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

作者：Corbett Kelly L^*; Losina Elena; Nti Akosua A; Prokopetz Julian J Z; Katz Jeffrey N

来源：PLos One, 2010, 5(10): e13520.

DOI：10.1371/journal.pone.0013520

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.

• 出版日期2010-10-20