Revision by procedure characteristics

TKA by type of revision
TKA by procedure year
TKA cemented by procedure year
TKA uncemented by procedure year
TKA by procedure side
TKA by ODEP 5A or higher
TKA by type of femur
TKA by PE type

Knee » Survival TKA » Revision by procedure characteristics » TKA by type of revision

FIGURE Cumulative revision percentage of total knee arthroplasties by type of revision in the Netherlands in 2007-2022 (n=335,039)

TABLE Cumulative revision percentages

	Number at risk (n)	Competing Risk (95% CI)	Kaplan Meier¹ (95% CI)
Any type of revision
1-year revision (%)	304,549	1.0 (1.0-1.1)	0.9 (0.9-1.0)
3-year revision (%)	252,296	3.3 (3.2-3.3)	3.3 (3.2-3.3)
5-year revision (%)	194,494	4.2 (4.1-4.2)	4.2 (4.2-4.3)
10-year revision (%)	73,177	5.5 (5.4-5.6)	5.7 (5.6-5.8)
14-year revision (%)	13,062	6.2 (6.1-6.3)	6.7 (6.6-6.9)
Major revision²
1-year revision (%)	305,942	0.4 (0.4-0.5)	0.4 (0.3-0.4)
3-year revision (%)	256,416	1.6 (1.5-1.6)	1.6 (1.5-1.6)
5-year revision (%)	198,506	2.2 (2.1-2.2)	2.2 (2.1-2.2)
10-year revision (%)	75,118	3.1 (3.0-3.1)	3.2 (3.2-3.3)
14-year revision (%)	13,463	3.5 (3.4-3.6)	3.9 (3.8-4.0)
Minor revision³
1-year revision (%)	305,581	0.6 (0.6-0.7)	0.6 (0.6-0.6)
3-year revision (%)	256,236	1.7 (1.7-1.8)	1.8 (1.8-1.9)
5-year revision (%)	198,965	2.1 (2.1-2.2)	2.3 (2.2-2.3)
10-year revision (%)	76,046	2.6 (2.6-2.7)	2.9 (2.8-2.9)
14-year revision (%)	13,665	2.9 (2.8-3.0)	3.3 (3.2-3.4)

¹ The cumulative revision percentage using the Kaplan Meier method is shown in the figure.
² First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
³ Only insert and/or patella exchange (including patella addition).
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; CI: confidence interval.

In 2007-2022, 44,088 (13.2%) primary TKAs were implanted in patients who died within fourteen years after the primary diagnosis

Knee » Survival TKA » Revision by procedure characteristics » TKA by procedure year

FIGURE Cumulative major revision percentage of total knee arthroplasties by procedure year of primary TKA in the Netherlands in 2009-2022 (n=256,136)

TABLE Cumulative major revision percentages

		Cumulative major revision percentages – Kaplan Meier (95% CI)
Procedure year primary TKA for osteoarthritis	Number (n)	1yr	3yr	5yr	7yr	10yr	13yr
2009-2010	33,148	0.35 (0.28-0.41)	1.68 (1.54-1.82)	2.40 (2.23-2.57)	2.87 (2.69-3.05)	3.52 (3.32-3.72)	4.08 (3.85-4.31)
2011-2012	39,145	0.41 (0.34-0.47)	1.82 (1.69-1.95)	2.52 (2.36-2.68)	2.97 (2.80-3.14)	3.52 (3.33-3.71)	n.a.
2013-2014	44,035	0.40 (0.34-0.46)	1.82 (1.69-1.95)	2.44 (2.29-2.59)	2.91 (2.75-3.07)	3.55 (3.34-3.76)	n.a.
2015-2016	46,940	0.43 (0.37-0.49)	1.63 (1.51-1.75)	2.21 (2.08-2.34)	2.59 (2.44-2.74)	n.a.	n.a.
2017-2018	49,370	0.33 (0.28-0.38)	1.38 (1.28-1.48)	1.88 (1.76-2.00)	n.a.	n.a.	n.a.
2019-2020	43,498	0.28 (0.23-0.33)	1.17 (1.06-1.28)	n.a.	n.a.	n.a.	n.a.

