Skip to main content

Research Repository

Advanced Search

Factors Influencing Revision Risk Following 15 740 Single-Brand Hybrid Hip Arthroplasties : A Cohort Study From a National Joint Registry

Jameson, S.S.; Mason, J.M.; Baker, P.N.; Jettoo, P.; Deehan, D.J.; Reed, M.R.

Factors Influencing Revision Risk Following 15 740 Single-Brand Hybrid Hip Arthroplasties : A Cohort Study From a National Joint Registry Thumbnail


Authors

S.S. Jameson

J.M. Mason

P.N. Baker

P. Jettoo

D.J. Deehan

M.R. Reed



Abstract

This retrospective cohort study of a National Joint Registry data examines survival time to revision following the commonest brand of primary hybrid THA, exploring risk factors independently associated with failure. Overall 5-year revision was 1.56%. In the final adjusted model, revision risk was significantly higher with standard polyethylene (PE) liners (metal-on-PE: hazard ratio [HR] = 2.52, P = 0.005, ceramic-on-PE: HR = 2.99, P = 0.025) when compared to metal-on-highly-cross-linked (XL) PE. Risk of revision with ceramic-on-ceramic bearings was borderline significant (HR = 1.86, P = 0.061). A significant interaction between age and acetabular shell type (solid or multi-hole) was found (P = 0.022), suggesting that solid shells performed significantly better in younger patients. In summary, we found that there were significant differences in implant failure between different bearing surfaces and shell types after adjusting for a range of covariates.

Citation

Jameson, S., Mason, J., Baker, P., Jettoo, P., Deehan, D., & Reed, M. (2013). Factors Influencing Revision Risk Following 15 740 Single-Brand Hybrid Hip Arthroplasties : A Cohort Study From a National Joint Registry. Journal of Arthroplasty, 28(7), 1152-1159.e1. https://doi.org/10.1016/j.arth.2012.11.021

Journal Article Type Article
Publication Date Aug 1, 2013
Deposit Date Nov 1, 2013
Publicly Available Date May 13, 2014
Journal Journal of Arthroplasty
Print ISSN 0883-5403
Electronic ISSN 1532-8406
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 28
Issue 7
Pages 1152-1159.e1
DOI https://doi.org/10.1016/j.arth.2012.11.021
Keywords Hhybrid total hip arthroplasty, Bearings, Revision, Acetabular shell.

Files

Accepted Journal Article (629 Kb)
PDF

Copyright Statement
NOTICE: this is the author’s version of a work that was accepted for publication in The Journal of Arthroplasty. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in The Journal of Arthroplasty, 28, 7, 2013, 10.1016/j.arth.2012.11.021.




You might also like



Downloadable Citations