Revision rates after total joint replacement: CUMULATIVE RESULTS FROM WORLDWIDE JOINT REGISTER DATASETS

• Published in: Journal of bone and joint surgery. British volume Vol. 93; no. 3; pp. 293 - 297
• Main Authors: LABEK, G, THALER, M, JANDA, W, AGREITER, M, STÖCKL, B
• Format: Journal Article
• Language: English
• Published: London British Editorial Society of Bone and Joint Surgery 01-03-2011
• Subjects: Arthroplasty, Replacement - statistics & numerical data; Arthroplasty, Replacement, Ankle - statistics & numerical data; Arthroplasty, Replacement, Elbow - standards; Arthroplasty, Replacement, Hip - statistics & numerical data; Arthroplasty, Replacement, Knee - methods; Arthroplasty, Replacement, Knee - statistics & numerical data; Biological and medical sciences; Diseases of the osteoarticular system; Humans; Medical sciences; Orthopedic surgery; Prosthesis Failure; Registries; Reoperation - statistics & numerical data; Shoulder Joint - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Treatment Outcome; Reoperation; Orthopedic surgery; Treatment; Joint; Prosthesis
• ISSN: 0301-620X; 2044-5377
• DOI: 10.1302/0301-620X.93B3.25467

In a systematic review, reports from national registers and clinical studies were identified and analysed with respect to revision rates after joint replacement, which were calculated as revisions per 100 observed component years. After primary hip replacement, a mean of 1.29 revisions per 100 observed component years was seen. The results after primary total knee replacement are 1.26 revisions per 100 observed component years, and 1.53 after medial unicompartmental replacement. After total ankle replacement a mean of 3.29 revisions per 100 observed component years was seen. The outcomes of total hip and knee replacement are almost identical. Revision rates of about 6% after five years and 12% after ten years are to be expected.