Revision per component

Cemented primary THA
Uncemented primary THA
Bone cement THA
Resurfacing hip arthroplasty

Hip » Survival » Revision per component » Cemented primary THA

TABLE Cumulative revision percentages of cemented primary total hip arthroplasties by prosthesis component combination of patients who underwent a THA for osteoarthritis in the Netherlands in 2007-2020 (n=78,492)

					Type of revision (n)					Cumulative revision percentage Kaplan Meier (95% CI)
Femur component	Acetabulum component	Total primary THAs (n)	Median (IQR) age (yr)	Total revision arthroplasties (n)	Total hip (complete revision)	Only femur component	Only acetabulum component	Only femoral head/inlay	Missing/ unknown	1yr	3yr	5yr	7yr	10yr	12yr
All cemented THAs for osteoarthritis		78,492	76 (71-80)	2,138	428	228	870	570	42	1.3 (1.2-1.3)	2.0 (1.9-2.1)	2.5 (2.4-2.6)	3.0 (2.8-3.1)	3.7 (3.5-3.9)	4.3 (4.1-4.6)
Lubinus SPII	IP Cup	13,184	76 (71-81)	322	44	44	142	87	5	1.1 (0.9-1.3)	1.9 (1.7-2.2)	2.5 (2.2-2.8)	2.7 (2.4-3.1)	3.1 (2.7-3.5)	3.6 (3.1-4.2)
Original ME Muller	Muller low profile Durasul	7,568	74 (70-79)	191	26	5	34	123	3	1.7 (1.4-2.0)	2.2 (1.8-2.5)	2.7 (2.3-3.1)	3.0 (2.5-3.4)	3.5 (2.9-4.1)	4.0 (2.9-5.0)
Original ME Muller	Muller low profile	6,148	77 (73-81)	163	22	2	96	37	6	1.4 (1.1-1.7)	2.3 (1.9-2.7)	2.6 (2.2-3.0)	3.0 (2.5-3.5)	3.0 (2.5-3.5)	3.3 (2.7-3.9)
Lubinus SPII	FAL Cup	5,344	75 (70-80)	172	40	8	66	53	5	1.9 (1.5-2.3)	2.6 (2.2-3.1)	3.3 (2.7-3.8)	4.1 (3.4-4.8)	4.6 (3.8-5.4)	4.5 (3.9-7.1)
Spectron EF	Reflection All Poly XLPE	4,744	77 (73-81)	105	35	11	37	22	0	0.7 (0.4-0.9)	1.5 (1.1-1.8)	1.8 (1.4-2.2)	2.6 (2.1-3.1)	2.8 (2.2-3.4)	3.0 (2.4-3.7)
Exeter	Exeter Rimfit X3	4,311	75 (69-80)	89	20	20	20	29	0	1.3 (1.0-1.7)	1.9 (1.5-2.3)	2.4 (1.9-2.9)	2.4 (1.9-2.9)	n.a.	n.a.
Stanmore	Stanmore	3,355	75 (70-80)	70	26	2	36	4	2	0.7 (0.4-1.0)	1.4 (1.0-1.8)	1.9 (1.4-2.4)	2.1 (1.6-2.6)	2.7 (2.0-3.3)	2.7 (2.0-3.3)
Exeter	Exeter Contemporary Hooded	2,811*	77 (72-81)	88	19	19	33	14	3	1.2 (0.8-1.6)	1.7 (1.2-2.2)	2.3 (1.7-2.9)	2.9 (2.2-3.5)	4.3 (3.3-5.3)	4.7 (3.6-5.8)
Lubinus SPII	SHP	2,492*	75 (71-80)	44	9	3	31	1	0	0.2 (0.0-0.4)	0.7 (0.3-1.0)	1.0 (0.6-1.3)	1.7 (1.2-2.2)	2.0 (1.4-2.6)	2.0 (1.4-2.6)
Exeter	Exeter	2,434*	73 (68-79)	138	23	14	67	30	4	2.8 (2.1-3.5)	3.6 (2.8-4.3)	4.2 (3.4-4.9)	5.0 (4.1-5.9)	6.4 (5.3-7.5)	7.1 (5.8-8.4)
Exeter	Exeter Contemporary Flanged	2,396	75 (67-80)	66	15	8	34	7	2	0.7 (0.4-1.1)	1.4 (0.9-1.8)	1.8 (1.3-2.4)	2.2 (1.6-2.8)	3.3 (2.4-4.2)	4.3 (3.0-5.5)
