial pathogens to adhere to the implant surface, ultimately leading to the formation of a biofilm at the implant site.…”

Staphylococcus aureus colonization and periprosthetic joint infection in patients undergoing elective total joint arthroplasty: a narrative review

“…PJIs are associated with longer hospital admissions, higher re-operation rates, prolonged use of analgesics and antibiotics and extended rehabilitation periods ( 8 ). PJIs increase the length of hospital stays by 7–10 days ( 9 ). Morbidity associated with PJI ranges from functional impairment and re-intervention to amputation ( 10 ).…”

“…Surgical strategies to eradicate PJIs include debridement, antibiotic and implant retention (DAIR), one-stage revision and two-stage revision ( 9 , 10 ). Salvage techniques include antibiotic suppression, amputation and arthrodesis limited to patients who are medically unfit for the aforementioned techniques ( 9 ).…”