The Epidemiology of Revision Total Hip Arthroplasty in the United States

Bozic, Kevin J.; Kurtz, Steven M.; Lau, Edmund; Ong, Kevin; Vail, Thomas P.; Berry, Daniel J.

doi:10.2106/jbjs.h.00155

Cited by 1,529 publications

(542 citation statements)

References 13 publications

Supporting

Mentioning

509

Contrasting

Unclassified

Order By: Relevance

“…The MoM and MoP cohorts were then each independently queried to identify those patients with a subsequent isolated acetabular revision code (ICD-9-CM procedure code 00.71 or CPT 27137). These bearing surface and isolated acetabular revision codes were introduced in 2005 and should be used when the acetabular component is revised whether or not the femoral head is revised [4]. For the specific surgical and medical complications, the cohorts were then filtered to exclude any patient whose isolated acetabular revision occurred in 2011 or 2012 to have at least 2-year followup for these patients.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Complications Are Not Increased With Acetabular Revision of Metal-on-metal Total Hip Arthroplasty

Penrose

Seyler

Wellman

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Isolated revision of the acetabular component in the setting of total hip arthroplasty has an increased risk of dislocation. With local soft tissue destruction frequently associated with failed metal-on-metal (MoM) bearings, it is presumed that acetabular revision of these hips will have even greater risk of complications. However, no study directly compares the complications of MoM with metal-on-polyethylene (MoP) acetabular revisions. Questions/purposes In the context of a large database analysis, we asked the following questions: (1) Are there differences in early medical or wound complications after isolated acetabular revision of MoM and MoP bearing surfaces? (2) Are there differences in the frequency of dislocation, deep infection, and rerevision based on the bearing surface of the original implant? Methods A review of the 100% Medicare database from 2005 to 2012 was performed using International Classification of Diseases, 9th Revision and Current Procedural Terminology codes. We identified 451 patients with a MoM bearing and 628 patients with a MoP bearing who had an isolated acetabular revision and a minimum followup of 2 years. The incidence, odds ratios, and 95% confidence intervals for early medical or wound complications were calculated using a univariate analysis at 30 days with patient sex and age group-adjusted analysis for blood transfusion. The incidence, odds ratio, and 95% confidence intervals for dislocation, deep infection, and rerevision were calculated using a univariate analysis at 30 day, 90 days, 1 year, and 2 years using a subgroup analysis with the Cochran-Mantel-Haenszel test to adjust for patient gender and age groups. Results There were no differences between the MoM and MoP isolated acetabular revisions in the incidence of 30-day local complications.

show abstract

Section: Methodsmentioning

confidence: 99%

“…According to one study of the Medicare database, isolated revision of the acetabular component accounted for 13% of all revisions [4]. Isolated acetabular revision can be challenging and is associated with increased complications but has advantages of decreased blood loss and surgical time compared with both-component revisions [28,35,39].…”

Section: Introductionmentioning

confidence: 99%

Complications Are Not Increased With Acetabular Revision of Metal-on-metal Total Hip Arthroplasty

Penrose

Seyler

Wellman

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Moreover, Lü bbeke and colleagues showed that unadjusted quality of life and satisfaction were significantly lower after revision (42). Adjustment for patient characteristics revealed that this difference was only partially explained by the greater morbidity and older age of the patients undergoing revision (42 (45). This analysis was carried out by using the US ICD-9-CM databases concerning codes specifically related to revision after THA in a large sample representative of the US population until 2006.…”

Section: Discussionmentioning

confidence: 99%

“…This analysis was carried out by using the US ICD-9-CM databases concerning codes specifically related to revision after THA in a large sample representative of the US population until 2006. The study found that the most common type of revision after a THA procedure was the all-component revision (41.1%), while the most common causes of revision were instability/dislocation (22.5%), mechanical loosening (19.7%), and infection (14.8%) (45). Revision procedures following THA were most commonly performed in large, urban, nonteaching hospitals for Medicare patients in people ages 75-84 years.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic burden of total joint arthroplasty for symptomatic hip and knee osteoarthritis in the Italian population: A 5‐year analysis based on hospitalization records