Stanmore	SHP	2,090	75 (71-79)	109	36	5	58	9	1	1.6 (1.1-2.1)	3.1 (2.3-3.8)	4.1 (3.2-5.0)	4.9 (3.9-5.9)	6.0 (4.8-7.2)	6.9 (5.5-8.3)
CCA stem	CCB cup Low Profile	1,592	77 (73-80)	46	7	2	11	25	1	2.0 (1.3-2.7)	2.3 (1.6-3.0)	2.7 (1.8-3.5)	2.9 (2.0-3.8)	4.2 (2.3-5.8)	5.0 (2.8-7.1)
Stanmore	Exceed ABT Cemented	1,235	76 (71-81)	19	3	1	6	9	0	1.1 (0.5-1.6)	1.3 (0.7-2.0)	1.7 (0.7-2.6)	2.8 (0.9-4.7)	n.a.	n.a.
Stanmore	All Poly Arcom Cup	1,052*	74 (69-79)	19	2	4	12	0	1	0.3 (0.0-0.6)	1.3 (0.6-2.0)	1.7 (0.9-2.5)	1.8 (1.0-2.7)	n.a.	n.a.
Lubinus SPII	IP Cup X-Linked	920	77 (72-81)	21	5	2	5	9	0	1.6 (0.7-2.4)	2.5 (1.4-3.5)	2.7 (1.5-3.9)	2.7 (1.5-3.9)	n.a.	n.a.
Stanmore	Muller	875*	76 (71-81)	12	3	2	6	1	0	0.7 (0.1-1.2)	1.3 (0.5-2.0)	1.3 (0.5-2.0)	1.3 (0.5-2.0)	1.8 (0.5-3.0)	n.a.
Spectron EF	Mueller cup	825*	77 (72-81)	11	3	2	4	2	0	0.4 (0.0-0.8)	0.8 (0.1-1.3)	1.0 (0.3-1.6)	1.1 (0.4-1.8)	1.3 (0.5-2.0)	1.6 (0.6-2.7)
C-Stem AMT	Marathon	799	80 (76-84)	11	0	2	0	9	0	1.3 (0.5-2.1)	1.5 (0.6-2.5)	n.a.	n.a.	n.a.	n.a.
Twinsys stem Cemented	CCB cup Low Profile	780	80 (76-83)	8	1	2	4	0	1	0.5 (0.0-1.1)	1.1 (0.3-1.9)	1.3 (0.4-2.2)	1.3 (0.4-2.2)	n.a.	n.a.
Original ME Muller	Avantage Cemented	773	77 (71-82)	30	2	1	1	26	0	3.4 (2.1-4.7)	3.9 (2.4-5.4)	5.3 (2.9-7.6)	n.a.	n.a.	n.a.
Spectron EF	Reflection All Poly	615*	77 (74-82)	42	10	0	28	4	0	0.8 (0.1-1.5)	1.8 (0.8-2.9)	2.7 (1.4-4.0)	3.3 (1.8-4.7)	6.7 (4.5-8.8)	8.5 (6.0-11.1)
Lubinus SPII	Avantage Cemented	569	78 (71-82)	18	4	0	1	13	0	2.3 (1.1-3.6)	2.6 (1.2-3.9)	4.1 (1.9-6.2)	5.4 (2.1-8.6)	n.a.	n.a.
Spectron EF	Muller low profile Durasul	503	78 (74-83)	10	4	0	1	5	0	0.8 (0.0-1.6)	1.7 (0.5-2.9)	2.0 (0.7-3.4)	n.a.	n.a.	n.a.
MS30	Muller low profile	496*	78 (74-83)	16	0	8	7	1	0	0.8 (0.0-1.6)	1.7 (0.5-2.8)	2.4 (1.0-3.8)	3.1 (1.4-4.8)	5.0 (2.2-7.7)	n.a.
Stanmore	Apollo	372*	75 (70-80)	6	3	1	1	0	1	0.3 (0.0-0.8)	0.8 (0.0-1.8)	1.4 (0.2-2.7)	1.4 (0.2-2.7)	n.a.	n.a.
Stanmore	Avantage Cemented	367	79 (74-84)	10	0	1	0	9	0	2.2 (0.7-3.7)	2.8 (1.1-4.5)	2.8 (1.1-4.5)	n.a.	n.a.	n.a.
GHE-huftstiel	Huftpfanne	271*	75 (71-80)	21	4	3	14	0	0	0.4 (0.0-1.1)	1.5 (0.0-3.0)	2.7 (0.7-4.7)	4.4 (1.9-6.7)	7.4 (4.0-10.8)	11.9 (6.4-17.3)
Exeter	Avantage Cemented	263	73 (63-82)	6	2	2	0	2	0	1.2 (0.0-2.6)	2.3 (0.3-4.4)	3.0 (0.6-5.5)	3.0 (0.6-5.5)	n.a.	n.a.
Charnley Modular	Marathon	255*	71 (76-79)	9	3	4	2	0	0	0.4 (0.0-1.2)	1.2 (0.0-2.6)	1.6 (0.0-3.2)	4.0 (1.4-6.4)	n.a.	n.a.

