What's New in Total Hip Arthroplasty

Huo, Michael H.; Dumont, Guillaume D.; Knight, Justin R.; Mont, Michael A.

doi:10.2106/jbjs.k.00656

Cited by 32 publications

(15 citation statements)

References 25 publications

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“…The majority of total hip replacements in the United States are performed with uncemented implants (86%). 16 However, in New Zealand the proportion of total hip replacements using uncemented implants fell for the first time in years, from 52% in 2010 to 47% in 2011, with corresponding increases in fully cemented and hybrid arthroplasties. 24 Total hip replacements using hybrid implants are more common in England and Wales 8 (18% in 2011), New Zealand 24 (39% in 2011), and Australia 9 (31% in 2011) than in Nordic countries.…”

Section: Comparison With Other Studies Use Of Different Implant Fixatmentioning

confidence: 99%

“…15 Hazard ratios and revision rate per 100 component years are both used. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] The use of component years in reporting register results may be misleading since the type and incidence of complications varies over time. For example, during the first two postoperative years revisions due to dislocations and infections will prevail, but with longer follow-up there will be more revisions due to loosening.…”

Section: Implant Survivalmentioning

confidence: 99%

See 1 more Smart Citation

Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations

Mäkelä

Matilainen

Pulkkinen³

et al. 2014

BMJ

160

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Objective To assess the failure rate of cemented, uncemented, hybrid, and reverse hybrid total hip replacements in patients aged 55 years or older. Design Register study.Setting Nordic Arthroplasty Register Association database (combined data from Sweden, Norway, Denmark, and Finland).Participants 347 899 total hip replacements performed during 1995-2011.Main outcome measures Probability of implant survival (Kaplan-Meier analysis) along with implant survival with revision for any reason as endpoint (Cox multiple regression) adjusted for age, sex, and diagnosis in age groups 55-64, 65-74, and 75 years or older. ResultsThe proportion of total hip replacements using uncemented implants increased rapidly towards the end of the study period. The 10 year survival of cemented implants in patients aged 65 to 74 and 75 or older (93.8%, 95% confidence interval 93.6% to 94.0% and 95.9%, 95.8% to 96.1%, respectively) was higher than that of uncemented (92.9%, 92.3% to 93.4% and 93.0%, 91.8% to 94.0%), hybrid (91.6%, 90.9% to 92.2% and 93.9%, 93.1% to 94.5%), and reverse hybrid (90.7%, 87.3% to 93.2% and 93.2%, 90.7% to 95.1%) implants. The survival of cemented (92.2%, 91.8% to 92.5%) and uncemented (91.8%, 91.3% to 92.2%) implants in patients aged 55 to 64 was similar. During the first six months the risk of revision with cemented implants was lower than with all other types of fixation in all age groups. ConclusionThe survival of cemented implants for total hip replacement was higher than that of uncemented implants in patients aged 65 years or older. The increased use of uncemented implants in this age group is not supported by these data. However, because our dataset includes only basic information common to all national registers there is potential for residual confounding.

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Section: Comparison With Other Studies Use Of Different Implant Fixatmentioning

confidence: 99%

Section: Implant Survivalmentioning

confidence: 99%

Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations

Mäkelä

Matilainen

Pulkkinen³

et al. 2014

BMJ

160

View full text Add to dashboard Cite

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“…Cementless fixation is the dominant approach for the femoral component in the United States [26]. Although registry data call this practice into question [25,26], it has been estimated that 86% of all THAs in the United States are implanted using uncemented fixation [11].…”

Section: Introductionmentioning

confidence: 99%

Twenty-year Followup of an Uncemented Stem in Primary THA

Meding¹,

Ritter²,

Keating³

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…The majority of THA were performed using cementless fixation in Australia, Canada, Denmark, and USA (Table 2). 21,22)…”

Section: Discussionmentioning

confidence: 99%

Current Trends of Stem Use in Hemiarthroplasty for Femoral Neck Fracture in South Korea

et al. 2014

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BackgroundHemiarthroplasty is a common operation to treat femoral neck fracture in elderly patients. The choice of whether to use cemented stem or cementless stem in hemiarthroplasty has been controversial in clinical practice. However, recent trends regarding stem choice in South Korea are not known or documented. In this study, we assessed the trends of stem fixation in hemiarthroplasty for femoral neck fractures in South Korea.MethodsData of patients with femoral neck fractures, who were operated on between the years of 2007 and 2011 and were ≥ 50 years old at the time of operation, were obtained from the Health Insurance Review and Assessment Service. All new visits or admissions to clinics or hospitals for femoral neck fractures were identified using the International Classification of Disease Tenth Revision diagnostic code (S720). The trends in the utilization of cemented and cementless hemiarthroplasty were then analyzed.ResultsThe proportion of cementless hemiarthroplasty increased from 42.7% of all surgical procedures in 2007 to 61.4% of all surgical procedures in 2011 (p < 0.001), while the use of cemented hemiarthroplasty demonstrated a corresponding decrease.ConclusionsThere was a current trends towards using cementless stems in hemiarthroplasty for femoral neck fractures in South Korea.

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What's New in Total Hip Arthroplasty

Cited by 32 publications

References 25 publications

Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations

Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations

Twenty-year Followup of an Uncemented Stem in Primary THA

Current Trends of Stem Use in Hemiarthroplasty for Femoral Neck Fracture in South Korea

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