ArticleActa orthopaedica2020
Fixation, sex, and age: highest risk of revision for uncemented stems in elderly women - data from 66,995 primary total hip arthroplasties in the Norwegian Arthroplasty Register.
Article in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Intraoperative acetabular periprosthetic fracture (IAPF) in total hip arthroplasty: a systematic review of outcomes and complications in conservative and surgical treatment.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Periprosthetic bone mineral density, assessed using dual energy x-ray absorptiometry, following arthroplasty in patients with femoral neck fracture: 5-year outcomes of a randomized controlled trial.The Journal of international medical research · 2024Trial
- Comparison of Cemented Versus Cementless Total Hip Arthroplasty in Elderly Patients: A Prospective Cohort Study.Journal of orthopaedic case reports · 2026Article
- Article
- Femoral Fixation for Primary Total Hip Arthroplasty-An International Registry Perspective.Arthroplasty today · 2025Article
- Perioperative outcome of primary total hip arthroplasty in octogenarians - A systematic review.Journal of orthopaedics · 2025Review
- Changing treatment of hip fractures in Finland.Archives of orthopaedic and trauma surgery · 2024Article
- Evidence for cemented TKA and THA based on a comparison of international register data.Orthopadie (Heidelberg, Germany) · 2024Review
- Outcomes of Hybrid Total Hip Arthroplasty for Subchondral Insufficiency Fracture of the Femoral Head.Clinics in orthopedic surgery · 2024Article
- [Register data on cemented arthroplasty : A proof for cementless fixation?]Orthopadie (Heidelberg, Germany) · 2024Review
- Article
- Article
- UNCEMENTEDActa clinica Croatica · 2023Article
- Higher risk of 2-year cup revision of ceramic-on-ceramic versus ceramic-on-polyethylene bearing: analysis of 33,454 primary press-fit total hip arthroplasties registered in the Dutch Arthroplasty Register (LROI).Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2023Article
- Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period.Veterinary surgery : VS · 2023Article
- Cementation in total hip arthroplasty: history, principles, and technique.EFORT open reviews · 2022Article
- Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review.Medicina (Kaunas, Lithuania) · 2022Review
- Comparable mortality but higher revision rate after uncemented compared with cemented total hip arthroplasties in patients 80 years and older: report of 43,053 cases of the Dutch Arthroplasty Register.Acta orthopaedica · 2022Article
- A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Factors Affecting Periprosthetic Bone Loss after Hip Arthroplasty.Hip & pelvis · 2021Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - There is no consensus on best method of fixation in hip arthroplasty. We investigated different modes of fixation in primary total hip arthroplasty (THA) and the influence of age and sex, to assess need for a differentiated approach.Patients and methods - The study was based on data from the Norwegian Arthroplasty Register in the period 2005-2017. Included were all-cemented, all-uncemented, reverse hybrid (uncemented stem and cemented cup), and hybrid (cemented stem and uncemented cup) THA designs that were commonly used, contemporary and well documented, using different causes of revision as endpoints.Results - From the included 66,995 primary THAs, 2,242 (3.3%) were revised. Compared with all-cemented THAs, all-uncemented had a higher risk of revision due to any cause (RR 1.4; CI 1.2-1.6), mainly due to an increased risk of periprosthetic fracture (RR 5.2; CI 3.2-8.5) and dislocation (RR 2.2; CI 1.5-3.0). Women had considerably higher risk of revision due to periprosthetic fracture after all-uncemented THA (RR 12; CI 6-25), compared with cemented. All-uncemented THAs in women of age 55-75 years (RR 1.3; CI 1.0-1.7) and over 75 years of age (RR 1.8; CI 1.2-2.7), and reverse hybrid THAs in women over the age of 75 (RR 1.5; CI 1.1-1.9) had higher risk of revision compared with cemented. Hybrid THAs (RR 1.0; CI 0.9-1.2) and reverse hybrid THAs (RR 1.0; CI 0.7-1.3) had similar risk of revision due to any cause as cemented THAs.Interpretation - Uncemented stems (all-uncemented and reverse hybrid THAs) had increased risk of revision in women over 55 years of age, mainly due to periprosthetic fracture and dislocation, and should probably not be used in THA in these patients.
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