* Denotes prosthesis combinations with no reported use in primary THAs in 2020.
Please note: n.a. if <50 cases were at risk; THA: total hip arthroplasty; CI: confidence interval; IQR: interquartile range.

Only combinations with over 250 procedures have been listed.
Results must be interpreted with caution. Patient characteristics like age and diagnosis, as well as procedure characteristics like the experience of the surgeon performing the procedure, femoral head size and articulation of the prosthesis may have influenced the cumulative revision percentages.

Hip » Survival » Revision per component » Uncemented primary THA

TABLE Cumulative revision percentages of uncemented primary total hip arthroplasties by prosthesis component combination of patients who underwent a THA for osteoarthritis in the Netherlands in 2007-2020 (n=196,494)

					Type of revision (n)					Cumulative revision percentage (95% CI)
Femur component	Acetabulum component	Total primary THAs (n)	Median (IQR) age (yr)	Total RAs (n)	Total hip (complete revision)	Only femur component	Only acetabulum component	Only femoral head/inlay	Missing/ unknown	1yr	3yr	5yr	7yr	10yr	12yr
All uncemented THAs for osteoarthritis		196,494	68 (62-74)	6,634	1,069	2,347	1,725	1,371	122	1.5 (1.5-1.6)	2.5 (2.5-2.6)	3.2 (3.1-3.3)	3.9 (3.8-4.0)	4.9 (4.7-5.0)	5.7 (5.5-5.8)
Corail	Pinnacle	33,246	69 (62-75)	760	134	238	157	222	9	1.2 (1.1-1.3)	1.9 (1.8-2.1)	2.4 (2.2-2.6)	2.8 (2.5-3.0)	3.6 (3.2-4.0)	4.0 (3.5-4.4)
Taperloc Complete	Allofit	14,629	67 (61-73)	257	40	96	45	73	3	1.5 (1.3-1.6)	2.1 (1.8-2.3)	2.1 (1.8-2.4)	n.a.	n.a.	n.a.
Alloclassic Zweymuller SL	Allofit	14,104	70 (64-76)	457	73	174	108	97	5	1.1 (1.0-1.3)	2.0 (1.0-1.3)	2.6 (2.3-2.9)	3.1 (2.8-3.4)	4.3 (3.8-4.7)	4.6 (4.1-5.0)
CLS Spotorno	Allofit	10,492	64 (59-69)	444	50	171	118	87	18	2.5 (2.2-2.8)	3.5 (3.2-3.9)	4.1 (3.7-4.5)	4.7 (4.2-5.1)	5.2 (4.6-5.8)	5.8 (4.9-6.7)
