ArticleArthroplasty today2019
Early outcomes after revision total hip arthroplasty with a modern modular femoral revision stem in 65 consecutive cases.
Article in Arthroplasty today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- Simultaneous Total Hip Arthroplasty and Plate Fixation for Ipsilateral Subtrochanteric Fracture Following Femoral Neck Osteosynthesis.Case reports in orthopedics · 2025Article
- A review of the design, manufacture, and outcomes of custom total joint replacement implants available in the United States.Journal of clinical orthopaedics and trauma · 2024Review
- Awareness of performance on outcomes after total hip and knee arthroplasty among Dutch orthopedic surgeons: how to improve feedback from arthroplasty registries.Acta orthopaedica · 2021Article
- Extended Trochanteric Osteotomy Increases the Risk of Tapered Splined Stem Subsidence in Revision Total Hip Arthroplasty.JB & JS open accessArticle
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Authors and funding
6 authors.
Funding
Abstract
backgroundWe evaluated the early outcomes, including all-cause revisions, aseptic revisions, and reoperations after revision total hip arthroplasty (THA) using a single modern modular femoral stem design.
methodsA retrospective cohort study on a consecutive series of 62 patients (65 hips) who underwent revision THA with a modern modular femoral stem system, between January 2011 and October 2015, at a single academic medical center was performed. A cumulative incidence competing risk model was used to evaluate the cumulative incidence of failure with death as the competing risk.
resultsThe cumulative incidence rate of all-cause revision THA was 14.5% (95% confidence interval [CI], 6%-24%) at 2 years when accounting for the competing risk of death. The rate of aseptic revisions was 6.8% (95% CI, 0.1%-13%), and the rate of all-cause reoperations was 21.6% (95% CI, 11%-31%). Ten THA cases (15%) underwent re-revision THA for any reason: five for infection and five for aseptic failures. The mean time to re-revision was 1 year (range, 0.04-5.34). Patients with a preoperative Mallory classification of 3 or more were at greater risk for reoperation (sub-hazard rate, 3.84; 95% CI, 1.54-9.53;
conclusionsAlthough the high incidence of reoperation illustrates the complexity of the revision THA population, particularly related to infection and joint instability, the relatively low rate of aseptic failures, minimal radiographic subsidence, and the lack of modular junctional failures suggest that the use of this modular revision THA system may provide adequate fixation and could be considered as a viable treatment option in the setting of revision THA.
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