Revision per component

Knee » Survival » Revision per component » Cemented primary TKA

TABLE Cumulative revision percentages of cemented primary total knee arthroplasties by prosthesis component combination of patients who underwent a TKA for osteoarthritis in the Netherlands in 2007-2019 (n=227,972)

Knee » Survival » Revision per component » Uncemented primary TKA

TABLE Cumulative revision percentages of uncemented primary total knee arthroplasties by prosthesis component combination of patients who underwent a TKA for osteoarthritis in the Netherlands in 2007-2019 (n=12,008)

Knee » Survival » Revision per component » Bone cement TKA

TABLE Cumulative revision percentages of the most frequently registered types of bone cement by type of mixing system in 2019, in primary total knee arthroplasties in the Netherlands in 2007-2019

Cumulative revision percentage (95% CI)
Bone cement n 1yr 3yr 5yr 7yr 10yr 11yr
Separately packed bone cement components (n=163,277)
Palacos R+G 122,717 1.0 (1.0-1.1) 3.5 (3.4-3.6) 4.5 (4.3-4.6) 5.2 (5.1-5.4) 6.1 (5.9-6.3) 6.5 (6.2-6.7)
Refobacin Bone Cement R 11,171 0.9 (0.7-1.1) 3.2 (2.8-3.5) 4.2 (3.8-4.7) 5.5 (5.0-6.0) 6.3 (5.7-6.9) 7.2 (6.5-7.9)
Palacos MV+G 7,804 0.9 (0.6-1.1) 3.2 (2.8-3.6) 4.1 (3.6-4.6) 5.0 (4.4-5.5) n.a. n.a.
Biomet Plus Bone Cement 1,411 1.2 (0.6-1.8) 3.9 (2.8-5.0) 4.9 (3.6-6.2) 4.9 (3.6-6.2) n.a. n.a.
Simplex HV 205 2.6 (0.0-5.3) 3.8 (0.3-7.2) n.a. n.a. n.a. n.a.
Bone cement pre-packed in a vacuum mixing system (n=57,693)  
Palacos R+G 16,270 1.3 (1.1-1.4) 3.9 (3.5-4.3) 4.4 (3.8-4.9) n.a. n.a. n.a.
Refobacin Bone Cement R 26,226 1.2 (1.1-1.4) 3.6 (3.3-3.9) 4.7 (4.4-5.0) 5.5 (5.0-5.9) 6.2 (5.5-7.0) n.a.
Refobacin Plus Bone Cement 13,616 0.9 (0.7-1.0) 3.4 (3.1-3.7) 4.3 (3.9-4.6) 4.9 (4.5-5.4) 5.3 (4.8-5.9) 5.7 (4.8-6.5)

Please note: n.a. if <50 cases were at risk; TKA: total knee arthroplasty; CI: confidence interval; IQR: interquartile range.

© LROI 2020

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.

Knee » Survival » Revision per component » UKA

TABLE Cumulative revision percentages of primary unicondylar knee arthroplasties by prosthesis component combination of patients who underwent a UKA for osteoarthritis in the Netherlands in 2007-2019 (n=30,041)

Type of revision (n) Cumulative revision percentage (95% CI)
Femur component Tibia component Total primary UKAs (n) Median (IQR)
 age (yr) 
Total RAs (n) Total  revision Patella addition Only femur Only
 tibia
Only insert/ patella Missing/ unknown 1yr 3yr 5yr 7yr 10yr 11yr
All UKAs for osteoarthritis 30,041 63 (57-69) 2,216 1,694 8 15 58 411 30 2.3 (2.1-2.4) 6.2 (5.9-6.5) 8.5 (8.1-8.9) 10.6 (10.1-11.1) 13.8 (13.1-14.5) 14.8 (14.0-15.5)
Oxford PKR cemented Oxford PKR cemented 13,027 63 (57-69) 1,245 991 5 9 30 191 19 2.2 (1.9-2.4) 6.5 (6.0-6.9) 8.9 (8.4-9.5) 11.0 (10.4-11.7) 14.2 (13.4-15.1) 15.2 (14.3-16.2)
Oxford PKR cementless Oxford PKR cementless 9,412 64 (58-70) 363 190 1 2 12 153 5 2.1 (1.8-2.4) 4.8 (4.2-5.3) 5.9 (5.2-6.6) 7.3 (6.1-8.4) n.a. n.a.
Physica Zimmer Unicompartmental High Flex Knee Physica Zimmer Unicompartmental High Flex Knee 2,111 62 (57-67) 82 73 0 0 1 8 0 1.0 (0.5-1.4) 3.7 (2.7-4.7) 5.1 (3.8-6.4) 7.1 (5.3-8.9) 10.0 (7.3-12.7) 11.5 (8.1-14.8)
Genesis Uni Genesis Uni 1,274 62 (56-69) 193 182 1 0 2 5 3 2.9 (2.0-3.8) 9.0 (7.4-10.5) 12.7 (10.8-14.6) 15.2 (13.1-17.3) 18.0 (15.5-20.4) 18.3 (15.8-20.9)
balanSys UNI balanSys UNI 393 61 (55-68) 49 40 1 0 3 5 0 3.6 (1.7-5.5) 10.1 (6.9-13.3) 11.2 (7.8-14.5) 12.5 (8.8-16.1) n.a. n.a.
Journey Uni Journey Uni 340 62 (56-69) 19 15 0 2 1 0 1 2.7 (0.8-4.5) 6.9 (3.5-10.3) n.a. n.a. n.a. n.a.
Oxford PKR cementless Oxford PKR cemented 319 66 (56-69) 16 8 0 0 0 8 0 3.8 (1.6-6.1) 5.5 (2.6-8.4) n.a. n.a. n.a. n.a.
TRIATHLON TRIATHLON 180 60 (54-64) 12 11 0 0 0 1 0 1.2 (0.0-2.9) 6.8 (2.2-11.4) 9.1  (3.6-14.6) 11.9 (5.3-18.4) n.a. n.a.
HLS uni HLS Uni 170 58 (52-65) 34 33 0 0 0 1 0 2.4 (0.1-4.6) 8.9 (4.6-13.1) 16.6 (10.9-22.2) 19.6 (13.6-25.6) 20.4 (14.2-26.5) n.a.
Oxford PKR cemented Oxford PKR cementless 156 66 (59-73) 8 3 0 1 0 4 0 3.1 (0.1-6.0) n.a. n.a. n.a. n.a. n.a.
Allegretto Allegretto 108 57 (51-65) 16 13 0 0 3 0 0 7.5 (2.5-12.5) 13.9 (7.1-20.7) 16.8 (9.1-24.4) n.a. n.a. n.a.

Please note: n.a. if <50 cases were at risk; UKA: unicondylar knee arthroplasty; CI: confidence interval; IQR: interquartile range.

© LROI 2020

Only combinations with over 100 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.