Taperloc Complete	Exceed ABT	8,332	69 (63-75)	180	31	69	32	44	4	1.5 (1.2-1.7)	2.0 (1.7-2.3)	2.4 (2.0-2.7)	2.7 (2.2-3.2)	2.9 (2.3-3.4)	n.a.
Accolade	Trident	7,532	69 (62-76)	292	39	154	41	56	2	1.4 (1.1-1.7)	2.9 (2.5-3.3)	3.8 (3.4-4.3)	4.6 (4.0-5.2)	5.7 (4.9-6.6)	8.2 (5.9-10.6)
Polarstem	R3	7,390	69 (62-75)	153	11	51	16	74	1	1.9 (1.6-2.2)	2.5 (2.1-3.0)	2.5 (2.1-3.0)	n.a.	n.a.	n.a.
Mallory Head Stems	Mallory Head	5,978	65 (60-69)	203	27	23	80	67	6	1.4 (1.1-1.7)	2.3 (1.9-2.7)	2.8 (2.3-3.2)	3.3 (2.8-3.7)	3.8 (3.2-4.3)	4.2 (3.6-4.9)
Accolade	Trident Tritanium	4,533	68 (62-74)	103	6	39	20	37	1	1.0 (0.7-1.3)	2.0 (1.6-2.4)	2.6 (2.1-3.2)	3.0 (2.4-3.6)	n.a.	n.a.
Taperloc Hip system	Exceed ABT	3,829	68 (62-74)	118	19	31	35	25	8	1.2 (0.8-1.5)	2.3 (1.8-2.8)	2.7 (2.2-3.2)	2.9 (2.4-3.5)	3.4 (2.8-4.1)	n.a.
Twinsys stem Cementless	RM Pressfit Vitamys cup	3,755	66 (60-71)	88	13	41	21	11	2	1.3 (0.9-1.7)	2.0 (1.5-2.4)	2.5 (1.9-3.1)	2.7 (2.0-3.3)	5.1 (3.4-6.7)	n.a.
SL Plus	Bicon Plus	3,744	70 (64-76)	230	35	118	59	16	2	1.6 (1.2-2.0)	3.9 (3.2-4.5)	5.2 (4.5-5.9)	6.1 (5.3-6.9)	7.3 (6.4-8.3)	7.3 (6.4-8.3)
Taperloc Hip system	Mallory Head	3,652	67 (61-71)	129	24	37	46	21	1	1.4 (1.0-1.8)	2.6 (2.0-3.1)	2.9 (2.4-3.5)	3.5 (2.9-4.1)	3.9 (3.2-4.6)	4.9 (3.8-5.9)
Twinsys stem Cementless	RM Pressfit cup	3,133	73 (67-78)	107	15	48	21	22	1	2.4 (1.9-3.0)	3.1 (2.5-3.7)	3.5 (2.8-4.1)	3.9 (3.1-4.7)	4.5 (3.3-5.8)	n.a.
Taperloc Complete	Mallory Head	3,077	67 (61-72)	110	18	24	29	38	1	2.1 (1.6-2.6)	3.1 (2.5-3.7)	3.4 (2.7-4.0)	4.0 (3.2-4.8)	6.1 (3.1-9.1)	n.a.
Synergy	Reflection	2,912*	66 (60-72)	128	11	64	23	29	1	2.1 (1.6-2.7)	2.7 (2.1-3.3)	3.1 (2.5-3.8)	3.6 (2.9-4.3)	4.4 (3.6-5.2)	6.1 (4.8-7.4)
Alloclassic Zweymuller SL	Alloclassic Zweymuller CSF	2,891*	69 (63-75)	121	15	48	21	35	2	1.1 (0.7-1.5)	2.7 (2.1-3.2)	3.3 (2.6-4.0)	3.6 (2.9-4.3)	4.4 (3.6-5.2)	4.8 (3.9-5.6)
Alloclassic offset	Allofit	2,605	71 (64-77)	75	15	28	15	14	3	1.3 (0.9-1.8)	2.0 (1.5-2.6)	2.7 (2.0-3.4)	3.0 (2.3-3.7)	3.8 (2.8-4.7)	4.2 (3.1-5.3)
