Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 14:47:45-49.
doi: 10.1016/j.jor.2023.11.020. eCollection 2024 Jan.

Patient mortality after total hip arthroplasty revision surgery

Gihan Jayasinghe  1 , Rohit Kumar  2 , Chris Buckle  1 , Parthiban Vinayakam  1 , Richard Slack  1
Affiliations

Patient mortality after total hip arthroplasty revision surgery

Gihan Jayasinghe et al. J Orthop. .

Abstract

Background: Complications following revision total hip arthroplasty can cause significant morbidity and have a high mortality rate. Patient age and American Society of Anaesthesiologists (ASA) physical status classification system score are important determinants of mortality following revision hip arthroplasty. There is a paucity of high-quality evidence assessing the risk of mortality following revision hip arthroplasty stratified by indications of surgery. The aim of this study is to compare survival of patients undergoing revision THA for different indications.

Methods: This retrospective case series reviewed the mortality rate following revision hip surgery performed by a single surgeon between 2009 and 2016 with a minimum 2 year follow up. Kaplan Meir analysis was performed using mortality as the end point. Log rank testing was used to determine if the indication for surgery conferred a difference in survival.

Results: One hundred and ninety-eight consecutive cases were done using a tapered modular uncemented stem in 183 patients and were followed up for a mean period of 51.8 months (range, 24-121). Sixty patients died (67 % survivorship) during the follow up period with a 5-year survival rate of 78 %. Revision surgery performed for aseptic loosening had the best survival and hemiarthroplasty had the worst and differences in survival were statistically significant (P = 0.000002).

Conclusion: The indication for revision surgery is an important criterion which must be given weightage along with age, functional status of patient and ASA physical status score while planning revision surgery and counselling patients.

Keywords: Aseptic loosening; Joint revision; Mortality; Periprosthetic fractures; Periprosthetic joint infection; Revision hip arthroplasty.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Indications for revision with Restoration stem.
Fig. 2
Fig. 2
Kaplan Meier curve for mortality following revision surgery.
Fig. 3
Fig. 3
Log rank analysis comparing mortality rates per indication.
See this image and copyright information in PMC

References

    1. Evans J.T., Evans J.P., Walker R.W., Blom A.W., Whitehouse M.R., Sayers A. How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet. 2019;393(10172):647–654. doi: 10.1016/S0140-6736(18)31665-9. - DOI - PMC - PubMed
    1. Patel A., Pavlou G., Mújica-Mota R.E., Toms A.D. The epidemiology of revision total knee and hip arthroplasty in England and Wales. Bone Joint Lett J. 2015;97-B(8):1076–1081. doi: 10.1302/0301-620X.97B8.35170. - DOI - PubMed
    1. Badarudeen S., Shu A.C., Ong K.L., Baykal D., Lau E., Malkani A.L. Complications after revision total hip arthroplasty in the medicare population. J Arthroplasty. 2017;32(6):1954–1958. doi: 10.1016/j.arth.2017.01.037. - DOI - PubMed
    1. de Thomasson E., Guingand O., Terracher R., Mazel C. [Perioperative complications after total hip revision surgery and their predictive factors. A series of 181 consecutive procedures] Rev Chir Orthop Reparatrice Appar Mot. 2001;87(5):477–488. - PubMed
    1. Fehring T.K., Odum S.M., Fehring K., Springer B.D., Griffin W.L., Dennos A.C. Mortality following revision joint arthroplasty: is age a factor? Orthopedics. 2010;33(10) doi: 10.3928/01477447-20100826-03. - DOI - PubMed

LinkOut - more resources