Why Revision Total Hip Arthroplasty Fails

• DOI: 10.1007/s11999-008-0566-z
• Publication Date: 2008-10-30T18:27:49Z
• Authors: Bryan D. Springer; Thomas K. Fehring; William L. Griffin; Susan M. Odum; John L. Masonis
• Keywords: Osteolysis

Current outcomes data on revision total hip arthroplasty focuses specific implants and techniques rather than more general outcomes. We therefore examined a large consecutive series of failed THAs undergoing to determine if survivorship modes failure differ in comparison the current data. retrospectively reviewed medical records 1100 THAs. The minimum followup was 2 years (mean, 6 years; range, 0-20.4 years). Eighty-seven percent hips required no further surgery; however, 141 (13%) underwent second at mean 3.7 (range, 0.025-15.9 Seventy (98 hips) had for diagnosis different from that their index revision, while 30% (43 same diagnosis. most common reasons were instability (49 hips, 35%), aseptic loosening (42 30%), osteolysis and/or wear (17 12%), infection miscellaneous (13 9%), periprosthetic fracture (three 2%). Survivorship using as endpoint 82% 10 years. Aseptic accounted 65% these failures.Level IV, therapeutic (retrospective) study. See Guidelines Authors complete description levels evidence.