Major revision precentage: first revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
TKA: total knee arthroplasty; CI: confidence interval; n.a. if <50 cases were at risk.

Knee » Survival TKA » Revision by procedure characteristics » TKA cemented by procedure year

FIGURE Cumulative major revision percentage of cemented total knee arthroplasties for osteoarthritis by procedure year of primary arthroplasty in the Netherlands in 2009-2022 (n=232,070)

TABLE Cumulative major revision percentages

		Cumulative major revision percentages – Kaplan Meier (95% CI)
Procedure year primary cemented TKA for osteoarthritis	Number (n)	1yr	3yr	5yr	7yr	10yr	13yr
2009-2010	28,010	0.32 (0.25-0.38)	1.62 (1.47-1.77)	2.31 (2.13-2.49)	2.79 (2.59-2.99)	3.46 (3.24-3.68)	4.05 (3.81-4.29)
2011-2012	34,137	0.40 (0.33-0.47)	1.83 (1.69-1.97)	2.54 (2.37-2.71)	2.98 (2.80-3.16)	3.56 (3.36-3.76)	n.a.
2013-2014	40,178	0.37 (0.31-0.43)	1.81 (1.68-1.94)	2.43 (2.28-2.58)	2.92 (2.75-3.09)	3.59 (3.37-3.81)	n.a.
2015-2016	43,515	0.40 (0.34-0.46)	1.59 (1.47-1.71)	2.16 (2.02-2.30)	2.54 (2.39-2.69)	n.a.	n.a.
2017-2018	45,958	0.32 (0.27-0.37)	1.37 (1.26-1.48)	1.89 (1.76-2.02)	n.a.	n.a.	n.a.
2019-2020	40,272	0.27 (0.22-0.33)	1.15 (1.04-1.26)	n.a.	n.a.	n.a.	n.a.

Knee » Survival TKA » Revision by procedure characteristics » TKA uncemented by procedure year

FIGURE Cumulative major revision percentage of uncemented total knee arthroplasties for osteoarthritis by procedure year of primary arthroplasty in the Netherlands in 2009-2022 (n=11,235)

TABLE Cumulative major revision percentages

		Cumulative major revision percentages – Kaplan Meier (95% CI)
Procedure year primary uncemented TKA for osteoarthritis	Number (n)	1yr	3yr	5yr	7yr	10yr	13yr
2009-2010	1,982	0.76 (0.38-1.15)	2.56 (1.86-3.26)	3.50 (2.68-4.32)	3.78 (2.93-4.63)	4.48 (3.55-5.41)	4.75 (3.78-5.72)
2011-2012	2,189	0.41 (0.14-0.68)	2.26 (1.63-2.89)	2.83 (2.13-3.53)	3.13 (2.39-3.87)	3.56 (2.77-4.35)	n.a.
2013-2014	1,727	0.87 (0.43-1.31)	1.93 (1.28-2.58)	2.65 (1.89-3.41)	2.90 (2.10-3.70)	3.15 (2.22-4.08)	n.a.
2015-2016	1,692	1.01 (0.53-1.49)	2.51 (1.76-3.26)	3.13 (2.29-3.97)	3.42 (2.54-4.30)	n.a.	n.a.
2017-2018	1,874	0.59 (0.24-0.94)	1.68 (1.10-2.26)	2.10 (1.44-2.76)	n.a.	n.a.	n.a.
2019-2020	1,771	0.51 (0.18-0.84)	2.08 (1.38-2.78)	n.a.	n.a.	n.a.	n.a.