Symax	Trident	2,066*	69 (63-75)	68	6	16	20	26	0	0.6 (0.3-0.9)	1.7 (1.1-2.2)	2.2 (1.5-2.8)	2.8 (2.0-3.5)	3.3 (2.5-4.1)	3.8 (2.8-4.7)
Synergy	R3	2,063	66 (60-72)	57	7	33	8	7	2	1.8 (1.2-2.4)	2.2 (1.6-2.9)	2.7 (2.0-3.4)	3.0 (2.2-3.8)	3.1 (2.3-4.0)	n.a.
M/L Taper	Allofit IT	1,938	71 (65-76)	64	9	27	18	9	1	2.2 (1.5-2.8)	3.0 (2.2-3.8)	3.6 (2.7-4.5)	4.0 (3.0-5.0)	4.4 (3.1-5.7)	n.a.
Accolade II	Trident	1,880	69 (63-76)	29	2	14	3	9	1	1.6 (1.0-2.2)	3.2 (0.3-6.2)	3.2 (0.3-6.2)	n.a.	n.a.	n.a.
Anthology	R3	1,751	65 (60-69)	57	8	20	14	15	0	2.2 (1.5-2.8)	2.7 (2.0-3.5)	3.6 (2.7-4.6)	3.8 (2.8-4.8)	3.8 (2.8-4.8)	n.a.
Symax	Trident Tritanium	1,739*	67 (61-73)	80	9	35	23	12	1	2.3 (1.6-3.0)	3.6 (2.7-4.5)	4.0 (3.0-4.9)	4.7 (3.7-5.7)	4.9 (3.9-6.0)	n.a.
Mallory Head Stems	Exceed ABT	1,630*	65 (59-71)	36	3	15	16	2	0	0.7 (0.3-1.1)	1.6 (1.0-2.2)	1.7 (1.1-2.3)	2.0 (1.3-2.7)	2.6 (1.7-3.4)	n.a.
Omnifit HA	Trident	1,494*	63 (57-67)	140	16	67	24	29	4	3.1 (2.2-4.0)	4.5 (3.4-5.6)	6.3 (5.1-7.5)	7.8 (6.4-9.2)	9.6 (8.1-11.2)	10.1 (8.5-11.8)
Alloclassic Zweymuller SL	Continuum	1,170	70 (64-77)	25	4	11	3	6	1	1.4 (0.5-1.6)	1.7 (0.9-2.5)	2.1 (1.3-3.0)	2.3 (1.4-3.2)	n.a.	n.a.
CLS Spotorno	RM Classic cup	1,169*	63 (58-68)	70	14	20	28	7	1	1.9 (1.1-1.7)	2.7 (1.7-3.6)	3.4 (2.3-4.4)	3.9 (2.8-5.0)	5.1 (3.8-6.4)	6.7 (5.1-8.3)
CLS Spotorno	Pinnacle	1,157*	67 (62-72)	48	7	16	10	15	0	1.3 (0.6-2.0)	2.3 (1.4-3.1)	2.9 (1.9-3.9)	3.7 (2.5-4.9)	5.5 (3.8-7.2)	6.5 (4.3-8.6)
SL Plus Mia	R3	1,106*	71 (65-77)	32	3	16	5	8	0	1.9 (1.1-2.7)	2.7 (1.8-3.7)	3.1 (2.0-4.1)	3.1 (2.0-4.1)	n.a.	n.a.
M/L Taper	Continuum	1,085	69 (63-73)	16	1	13	1	1	0	1.3 (0.6-1.9)	1.7 (0.9-2.5)	1.7 (0.9-2.5)	n.a.	n.a.	n.a.
Corail AMT	Pinnacle	1,045	68 (61-74)	12	1	4	4	3	0	0.9 (0.3-1.5)	1.4 (0.6-2.2)	n.a.	n.a.	n.a.	n.a.
SL Plus	Reflection	1,019*	67 (61-73)	38	4	12	13	9	0	1.8 (1.0-2.6)	3.3 (2.2-4.4)	3.6 (2.4-4.7)	4.0 (2.7-5.3)	n.a.	n.a.
