Indications for early hip revision surgery in the UK : A re-analysis of NJR data
Bolland, B. J., Whitehouse, Sarah L., & John Timperley, A. (2012) Indications for early hip revision surgery in the UK : A re-analysis of NJR data. Hip International, 22(2), pp. 145-152.
This study determined the rate and indication for revision between cemented, uncemented, hybrid and resurfacing groups from NJR (6 th edition) data. Data validity was determined by interrogating for episodes of misclassification. We identified 6,034 (2.7%) misclassified episodes, containing 97 (4.3%) revisions. Kaplan-Meier revision rates at 3 years were 0.9% cemented, 1.9% for uncemented, 1.2% for hybrids and 3.0% for resurfacings (significant difference across all groups, p<0.001, with identical pattern in patients <55 years). Regression analysis indicated both prosthesis group and age significantly influenced failure (p<0.001). Revision for pain, aseptic loosening, and malalignment were highest in uncemented and resurfacing arthroplasty. Revision for dislocation was highest in uncemented hips (significant difference between groups, p<0.001). Feedback to the NJR on data misclassification has been made for future analysis. © 2012 Wichtig Editore.
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|Item Type:||Journal Article|
|Additional Information:||Export Date: 2 August 2012 Source: Scopus CODEN: HIINF Language of Original Document: English Correspondence Address: Bolland, B. J.; Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Barrack Road, Exeter, EX2 5DW, United Kingdom; email: firstname.lastname@example.org References: Dixon, T., Shaw, M., Ebrahim, S., Dieppe, P., Trends in hip and knee joint replacement: Socioeconomic inequalities and projections of need (2002) Ann Rheum Dis, 63, pp. 825-830; Kurtz, S., Ong, K., Lau, E., Mowat, F., Halpern, M., Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 (2007) J Bone Joint Surg Am, 89, pp. 780-785; Horan, F., The National Joint Registry for England and Wales (2003) J Bone Joint Surg Br, 85, p. 618; Emsley, D., Newell, C., Pickford, M., Royall, M., Swanson, M., (2011) National Joint Registry For England and Wales 6th Annual Report: 2009, , www.njrcentre.org.uk, Available at, Accessed July 14; (2011) National Joint Registry, , www.njrcentre.org.uk, Available at, Accessed July 14; National Joint Registry (2011) National Joint Registry For England and Wales 4th Annual Report; 2006, , www.njrcentre.org.uk, Available at, Accessed July 14; National Joint Registry (2011) National Joint Registry For England and Wales 7th Annual Report; 2009, , www.njrcentre.org.uk, Available at, Accessed July 14; Hailer, N.P., Garellick, G., Kärrholm, J., Uncemented and cemented primary total hip arthroplasty in the Swedish Hip Arthroplasty Register (2010) Acta Orthop, 81, pp. 34-41; Graves, S.E., Davidson, D., Ingerson, L., The Australian Orthopaedic Association National Joint Replacement Registry (2004) Med J Aus, 180 (5 SUPPL), pp. S31-S34; Hailer, N.P., Garellick, G., Kärrholm, J., Uncemented and cemented primary total hip arthroplasty in the Swedish Hip Arthroplasty Register (2010) Acta Orthop, 81, pp. 34-41; Schreurs, B.W., Gardeniers, J.W., Total hip arthroplasty for primary osteoarthroses in younger patients in the Finnish arthroplasty register (2005) Acta Orthop, 76, pp. 604-605. , author reply 605-7; Hobbs, T., (2007) New Zealand Orthopaedic Association: The New Zealand Joint Registry Ninth Year Report, , January 1999 to December; Hooper, G.J., Rothwell, A.G., Stringer, M., Frampton, C., Revision following cemented and uncemented primary total hip replacement: A seven-year analysis from the New Zealand Joint Registry (2009) J Bone Joint Surg Br, 91, pp. 451-458; Puolakka, T.J., Pajamäki, K.J., Halonen, P.J., Pulkkinen, P.O., Paavolainen, P., Nevalainen, J.K., The Finnish Arthroplasty Register: Report of the hip register (2001) Acta Orthop Scand, 72, pp. 433-441; Karrholm, J., Garellick, G., Herberts, P., Swedish Hip Arthroplasty Register (2010) Swedish Hip Arthroplasty Annual Report 2008, , www.jru.orthop.gu.se, Available at, Accessed December 14; Willert, H.G., Buchhorn, G.H., Osseointegration of cemented and noncemented implants in artificial hip replacement: Longterm findings in man (1999) J Long Term Eff Med Implants, 9, pp. 113-130; Furnes, O., Havelin, L.I., Espehaug, B., (2009) The Norwegian Arthroplasty Register, , Report 2009. ISBN 978-82-91847-14-6, ISSN 0809-9405. Bergen, Norway; Brodner, W., Grübl, A., Jankovsky, R., Meisinger, V., Lehr, S., Gottsauner-Wolf, F., Cup inclination and serum concentration of cobalt and chromium after metal-on-metal total hip arthroplasty (2004) J Arthroplasty, 19 (3 SUPPL.), pp. 66-70; Vendittoli, P.-A., Mottard, S., Roy, A.G., Dupont, C., Lavigne, M., Chromium and cobalt ion release following the Durom high carbon content, forged metal-on-metal surface replacement of the hip (2007) J Bone Joint Surg Br, 89, pp. 441-448; Langton, D.J., Jameson, S.S., Joyce, T.J., Hallab, N.J., Natu, S., Nargol, A.V., Early failure of metal-on-metal bearings in hip resurfacing and large-diameter total hip replacement: A consequence of excess wear (2010) J Bone Joint Surg Br, 92, pp. 38-46; Hart, A.J., Sabah, S., Henckel, J., The painful metal-on-metal hip resurfacing (2009) J Bone Joint Surg Br, 91, pp. 738-744; Malviya, A., Holland, J.P., Pseudotumours associated with metal-on-metal hip resurfacing: 10-year Newcastle experience (2009) Acta Orthop Belg, 75, pp. 477-483; Brown, T.E., Larson, B., Shen, F., Moskal, J.T., Thigh pain after cementless total hip arthroplasty: Evaluation and management (2002) J Am Acad Orthop Surg, 10, pp. 385-392; Engh Jr., C.A., Culpepper II, W.J., Engh, C.A., Long-term results of use of the anatomic medullary locking prosthesis in total hip arthroplasty (1997) J Bone Joint Surg Am, 79, pp. 177-184; Fernandez-Fernandez, R., García-Elias, E., Gil-Garay, E., Peroperative fractures in uncemented total hip arthroplasty: Results with a single design of stem implant (2008) Int Orthop, 32, pp. 307-313; Conroy, J.L., Whitehouse, S.L., Graves, S.E., Pratt, N.L., Ryan, P., Crawford, R.W., Risk factors for revision for early dislocation in total hip arthroplasty (2008) J Arthroplasty, 23, pp. 867-872|
|Keywords:||Hip arthroplasty, Indication, Joint registry, Revision, bone cement, adolescent, adult, age, aged, article, child, coding and classification, controlled study, data analysis, female, hip pain, hip prosthesis, human, infant, joint dislocation, Kaplan Meier method, major clinical study, male, misclassification, preschool child, prosthesis loosening, school child, treatment indication, United Kingdom|
|ISSN:||1724-6067 (online) 1120-7000 (print)|
|Divisions:||Current > Schools > School of Chemistry, Physics & Mechanical Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
|Copyright Owner:||Copyright 2012 Wichtig Editore Srl|
|Deposited On:||05 Aug 2012 23:28|
|Last Modified:||31 May 2013 01:35|
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