Risk Factors for Total Hip Arthroplasty Aseptic Revision

• Published in: The Journal of arthroplasty Vol. 29; no. 7; pp. 1412 - 1417
• Main Authors: Khatod, Monti, MD, Cafri, Guy, PhD, Namba, Robert S., MD, Inacio, Maria C.S., PhD, Paxton, Elizabeth W., MA
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2014
• Subjects: Adult; Aged; Arthroplasty, Replacement, Hip - adverse effects; Arthroplasty, Replacement, Hip - methods; aseptic revisions; Body Mass Index; Ceramics; Female; Humans; Male; Metals; Middle Aged; Orthopedics; Polyethylene - chemistry; Prosthesis Design; Prosthesis Failure; Registries; Reoperation - methods; Retrospective Studies; Risk Factors; Survival Rate; total hip arthroplasty; Total Joint Replacement Registry; Treatment Outcome; United States; United States; total hip arthroplasty; risk factors; aseptic revisions; Total Joint Replacement Registry
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2014.01.023

Abstract The purpose of this study was to evaluate patient, operative, implant, surgeon, and hospital factors associated with aseptic revision after primary THA in patients registered in a large US Total Joint Replacement Registry. A total of 35,960 THAs registered from 4/2001–12/2010 were evaluated. The 8-year survival rate was 96.7% (95% CI 96.4%–97.0%). Females had a higher risk of aseptic revision than males. Hispanic and Asian patients had a lower risk of revision than white patients. Ceramic-on-ceramic, ceramic-on-conventional polyethylene, and metal-on-conventional polyethylene bearing surfaces had a higher risk of revision than metal-on-highly cross-linked polyethylene. Body mass index, health status, diabetes, diagnosis, fixation, approach, bilateral procedures, head size, surgeon fellowship training, surgeon and hospital volume were not revision risk factors.