SL Plus	Hofer-Imhoff Lubrimet	971*	70 (64-76)	54	14	26	7	5	2	1.1 (0.5-1.8)	2.2 (1.3-3.1)	3.5 (2.3-4.6)	4.4 (3.1-5.7)	5.4 (4.0-6.9)	5.9 (4.3-7.5)
Polarstem	Reflection	924*	70 (64-76)	17	4	4	2	7	0	1.1 (0.4-1.7)	1.7 (0.8-2.5)	2.4 (1.1-3.7)	2.4 (1.1-3.7)	n.a.	n.a.
Alloclassic Zweymuller SL	Trilogy	821*	70 (64-76)	31	7	10	7	7	0	1.2 (0.5-2.0)	2.2 (1.2-3.2)	2.7 (1.6-3.8)	3.1 (1.9-4.3)	3.8 (2.5-5.2)	4.0 (2.6-5.4)
SL Plus	EP-Fit Plus	781*	68 (63-75)	43	10	22	10	1	0	1.3 (0.5-2.1)	3.0 (1.8-4.2)	3.7 (2.3-5.0)	4.8 (3.3-6.4)	5.8 (4.1-7.6)	6.5 (4.5-8.5)
Alloclassic Zweymuller SL	Alloclassic Variall	767*	71 (64-77)	22	4	10	2	5	1	1.1 (0.3-1.8)	2.0 (1.0-3.0)	2.4 (1.3-3.5)	2.7 (1.5-3.8)	3.1 (1.8-4.5)	3.1 (1.8-4.5)
CLS Spotorno	Fitmore	754*	66 (61-71)	35	3	16	5	10	1	1.7 (0.8-2.7)	2.3 (1.2-3.3)	2.5 (1.4-3.6)	3.2 (1.9-4.5)	4.4 (2.9-5.9)	5.5 (3.6-7.4)
DB10	Spidercup	750*	71 (64-77)	36	2	18	8	7	1	1.5 (0.6-2.3)	2.3 (1.2-3.4)	2.9 (1.7-4.1)	3.8 (2.4-5.2)	5.2 (3.3-7.2)	7.7 (4.6-10.7)
CLS Spotorno	Morscher	711*	73 (68-78)	37	6	19	12	0	0	1.3 (0.4-2.1)	2.6 (1.4-3.8)	3.2 (1.9-4.5)	4.3 (2.7-5.9)	6.4 (4.2-8.5)	7.4 (4.5-10.3)
Summit Tapered	Pinnacle Gription	672	68 (62-73)	15	1	4	2	7	1	2.1 (0.9-3.2)	2.5 (1.2-3.7)	n.a.	n.a.	n.a.	n.a.
CLS Spotorno	RM Pressfit cup	623*	66 (60-71)	48	5	18	17	5	3	3.1 (1.7-4.4)	4.4 (2.8-6.0)	5.7 (3.8-7.5)	6.3 (4.3-8.2)	7.6 (5.4-9.7)	9.7 (6.8-12.5)
CBH stem	RM Pressfit Vitamys cup	591*	65 (60-70)	23	8	6	7	2	0	1.0 (0.2-1.8)	2.4 (1.2-3.6)	3.3 (1.8-4.7)	4.1 (2.4-5.8)	n.a.	n.a.
Avenir Muller	Allofit	585	68 (62-73)	10	0	6	2	2	0	1.3 (0.3-2.2)	1.3 (0.3-2.2)	1.5 (0.5-2.5)	2.0 (0.8-3.3)	2.0 (0.8-3.3)	n.a.
Taperloc Complete	Continuum	583	67 (57-73)	10	2	4	0	4	0	1.8 (0.7-3.0)	n.a.	n.a.	n.a.	n.a.	n.a.
Alloclassic Zweymuller SL	Trabecular Metal	547*	68 (62-75)	23	2	7	7	6	1	0.6 (0.0-1.2)	1.9 (0.7-3.0)	2.6 (1.3-4.0)	3.2 (1.7-4.7)	3.4 (1.8-4.9)	5.1 (2.8-7.3)
CBH stem	RM Pressfit cup	546*	75 (69-79)	21	4	6	9	2	0	2.0 (0.8-3.2)	3.3 (1.8-4.9)	3.6 (2.0-5.2)	4.1 (2.3-5.8)	n.a.	n.a.

