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Data Quality
Rerevision
Knee » Survival » Rerevision » Overall second revision
FIGURE Cumulative second revision percentage of total knee arthroplasty after a one-stage first revision in the Netherlands in 2007-2022 (n=10,751)
TABLE Cumulative second revision percentages
Number at risk (n) | Competing Risk(95% CI) | Kaplan Meier¹ (95% CI) | |
1-year second revision (%) | 9,103 | 5.7 (5.3-6.2) | 5.3 (4.9-5.8) |
3-year second revision (%) | 6,669 | 12.0 (11.4-12.7) | 12.0 (11.3-12.6) |
5-year second revision (%) | 4,383 | 15.2 (14.4-15.9) | 15.5 (14.7-16.3) |
7-year second revision (%) | 2,594 | 17.2 (16.3-18.0) | 17.8 (16.9-18.6) |
10-year second revision (%) | 954 | 18.7 (17.8-19.7) | 19.6 (18.5-20.6) |
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 (excluding patella addition).
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
CI: confidence interval.
© LROI 2023
Knee » Survival » Rerevision » By type of first revision
FIGURE Cumulative second revision percentage of total knee arthroplasty after a one-stage first revision by type of first revision in the Netherlands in 2007-2022 (n=10,751)
TABLE Cumulative second revision percentages
Cumulative second revision percentages – Kaplan Meier (95% CI) | |||||
Number (n) | 1yr | 3yr | 5yr | 7yr | |
Major first revision | 6,029 | 2.7 (2.3-3.1) | 8.7 (8-9.5) | 12.5 (11.5-13.4) | 15.1 (14-16.2) |
Minor first revision | 4,387 | 8.6 (7.7-9.4) | 15.9 (14.7-17.1) | 19.2 (17.8-20.5) | 20.8 (19.4-22.3) |
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis (excluding patella addition).
Major revision: revision of at least the femur or tibia component.
Minor revision: only insert and/or patella exchange (excluding patella addition).
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
CI: confidence interval.
© LROI 2023
Knee » Survival » Rerevision » By time to first revision
FIGURE Cumulative second revision percentage of total knee arthroplasty after a one-stage first revision by time to first revision in the Netherlands in 2007-2022 (n=10,751)
TABLE Cumulative second revision percentages
Cumulative second revision percentages – Kaplan Meier (95% CI) | |||||
Number (n) | 1yr | 3yr | 5yr | 7yr | |
First revision within 1 year | 2,804 | 11.2 (10.0-12.4) | 18.0 (16.5-19.5) | 20.8 (19.1-22.4) | 22.6 (20.9-24.4) |
First revision within 1-3 years | 4,397 | 3.3 (2.8-3.8) | 11.1 (10.1-12.1) | 14.8 (13.7-16.0) | 17.1 (15.8-18.4) |
First revision within 3-5 years | 1,571 | 3.6 (2.7-4.6) | 8.8 (7.3-10.3) | 13.0 (11.0-14.9) | 16.0 (13.6-18.3) |
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis (excluding patella addition).
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
CI: confidence interval.
© LROI 2023
Knee » Survival » Rerevision » By procedure year of first major revision
FIGURE Cumulative second revision percentage of total knee arthroplasty after a one-stage first revision by procedure year of first major revision in the Netherlands in 2011-2022 (n=4,659)
TABLE Cumulative second revision percentages
Cumulative second revision percentages – Kaplan Meier (95% CI) | ||||||
Procedure year major revision | Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr |
2011-2012 | 585 | 3.62 (2.10-5.14) | 9.05 (6.70-11.4) | 13.55 (10.73-16.37) | 15.77 (12.75-18.79) | 17.58 (14.4-20.76) |
2013-2013 | 832 | 3.14 (1.95-4.33) | 11.35 (9.17-13.53) | 15.72 (13.21-18.23) | 18.83 (16.13-21.53) | n.a. |
2015-2016 | 1,052 | 2.47 (1.53-3.41) | 8.03 (6.38-9.68) | 11.50 (9.55-13.45) | 14.01 (11.85-16.17) | n.a. |
2017-2018 | 1,047 | 2.78 (1.78-3.78) | 8.43 (6.73-10.13) | 10.85 (8.91-12.79) | n.a. | n.a. |
2019-2020 | 1,143 | 2.98 (1.99-3.97) | 8.22 (6.57-9.87) | n.a. | n.a. | n.a. |
Major revision: Revision of at least the femur or tibia component.
One-stage revision: A single revision procedure to change (insertion, replacement and/or removal) one or more components of the prosthesis (excluding patella addition).
Please note: n.a. if <50 cases were at risk.
CI: confidence interval.
© LROI 2023
Knee » 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 knee arthroplasty by type of first revision in the Netherlands in 2007-2022
Major first revision¹ (n=670) | Minor first revision² (n=724) | Any type of first revision³ (n=1,465) | |
Reasons for second revision | Proportion4 (%) | Proportion4 (%) | Proportion4 (%) |
Infection | 24.6 | 47.5 | 37.1 |
Instability | 31.0 | 27.2 | 28.8 |
Loosening of tibia component | 20.3 | 13.0 | 16.3 |
Patellar pain | 18.2 | 8.2 | 13.1 |
Malalignment | 10.6 | 9.8 | 10.3 |
Loosening of femur component | 11.6 | 4.1 | 7.9 |
Arthrofibrosis | 7.6 | 4.3 | 5.9 |
Patellar dislocation | 4.2 | 4.0 | 4.0 |
Loosening of patella component | 2.2 | 1.5 | 2.0 |
Insert wear | 2.2 | 1.9 | 2.2 |
Periprosthetic fracture | 0.8 | 0.6 | 0.6 |
Progression of osteoarthritis | 0.9 | 0.1 | 0.1 |
Other | 7.9 | 5.7 | 6.7 |
¹ Revision of at least the femur or tibia component.
² Only insert and/or patella exchange.
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 (excluding patella addition).
© LROI 2023