Revision Total Hip Arthoplasty: Factors Associated with Re-Revision Surgery

Abstract

When evaluating patient, implant, and surgical factors at the time of revision total hip arthroplasty, age, surgeon experience, implant fixation, and bearing surfaces had significant impacts on the risk of re-revision.

Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?

“…THA after post traumatic arthritis or avascular necrosis associated with acetabular fractures, will markedly improve patients' quality of life 88,89,156 , but it is associated with a higher rate of complications, reduced long time survival 90,98,99 and less improvement on patients symptoms 157,158 compared to a primary total hip replacement. In fact, the results after secondary THA in acetabular fractures are similar to that of revision arthroplasty 159,160 . For simple minimally displaced acetabular fractures developing post traumatic OA or AVN and a subsequent need for THA this is not necessarily so.…”

Re-dislocation after revision total hip arthroplasty for recurrent dislocation: a multicentre study

“…Previously, Jo et al [9] reported a 22.6 % re-revision rate in 539 hips. One reason for our lower re-revision rate was that only two patients received a constrained liner; although the use of a constrained liner can restore and maintain hip stability [11,24], it also increases the risk of re-revision [25]. Another reason for this difference was the short follow-up period used in our study.…”

Reduced survival for uncemented compared to cemented total hip arthroplasty after operatively treated acetabular fractures

“…The 10-year survival rate for THA after primary OA is excellent, generally around 95% for both cemented and uncemented implants according to different arthroplasty registries [6,10]. For THA after operatively treated acetabular fractures, the long-term survival is obviously less satisfying and compare with the survival of revision arthroplasties, generally reported to be around 80% [11,14]. The relatively high number of patients needing impaction bone grafting and the fact that these hips have been operated on before contribute to this, resulting in increased rates of component loosening and other complications like dislocations and infections.…”