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Rerevision
Hip » Survival » Rerevision » Overall second revision
FIGURE Cumulative second revision percentage of total hip arthroplasty after a one-stage first revision in the Netherlands in 2007-2022 (n=13,847)
TABLE Cumulative second revision percentages
Number at risk (n) | Competing Risk (95% CI) | Kaplan Meier¹ (95% CI) | |
1-year second revision (%) | 11,231 | 8.4 (8.0-8.9) | 8.2 (7.8-8.7) |
3-year second revision (%) | 8,283 | 12.3 (11.7-12.8) | 12.4 (11.9-13.0) |
5-year second revision (%) | 5,656 | 14.1 (13.5-14.7) | 14.6 (14.0-15.3) |
7-year second revision (%) | 3,588 | 15.7 (15.0-16.4) | 16.4 (15.7-17.1) |
10-year second revision (%) | 1,514 | 17.2 (16.4-18.0) | 18.4 (17.5-19.2) |
¹ The cumulative revision percentage using the Kaplan Meier method is shown in the figure.
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
CI: confidence interval.
© LROI 2023
Hip » Survival » Rerevision » By procedure year of first major revision
FIGURE Cumulative second revision percentage of total hip arthroplasty after a one-stage first revision by procedure year of first major revision in the Netherlands in 2012-2022 (n=7,579)
TABLE Cumulative second revision percentages
Cumulative second revision percentages – Kaplan Meier (95% CI) | |||||
Procedure year first major revision | Number (n) | 1yr | 3yr | 5yr | 7yr |
2011-2012 | 1,097 | 4.30 (3.10-5.50) | 8.61 (6.94-10.28) | 10.79 (8.93-12.65) | 12.17 (10.19-14.15) |
2013-2014 | 1,309 | 5.08 (3.88-6.28) | 9.91 (8.27-11.55) | 12.15 (10.35-13.95) | 13.66 (11.75-15.57) |
2015-2016 | 1,537 | 6.06 (4.86-7.26) | 9.73 (8.23-11.23) | 11.45 (9.83-13.07) | 13.32 (11.53-15.11) |
2017-2018 | 1,812 | 5.41 (4.36-6.46) | 9.44 (8.07-10.81) | 11.35 (9.83-12.87) | n.a. |
2019-2020 | 1,824 | 6.21 (5.09-7.33) | 10.12 (8.69-11.55) | n.a. | n.a. |
Please note: n.a. if <50 cases were at risk.
Major revision: revision of at least the acetabulum or femur component.
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis.
CI: confidence interval.
© LROI 2023
Hip » Survival » Rerevision » By type of first revision
FIGURE Cumulative second revision percentage of total hip arthroplasty after a one-stage first revision by type of first revision in the Netherlands in 2007-2022 (n=13,847)
TABLE Cumulative second revision percentages
Cumulative second revision percentages – Kaplan Meier (95% CI) | |||||
Number (n) | 1yr | 3yr | 5yr | 7yr | |
Major first revision | 10,350 | 5.8 (5.3-6.3) | 9.9 (9.3-10.5) | 11.9 (11.2-12.6) | 13.7 (12.9-14.5) |
Minor first revision | 3,322 | 14.9 (13.7-16.1) | 19.6 (18.2-21.0) | 22.1 (20.5-23.6) | 24.1 (22.4-25.8) |
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis.
Major revision: revision of at least the acetabulum or femur component.
Minor revision: only inlay and/or femoral head exchange (including DAIR procedures).
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
CI: confidence interval.
© LROI 2023
Hip » Survival » Rerevision » By time to first revision
FIGURE Cumulative second revision percentage of total hip arthroplasty after a one-stage first revision by time to first revision in the Netherlands in 2007-2022 (n=13,847)
TABLE Cumulative second revision percentages
Cumulative second revision percentages – Kaplan Meier (95% CI) | |||||
Number (n) | 1yr | 3yr | 5yr | 7yr | |
First revision within 1 year | 6,546 | 11.2 (10.4-12.0) | 15.5 (14.6-16.4) | 17.2 (16.2-18.1) | 18.5 (17.4-19.5) |
First revision within 1-3 years | 2,865 | 5.3 (4.5-6.2) | 10.4 (9.2-11.6) | 13.7 (12.3-15.0) | 16.2 (14.6-17.7) |
First revision within 3-5 years | 1,584 | 5.6 (4.5-6.8) | 9.2 (7.7-10.7) | 12.1 (10.3-13.9) | 13.7 (11.7-15.7) |
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
CI: confidence interval.
© LROI 2023
Hip » Survival » Rerevision » By fixation of primary THA
FIGURE Cumulative second revision percentage of total hip arthroplasty after a one-stage first revision by fixation of the primary procedure in the Netherlands in 2007-2022 (n=13,546)
TABLE Cumulative second revision percentages
Cumulative second revision percentages – Kaplan Meier (95% CI) | |||||
Fixation of primary THA | Number (n) | 1yr | 3yr | 5yr | 7yr |
Uncemented | 8,953 | 7.8 (7.3-8.4) | 12.1 (11.4-12.8) | 14.4 (13.6-15.2) | 16.2 (15.3-17.1) |
Cemented | 3,080 | 9.5 (8.4-10.5) | 13.5 (12.2-14.8) | 15.5 (14.1-16.9) | 16.8 (15.2-18.4) |
Reversed hybrid | 815 | 7.6 (5.7-9.4) | 13.3 (10.8-15.8) | 16.0 (13.2-18.8) | 18.3 (15.1-21.6) |
Hybrid | 698 | 9.0 (6.8-11.2) | 12.5 (9.9-15.1) | 13.8 (11.0-16.7) | 17.3 (13.6-21.0) |
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
THA: total hip arthroplasty; CI: confidence interval.
© LROI 2023
Hip » Survival » Rerevision » Reasons for second revision by type of first revision
TABLE Reasons for second revision within seven years in patients who underwent a second revision after a one-stage first revision of a total hip arthroplasty by type of first revision in the Netherlands in 2007-2022
Major first revision¹ (n=1,116) | Minor first revision² (n=676) | Any type of first revision³ (n=1,858) | |
Reasons for second revision | Proportion4 (%) | Proportion4 (%) | Proportion4 (%) |
Infection | 30.6 | 59.6 | 41.6 |
Dislocation | 26.7 | 26.5 | 26.1 |
Loosening of acetabulum component | 19.8 | 5.0 | 14.0 |
Loosening of femur component | 17.7 | 4.9 | 12.8 |
Peri-prosthetic fracture | 10.2 | 2.7 | 7.3 |
Inlay wear | 3.2 | 2.8 | 3.0 |
Symptomatic MoM bearing | 1.5 | 0.4 | 1.1 |
Peri-articular ossification | 1.0 | 0.3 | 0.7 |
Other | 12.6 | 7.4 | 1.0 |
¹ Revision of at least the acetabulum or femur component.
² Only inlay and/or femoral head exchange (including DAIR procedures).
³ Any type of revision includes minor and major revisions as well as revision procedures that could not be classified as minor or major revision.
4 One patient may have more than one reason for revision or re-surgery. As such, the total proportion is over 100%.
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis.
© LROI 2023