Only combinations with over 500 procedures have been listed.
Results must be interpreted with caution. Patient characteristics like age and diagnosis, as well as procedure characteristics like the experience of the surgeon performing the procedure, femoral head size and articulation of the prosthesis may have influenced the cumulative revision percentages.

Hip » Survival » Revision per component » Bone cement THA

TABLE Cumulative revision percentages of the most frequently types of bone cement by type of mixing system in primary total hip arthroplasties in the Netherlands in 2007-2020

		Cumulative revision percentage Kaplan Meier (95% CI)
Bone cement	n	1yr	3yr	5yr	7yr	10yr	12yr
Separately packed bone cement components (n=86,541)
Palacos R+G	66,000	1.5 (1.4-1.6)	2.4 (2.3-2.5)	3.0 (2.9-3.1)	3.5 (3.3-3.6)	4.2 (4.0-4.4)	4.8 (4.5-5.1)
Refobacin Bone Cement R	6,077	0.9 (0.7-1.2)	1.8 (1.5-2.1)	2.2 (1.8-2.6)	2.7 (2.3-3.2)	3.6 (3.0-4.1)	3.7 (3.1-4.3)
Palacos MV+G	3,614	0.9 (0.6-1.2)	1.5 (1.1-1.9)	2.2 (1.6-2.7)	3.3 (2.6-4.0)	3.7 (2.8-4.5)	n.a.
Simplex ABC EC	2,664	2.2 (1.6-2.8)	3.6 (2.9-4.3)	4.4 (3.6-5.2)	5.1 (4.2-6.0)	7.0 (5.6-8.4)	8.9 (6.5-11.2)
Simplex ABC Tobra	2,308	2.0 (1.4-2.5)	3.1 (2.4-3.8)	3.8 (3.0-4.5)	4.4 (3.6-5.3)	6.2 (5.1-7.3)	7.4 (6.0-8.7)
Simplex P	1,379	0.7 (0.3-1.2)	1.8 (1.1-2.5)	1.8 (1.1-2.5)	2.0 (1.2-2.8)	2.7 (1.6-3.9)	2.7 (1.6-3.9)
Simplex HV	586*	0.7 (0.0-1.4)	0.9 (0.1-1.6)	2.5 (1.0-4.0)	n.a.	n.a.	n.a.
Refobacin Plus Bone Cement	560*	1.6 (0.6-2.7)	2.6 (1.2-3.9)	3.4 (1.9-5.0)	3.7 (2.1-5.4)	4.5 (2.5-6.4)	5.1 (2.8-7.5)
Palamed G	493*	0.4 (0.0-1.0)	0.8 (0.0-1.6)	1.3 (0.3-2.3)	2.0 (0.7-3.2)	3.0 (1.4-4.6)	3.3 (1.6-5.0)
Biomet Plus Bone Cement	458*	0.4 (0.0-1.0)	1.3 (0.3-2.4)	2.5 (1.0-4.0)	3.3 (1.6-4.9)	4.3 (2.3-6.3)	5.4 (3.1-7.6)
CMW 1 Gentamicin Bone Cement	326*	1.9 (0.4-3.3)	2.8 (1.0-4.6)	3.1 (1.2-5.0)	3.1 (1.2-5.0)	4.0 (1.7-6.2)	4.5 (2.1-6.8)
Palacos R	314	1.6 (0.2-3.0)	2.7 (0.8-4.5)	4.2 (1.8-6.5)	5.0 (2.4-7.6)	6.4 (3.2-9.6)	n.a.
Subiton G	284	1.3 (0.0-2.8)	n.a.	n.a.	n.a.	n.a.	n.a.
Palamed	277*	1.1 (0.0-2.3)	2.5 (0.7-4.4)	3.7 (1.4-5.9)	3.7 (1.4-5.9)	6.1 (3.2-9.0)	7.0 (3.9-10.1)
Bone cement pre-packed in a vacuum mixing system (n=26,953)
Refobacin Bone Cement R	13,609	2.0 (1.7-2.2)	2.8 (2.5-3.1)	3.4 (3.0-3.7)	4.1 (3.6-4.5)	6.1 (4.2-8.0)	n.a.
Palacos R+G	8,745	2.1 (1.8-2.4)	2.8 (2.4-3.2)	3.7 (3.0-4.3)	n.a.	n.a.	n.a.
Refobacin Plus Bone Cement	4,044	1.2 (0.9-1.5)	2.1 (1.6-2.5)	2.5 (2.0-3.1)	3.0 (2.4-3.7)	3.2 (2.6-3.9)	4.5 (2.6-6.3)
Cemex Genta	433*	1.2 (0.1-2.2)	1.9 (0.6-3.2)	2.2 (0.8-3.5)	2.2 (0.8-3.5)	n.a.	n.a.

