Population-Based Rates of Revision of Primary Total Hip Arthroplasty: A Systematic Review

被引:102
作者
Corbett, Kelly L. [1 ]
Losina, Elena [1 ,2 ,4 ]
Nti, Akosua A. [1 ]
Prokopetz, Julian J. Z. [1 ]
Katz, Jeffrey N. [1 ,2 ,3 ]
机构
[1] Brigham & Womens Hosp, Dept Orthoped Surg, Orthoped & Arthrit Ctr Outcomes Res, Boston, MA 02115 USA
[2] Harvard Univ, Brigham & Womens Hosp, Sch Med, Div Rheumatol Allergy & Immunol, Boston, MA 02115 USA
[3] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[4] Boston Univ, Dept Biostat, Sch Publ Hlth, Boston, MA USA
基金
美国国家卫生研究院;
关键词
AGED; 55; YEARS; PRIMARY OSTEOARTHRITIS; FOLLOW-UP; YOUNG-PATIENTS; REGISTER; REPLACEMENT; OLDER; IMPLANTS; TERM; DISEASE;
D O I
10.1371/journal.pone.0013520
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
Background: Most research on failure leading to revision total hip arthroplasty (THA) is reported from single centers. We searched PubMed between January 2000 and August 2010 to identify population-or community-based studies evaluating ten-year revision risks. We report ten-year revision risk using the Kaplan-Meier method, stratifying by age and fixation technique. Results: Thirteen papers met the inclusion criteria. Cemented prostheses had Kaplan-Meier estimates of revision-free implant survival of ten years ranging from 88% to 95%; uncemented prostheses had Kaplan-Meier estimates from 80% to 85%. Estimates ranged from 72% to 86% in patients less than 60 years old and from 90 to 96% in older patients. Conclusion: Data reported from national registries suggest revision risks of 5 to 20% ten years following primary THA. Revision risks are lower in older THA recipients. Uncemented implants may have higher ten-year rates of revision, regardless of age.
引用
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页数:8
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