Knee » Survival TKA » Revision by procedure characteristics » TKA by procedure side

FIGURE Cumulative major revision percentage of total knee arthroplasties for osteoarthritis by procedure side in the Netherlands in 2007-2022 (n=319,487)

TABLE Cumulative major revision percentages

		Cumulative revision percentages – Kaplan Meier (95% CI)
	Number (n)	1yr	3yr	5yr	7yr	10yr	14yr
Procedure side
Left	150,733	0.4 (0.3-0.4)	1.5 (1.5-1.6)	2.1 (2.0-2.2)	2.5 (2.4-2.6)	3.1 (3.0-3.2)	3.8 (3.6-4.0)
Right	168,754	0.4 (0.3-0.4)	1.6 (1.5-1.6)	2.2 (2.1-2.3)	2.7 (2.6-2.7)	3.3 (3.1-3.4)	3.9 (3.7-4.0)

Major revision precentage: first revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; CI: confidence interval.

Knee » Survival TKA » Revision by procedure characteristics » TKA by ODEP 5A or higher

FIGURE Cumulative major revision percentage of total knee arthroplasties for osteoarthritis by ODEP classification 5A or higher in the Netherlands in 2007-2022 (n= 301,773)

TABLE Cumulative major revision percentages

		Cumulative revision percentages – Kaplan Meier (95% CI)
	Number (n)	1yr	3yr	5yr	7yr	10yr	14yr
ODEP
<5A	28,880	0.3 (0.3-0.4)	1.7 (1.6-1.9)	2.5 (2.3-2.7)	3.0 (2.8-3.2)	3.9 (3.7-4.2)	4.9 (4.6-5.3)
5A or higher	272,893	0.4 (0.3-0.4)	1.5 (1.5-1.6)	2.1 (2.1-2.2)	2.6 (2.5-2.6)	3.1 (3.0-3.2)	3.7 (3.5-3.8)

Major revision percentage: First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
ODEP rating: ODEP provides ratings for hip femoral stems, hip acetabular cups and total knee replacement implants. Detailed information can be found at www.odep.org.uk.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; CI: confidence interval.

Knee » Survival TKA » Revision by procedure characteristics » TKA by type of femur

FIGURE Cumulative major revision percentage of total knee arthroplasties for osteoarthritis by prosthesis design in the Netherlands in 2007-2022 (n=300,909)

TABLE Cumulative major revision percentages

		Cumulative revision percentages – Kaplan Meier (95% CI)
	Number (n)	1yr	3yr	5yr	7yr	10yr	14yr
Prosthesis design
Posterior stabilised (PS)	160,121	0.4 (0.4-0.4)	1.6 (1.5-1.7)	2.2 (2.2-2.3)	2.8 (2.7-2.9)	3.6 (3.5-3.8)	4.5 (4.3-4.7)
Cruciate retaining (CR)	140,788	0.3 (0.3-0.4)	1.5 (1.5-1.6)	2.1 (2.0-2.2)	2.5 (2.4-2.6)	2.9 (2.8-3.0)	3.5 (3.3-3.6)

Major revision percentage: First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; PS: posterior stabilised; CR: cruciate retaining; CI: confidence interval.

Knee » Survival TKA » Revision by procedure characteristics » TKA by PE type

FIGURE Cumulative major revision percentages of total knee arthroplasties for osteoarthritis by inlay material in the Netherlands in 2007-2022 (306,279)

TABLE Cumulative major revision percentages

		Cumulative major revision percentages – Kaplan Meier (95% CI)
	Number (n)	1yr	3yr	5yr	7yr	10yr	14yr
Inlay material
Non XLPE	260,384	0.4 (0.3-0.4)	1.6 (1.5-1.6)	2.2 (2.2-2.3)	2.7 (2.6-2.7)	3.3 (3.2-3.3)	3.9 (3.8-4.0)
XLPE (+ AO)	45,895	0.3 (0.3-0.4)	1.4 (1.2-1.5)	1.9 (1.8-2.1)	2.3 (2.1-2.5)	2.8 (2.6-3.1)	4.0 (3.1-4.9)

Major revision percentage: First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; XLPE: cross-linked polyethylene; CI: confidence interval.

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