ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025
The projected economic burden and complications of revision hip and knee arthroplasties: Insights from national registry studies.
Review in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Narrative over numbers: How testimonial medicine erodes safe practice.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Epidemiology and healthcare burden of implant-associated complications in Germany: a nationwide population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Enhancing Bone Healing with a Priming Stimulus.Life (Basel, Switzerland) · 2026Article
- Implantable Shock Absorber for Knee Osteoarthritis in Older Patients: Evidence From Two Clinical Studies.Cureus · 2026Article
- Artificial Intelligence Applications in Implant Positioning, Dislocation Risk Prediction, and Surgical Indications in Orthopaedic Surgery.Bioengineering (Basel, Switzerland) · 2026Review
- Evaluating deepresearch and deepthink in total knee arthroplasty patient education: ChatGPT-4o excels in comprehensiveness, Deepseek R1 leads in clarity and readability of orthopedic information.Joint diseases and related surgery · 2026Article
- Robotic arm-assisted total knee arthroplasty reduces postoperative inflammatory response and blood loss compared to manual total knee arthroplasty: A matched-pairs analysis of 688 patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Perioperative denosumab exposure and risk of revision after total hip and knee arthroplasty in osteoarthritis: a registry-based data linkage study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Diagnostic Utility of Synovial Cell Count Prior to Revision Compared to Re-Revision Arthroplasty.Antibiotics (Basel, Switzerland) · 2026Article
- Patient-Reported Outcomes and Preferences for Total Hip Arthroplasty Approach-Crossover Cohort Study.Journal of clinical medicine · 2026Article
- Rapid molecular culture versus conventional culture for periprosthetic joint infection: diagnostic performance and clinical relevance.Journal of bone and joint infection · 2026Article
- Periprosthetic joint infection (PJI) due to candida tropicalis following total knee arthroplasty (TKA): A case report.IDCases · 2026Article
- Low prognostic nutritional index is highly associated with periprosthetic joint infection in revision arthroplasty: a 14-year retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- High prevalence of metal detector activation and its psychological impact in patients with total knee arthroplasty: A case-control study.Journal of experimental orthopaedics · 2025Article
- Mid-Term Results of a Cemented Titanium-Niobium Nitride-Coated Mobile Knee in Primary Total Knee Arthroplasty.Journal of clinical medicine · 2025Article
- Examining the thoughts and experiences of repeatedly revised knee arthroplasty patients-a qualitative study.BMC musculoskeletal disorders · 2025Article
- The projected economic burden and complications of revision hip and knee arthroplasties: Insights from national registry studies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Review
- Article
- Preoperative geriatric nutritional risk index as a predictor of postoperative delirium in revision arthroplasty: a 10-year retrospective cohort study.Frontiers in medicine · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The rising volume of primary hip and knee arthroplasties has led to a parallel increase in revision surgeries, creating significant clinical and economic challenges for healthcare systems worldwide. This study synthesizes national arthroplasty registry data to evaluate trends in revision aetiology, associated costs and regional disparities. While advancements in prosthetic design have reduced aseptic loosening rates (declining to 35.1% for hips and 18.3% for knees), septic complications now account for a growing proportion of revision cases, rising to 18.2% for hips and 21.6% for knees. Additionally, instability and malalignment persist at 15.9% and 14.1%, respectively. Revision procedures are 76% more costly than primary surgeries, with two-stage septic revisions incurring costs of up to $37,297 per case. Beyond direct surgical costs, prolonged recovery and productivity loss contribute to a broader economic impact. Regional variations, such as higher periprosthetic fracture rates in England and Wales, highlight inconsistencies in data reporting and healthcare practices. Addressing these challenges requires standardized infection definitions, enhanced registry collaboration and investment in infection prevention strategies. The role of referral centres in improving outcomes and reducing costs through multidisciplinary care is increasingly recognized. By integrating evidence-based infection management protocols and leveraging emerging technologies, the orthopaedic community can optimize patient outcomes and reduce the financial burden of revising arthroplasties. LEVEL OF EVIDENCE: Level IV.
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