Survival Rate and Application Number of Total Hip Arthroplasty in Patients With Femoral Neck Fracture: An Analysis of Clinical Studies and National Arthroplasty Registers

Hauer, Georg; Heri, Andreas; Klim, Sharon; Puchwein, Paul; Leithner, Andreas; Sadoghi, Patrick

doi:10.1016/j.arth.2019.11.033

Cited by 16 publications

(17 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As already frequently applied in the literature, an exceedance of the factor 3 (deviation of 33%-300%) regarding the revision rate was seen as significant. 25,26,57,62,63 The level of significance was deliberately generous as clinical outcomes are highly dependent on individual factors not connected to the implant, such as patient selection, postoperative care, expertise, or general variability among hospitals. 62…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Revision Rates After Total Ankle Replacement: A Comparison of Clinical Studies and Arthroplasty Registers

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background: The aim of this study was to assess the outcome of total ankle replacement (TAR) regarding revision rates by comparing clinical studies of the last decade to data displayed in arthroplasty registers. The secondary aim was to evaluate whether dependent clinical studies show a superior outcome to independent publications. Additionally, revision rates of mobile bearing implants (MB-TARs) were compared to those of fixed bearing implants (FB-TARs). Methods: Clinical studies on TARs between 2010 and 2020 were systematically reviewed, with the endpoint being a revision for any reason. The parameter “revision rate per 100 observed component years (CYs)” was calculated for each publication. The pooled revision rate for clinical studies was compared to the data reported in arthroplasty registers. In a second step, revision rates were subdivided and analyzed for independent and dependent publications and for FB-TARs and MB-TARs. Results: A total of 43 publications met the inclusion criteria comprising 5806 TARs. A revision rate of 1.8 per 100 observed CYs was calculated, corresponding to a 7-year revision rate of 12.6%. The 3 arthroplasty registers included showed revision rates ranging from 8.2% to 12.3% after 7 years. No significant difference between dependent and independent publications nor between FB-TARs and MB-TARs was detected. Conclusion: Revision rates of clinical studies and arthroplasty registers are comparable. Surgeons can compare their own revision rates with those from this study. Dependent studies do not seem to be biased, and no superiority for one bearing type can be described. Level of Evidence: Level III, systematic review of level III studies

show abstract

Section: Discussionmentioning

confidence: 99%

“…This method has been commonly applied in the literature. [24][25][26]57,63,65 The exact formula for calculation is number of revisions divided by observed CYs multiplied by 100. A value of 1 revision per 100 CYs equals a 7-year revision rate of 7%, and a 10 year revision rate of 10%.…”

Section: Arthroplasty Registers and Application Ratementioning

confidence: 99%

Revision Rates After Total Ankle Replacement: A Comparison of Clinical Studies and Arthroplasty Registers

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…Their outcome tends to be restrained by short-term follow-up and a limited number of patients and has failed to be verified by large registration data. Discernment of the necessity for promising evidence-based management is coming into view by establishing a long-term follow-up mechanism [ 32 ]. Furthermore, such a formulation may contradict the biology of the osseointegration of CTHRs, where the potential of CTHRs to integrate into host bone has been utilised as a theoretical basis for the superiority of CTHRs, especially given osteoarthritis-related osteoporosis [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Implant survival of cemented arthroplasty following failed fixation of proximal femoral fractures in patients aged 30–60 years: a retrospective study with a median follow-up of 10 years

Zhang

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Given the unremitting growth in the volume of failed fixations of proximal femoral fractures (PFFs) in recent years, it is predictable that total hip replacements (THRs) will be the preferred surgical procedure. The long-term survival of cemented THR (CTHR) revisions remains controversial in patients aged 30–60 years. The goal of this retrospective review was to evaluate the 10-year survival of CTHRs following prior failed primary fixations of PFFs in patients aged 30–60 years. Methods We retrospectively identified CTHR revisions implemented at four medical centres during 2008–2017 for a failed primary fixation of PFFs in consecutive patients aged 30–60 years. The primary endpoint was implant survival calculated using the Kaplan–Meier method with 95% confidence intervals (CIs); secondary endpoints included functional scores assessed by Harris hip scores (HHS) and main revision-related orthopaedic complications. Follow-up was executed at 1, 2, 3, and 8 years following revision and then at 1-year intervals until the revision, death, or study deadline, whichever occurred first. Results In total, 120 patients (120 hips) who met the eligibility criteria were eligible for follow-up. The median follow-up was 10.2 years (range, 8–12 years). Kaplan–Meier survivorship showed that implant survival with revision for any reason as the endpoint was 95% at 5 years (CI: 93–97%), 89% at 8 years (CI: 86–92%), and 86% at 10 years (CI: 83–89%). Patients treated with three hollow screws had better revision-free survival than patients treated with proximal femoral nail antirotation (PFNA), dynamic hip screw (DHS) or titanium plate plus screws (three p < 0.05). Functional scores were apt to decrease gradually, and at the final follow-up, the mean HHS was 76.9 (range, 67.4–86.4). The overall rate of main revision-related orthopaedic complications was 18.3% (22/120). Conclusion CTHR implemented following prior failed primary fixations of PFFs tends to afford an acceptable 10-year survival, along with advantageous HHS and a low rate of main revision-related orthopaedic complications, which may support an inclination to follow the utilisation of CTHRs, especially in revision settings for intracapsular fractures.

show abstract

“…The final search date was 20 September 2021. This method is widely accepted and has been applied repeatedly in the field of orthopedics concerning the use of arthroplasty registers [ 12 , 13 , 14 ].…”

Section: Methodsmentioning

confidence: 99%

Application and Surgical Technique of ACL Reconstruction Using Worldwide Registry Datasets: What Can We Extract?

Wittig

Hauer

Vielgut

et al. 2021

JFMK

Self Cite

View full text Add to dashboard Cite

Anterior cruciate ligament (ACL) injuries are among the most common knee injuries. The purpose of this study was to compare surgical reconstruction of the ACL between different countries and regions in order to describe differences regarding epidemiological data, reconstruction frequency, and graft choice. A systematic literature search was performed using the ACL study group website in order to identify the relevant knee ligament registers. Four national registries were included, comprising those from Sweden, the UK, New Zealand, and Norway. A large variation was found concerning the total number of primary ACL reconstructions with a reported range from 4.1 to 51.3 per 100,000 inhabitants. The country-specific delay between injury and reconstruction varied between an average of 6.0 months and 17.6 months. The leading sports activities resulting in ACL injury included soccer, alpine skiing, handball, rugby, and netball. Moreover, a strong variability in graft choice for primary reconstruction was found. The comparison of ACL registers revealed large differences, indicating different clinical implications regarding conservative or surgical therapy and choice of the preferable graft. ACL registers offer a real-world clinical perspective with the aim to improve quality and patient safety by investigating factors associated with subsequent surgical outcomes.

show abstract

Survival Rate and Application Number of Total Hip Arthroplasty in Patients With Femoral Neck Fracture: An Analysis of Clinical Studies and National Arthroplasty Registers

Cited by 16 publications

References 62 publications

Revision Rates After Total Ankle Replacement: A Comparison of Clinical Studies and Arthroplasty Registers

Revision Rates After Total Ankle Replacement: A Comparison of Clinical Studies and Arthroplasty Registers

Implant survival of cemented arthroplasty following failed fixation of proximal femoral fractures in patients aged 30–60 years: a retrospective study with a median follow-up of 10 years

Application and Surgical Technique of ACL Reconstruction Using Worldwide Registry Datasets: What Can We Extract?

Contact Info

Product

Resources

About