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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.

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Abstract

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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ID Code: 52930
Item Type: Journal Article
Additional Information: Export Date: 2 August 2012 Source: Scopus CODEN: HIINF Language of Original Document: English Correspondence Address: Bolland, B. 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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
DOI: 10.5301/hip.2012.9184
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: 06 Aug 2012 09:28
Last Modified: 31 May 2013 11:35

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