Piscitelli

Iolascon

Tanna

et al. 2012

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…Moreover, dislocation has been reported to be a major reason for revision in THA [4]. In artificial hips, dislocation is almost always caused by the impingement of the femoral stem neck on the acetabular liner.…”

Section: Introductionmentioning

confidence: 99%

Multidirectional Wear and Impact-to-wear Tests of Phospholipid-polymer-grafted and Vitamin E-blended Crosslinked Polyethylene: A Pilot Study

Kyomoto

Moro

Takatori

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Modifying the surface and substrate of a crosslinked polyethylene (CLPE) liner may be beneficial for high wear resistance as well as high oxidative stability and excellent mechanical properties, which would be useful in contributing to the long-term performance of orthopaedic bearings. A grafted poly(2-methacryloyloxyethyl phosphorylcholine) (PMPC) layer on a vitamin E-blended crosslinked PE (HD-CLPE[VE]) surface may provide hydrophilicity and lubricity without compromising the oxidative stability or mechanical properties. Questions/purposes (1) Will the modifications (PMPC grafting and vitamin E blending) affect the lubrication characteristics of the CLPE surface? (2) Will the modifications affect wear resistance? (3) Will the modifications affect fatigue resistance? Methods We investigated the effects of surface and substrate modifications (PMPC grafting and vitamin E blending) on the wear and fatigue fracture of thin CLPE samples. For each of the untreated and PMPC-grafted CLPE surfaces with and without vitamin E blended (four groups), wettability and lubricity surface analyses were conducted as well as multidirectional wear and impact-towear tests using a pin-on-disk testing machine. Results The water wettability and lubricity (CLPE [mean ± 95% confidence interval]: 23.2°± 1.8°, 0.005 ± 0.001; HD-CLPE[VE]: 26.0°± 2.3°, 0.009 ± 0.003) of the PMPCgrafted surfaces were greater (p \ 0.001) than that (CLPE: 90.3°± 1.2°, 0.067 ± 0.015; HD-CLPE[VE]: 90.8°± 2.0°, 0.063 ± 0.008) of the untreated surface regardless of vitamin E additives. It was observed that the PMPC grafting (CLPE: 0.23 ± 0.06 mg; HD-CLPE[VE]: 0.05 ± 0.10 mg) was associated with reduced gravimetric wear (CLPE: 0.53 ± 0.08 mg, p = 0.004 HD-CLPE[VE]: 0.23 ± 0.07 mg, p = 0.038) in the multidirectional wear test. The PMPC-grafted surface characteristics did not appear to affect the impact fatigue resistance regardless of vitamin E blending. Conclusions PMPC grafting improved the surface hydrophilicity and lubricity, and it reduced the gravimetric wear in terms of multidirectional sliding. It did not result in differences in terms of the impact-to-unidirectional sliding regardless of vitamin E blending. Further research is needed to evaluate the wear resistance of PMPC-grafted HD-CLPE(VE) in long-term hip simulator tests under normal

show abstract

The Epidemiology of Revision Total Hip Arthroplasty in the United States

Cited by 1,529 publications

References 13 publications

Complications Are Not Increased With Acetabular Revision of Metal-on-metal Total Hip Arthroplasty

Complications Are Not Increased With Acetabular Revision of Metal-on-metal Total Hip Arthroplasty

Socioeconomic burden of total joint arthroplasty for symptomatic hip and knee osteoarthritis in the Italian population: A 5‐year analysis based on hospitalization records

Multidirectional Wear and Impact-to-wear Tests of Phospholipid-polymer-grafted and Vitamin E-blended Crosslinked Polyethylene: A Pilot Study

Contact Info

Product

Resources

About