* Denotes types of bone cement with no reported use in primary THAs in 2020.
Please note: n.a. if <50 cases were at risk; THA: total hip arthroplasty; CI: confidence interval; IQR: interquartile range.

Only types of bone cement with over 250 procedures have been listed.
Results must be interpreted with caution. Patient characteristics like age and diagnosis, as well as procedure characteristics like the experience of the surgeon performing the procedure, femoral head size and articulation of the prosthesis may have influenced the cumulative revision percentages.

Hip » Survival » Revision per component » Resurfacing hip arthroplasty

FIGURE Cumulative revision percentages of primary resurfacing hip arthroplasties by type of prosthesis of patients who underwent a RHA in the Netherlands in 2007-2019 (n=2,887)

TABLE Cumulative revision percentages of primary resurfacing hip arthroplasties by type of prosthesis

				Cumulative revision percentage (95% CI)
Type of prosthesis	Total primary RHAs (n)	Median (IQR) age (yr)	Total RAs (n)	1yr	3yr	5yr	7yr	10yr	11yr
All resurfacing hip arthroplasties	2,887	54 (49-59)	346	1.7 (1.2-2.1)	4.4 (3.7-5.2)	7.7 (6.7-8.6)	10.2 (9.1-11.4)	11.8 (10.6-13.0)	12.2 (11.0-13.4)
Adept	471	54 (48-59)	53	2.6 (1.1-4.0)	4.5 (2.6-6.3)	6.6 (4.4-8.9)	9.4 (6.8-12.1)	10.5 (7.7-13.3)	11.0 (8.1-13.9)
ASR	274	53 (47-56)	75	4.0 (1.7-6.3)	9.1 (5.7-12.5)	18.3 (13.7-22.9)	22.7 (17.7-27.7)	26.8 (21.6-32.1)	27.3 (22.0-32.5)
BHR	853	54 (48-58)	75	0.5 (0.0-0.9)	2.9 (1.8-4.1)	5.5 (3.9-7.0)	7.7 (5.6-9.5)	8.8 (6.8-10.7)	9.0 (7.0-11.0)
Conserve Plus	338	55 (50-60)	30	0.6 (0.0-1.4)	3.3 (1.4-5.2)	6.3 (3.7-8.9)	7.8 (4.9-10.7)	9.3 (6.1-12.4)	9.3 (6.1-12.4)
Cormet	212	58 (51-61)	16	0.0 (0.0-0.0)	1.4 (0.0-3.1)	3.4 (0.9-5.9)	5.4 (2.3-8.5)	7.5 (3.8-11.1)	8.1 (4.3-12.0)
Durom	341	54 (50-59)	55	1.5 (0.2-2.7)	7.1 (4.3-9.8)	11.5 (8.1-14.9)	13.9 (10.2-17.6)	15.4 (11.6-19.3)	16.2 (12.2-20.1)
Mitch	101	57 (51-61)	10	5.0 (0.7-9.2)	5.9 (1.3-10.5)	9.9 (4.1-15.8)	9.9 (4.1-15.8)	9.9 (4.1-15.8)	n.a.
Recap Magnum Shells	171	55 (49-59)	19	2.9 (0.4-5.4)	4.7 (1.5-7.8)	6.5 (2.8-10.1)	8.3 (4.1-12.4)	11.4 (6.6-16.2)	11.4 (6.6-16.2)

Please note: n.a. if <50 cases were at risk; RHA: resurfacing hip arthroplasty; CI: confidence interval; IQR: interquartile range.

Results must be interpreted with caution. Patient characteristics like age and diagnosis, as well as procedure characteristics like the experience of the surgeon performing the procedure, femoral head size and articulation of the prosthesis may have influenced the cumulative revision percentages.

This website is only accessable on large screens