Predictive outcomes of revision total hip replacement: A consecutive series of 1176 patients with a minimum 10-year follow-up

A Philpott, J S Weston-Simons, G Grammatopoulos, P Bejon, H S Gill, P McLardy-Smith, R Gundle, D W Murray, H Pandit

Research output: Contribution to journalArticle

23 Citations (Scopus)
108 Downloads (Pure)

Abstract

The burden of revision total hip replacement (THR) surgery is increasing. With an increasing life expectancy and younger age of primary surgery this trend is set to continue. There are few data on the long-term outcome of revision THR. This retrospective study of 1176 consecutive revision THRs with a minimum 10-year follow-up from a University Teaching Hospital was undertaken to review implant survival and patient reported outcomes.

Mean follow-up was 11 years with implant survival at 10 years of 82% (CI: 80–85). Implant survival varied between 58% (unexplained pain) to 84% (aseptic loosening) depending on the indication for revision surgery. Positive predictors of survival were age greater than 70 at the time of surgery (p = 0.011), revision for aseptic loosening (p < 0.01) and revision of both components or just the acetabular component (p < 0.01). At the last review, mean Oxford Hip Score (OHS) was 34 (SD: 11.3) and 92% of the living patients with unrevised hips were satisfied with the outcome of revision surgery.

This long term study has demonstrated that positive predictors of survival and outcome of revision THR surgery are age greater than 70 years, revision for aseptic loosening and component revision. This should aid surgeons in their counselling of patients prior to surgery.
Original languageEnglish
Pages (from-to)185-190
Number of pages6
JournalMaturitas
Volume77
Issue number2
Early online date7 Nov 2013
DOIs
Publication statusPublished - Feb 2014

Fingerprint

Hip Replacement Arthroplasties
Surgery
Survival
Reoperation
Hip
Life Expectancy
Teaching Hospitals
Counseling
Retrospective Studies
Pain
Teaching

Cite this

Predictive outcomes of revision total hip replacement : A consecutive series of 1176 patients with a minimum 10-year follow-up. / Philpott, A; Weston-Simons, J S; Grammatopoulos, G; Bejon, P; Gill, H S; McLardy-Smith, P; Gundle, R; Murray, D W; Pandit, H.

In: Maturitas, Vol. 77, No. 2, 02.2014, p. 185-190.

Research output: Contribution to journalArticle

Philpott, A, Weston-Simons, JS, Grammatopoulos, G, Bejon, P, Gill, HS, McLardy-Smith, P, Gundle, R, Murray, DW & Pandit, H 2014, 'Predictive outcomes of revision total hip replacement: A consecutive series of 1176 patients with a minimum 10-year follow-up', Maturitas, vol. 77, no. 2, pp. 185-190. https://doi.org/10.1016/j.maturitas.2013.10.019
Philpott, A ; Weston-Simons, J S ; Grammatopoulos, G ; Bejon, P ; Gill, H S ; McLardy-Smith, P ; Gundle, R ; Murray, D W ; Pandit, H. / Predictive outcomes of revision total hip replacement : A consecutive series of 1176 patients with a minimum 10-year follow-up. In: Maturitas. 2014 ; Vol. 77, No. 2. pp. 185-190.
@article{f086d9d848cd4c92a2ac01cd97a7d847,
title = "Predictive outcomes of revision total hip replacement: A consecutive series of 1176 patients with a minimum 10-year follow-up",
abstract = "The burden of revision total hip replacement (THR) surgery is increasing. With an increasing life expectancy and younger age of primary surgery this trend is set to continue. There are few data on the long-term outcome of revision THR. This retrospective study of 1176 consecutive revision THRs with a minimum 10-year follow-up from a University Teaching Hospital was undertaken to review implant survival and patient reported outcomes.Mean follow-up was 11 years with implant survival at 10 years of 82{\%} (CI: 80–85). Implant survival varied between 58{\%} (unexplained pain) to 84{\%} (aseptic loosening) depending on the indication for revision surgery. Positive predictors of survival were age greater than 70 at the time of surgery (p = 0.011), revision for aseptic loosening (p < 0.01) and revision of both components or just the acetabular component (p < 0.01). At the last review, mean Oxford Hip Score (OHS) was 34 (SD: 11.3) and 92{\%} of the living patients with unrevised hips were satisfied with the outcome of revision surgery.This long term study has demonstrated that positive predictors of survival and outcome of revision THR surgery are age greater than 70 years, revision for aseptic loosening and component revision. This should aid surgeons in their counselling of patients prior to surgery.",
author = "A Philpott and Weston-Simons, {J S} and G Grammatopoulos and P Bejon and Gill, {H S} and P McLardy-Smith and R Gundle and Murray, {D W} and H Pandit",
year = "2014",
month = "2",
doi = "10.1016/j.maturitas.2013.10.019",
language = "English",
volume = "77",
pages = "185--190",
journal = "Maturitas",
issn = "0378-5122",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

TY - JOUR

T1 - Predictive outcomes of revision total hip replacement

T2 - A consecutive series of 1176 patients with a minimum 10-year follow-up

AU - Philpott, A

AU - Weston-Simons, J S

AU - Grammatopoulos, G

AU - Bejon, P

AU - Gill, H S

AU - McLardy-Smith, P

AU - Gundle, R

AU - Murray, D W

AU - Pandit, H

PY - 2014/2

Y1 - 2014/2

N2 - The burden of revision total hip replacement (THR) surgery is increasing. With an increasing life expectancy and younger age of primary surgery this trend is set to continue. There are few data on the long-term outcome of revision THR. This retrospective study of 1176 consecutive revision THRs with a minimum 10-year follow-up from a University Teaching Hospital was undertaken to review implant survival and patient reported outcomes.Mean follow-up was 11 years with implant survival at 10 years of 82% (CI: 80–85). Implant survival varied between 58% (unexplained pain) to 84% (aseptic loosening) depending on the indication for revision surgery. Positive predictors of survival were age greater than 70 at the time of surgery (p = 0.011), revision for aseptic loosening (p < 0.01) and revision of both components or just the acetabular component (p < 0.01). At the last review, mean Oxford Hip Score (OHS) was 34 (SD: 11.3) and 92% of the living patients with unrevised hips were satisfied with the outcome of revision surgery.This long term study has demonstrated that positive predictors of survival and outcome of revision THR surgery are age greater than 70 years, revision for aseptic loosening and component revision. This should aid surgeons in their counselling of patients prior to surgery.

AB - The burden of revision total hip replacement (THR) surgery is increasing. With an increasing life expectancy and younger age of primary surgery this trend is set to continue. There are few data on the long-term outcome of revision THR. This retrospective study of 1176 consecutive revision THRs with a minimum 10-year follow-up from a University Teaching Hospital was undertaken to review implant survival and patient reported outcomes.Mean follow-up was 11 years with implant survival at 10 years of 82% (CI: 80–85). Implant survival varied between 58% (unexplained pain) to 84% (aseptic loosening) depending on the indication for revision surgery. Positive predictors of survival were age greater than 70 at the time of surgery (p = 0.011), revision for aseptic loosening (p < 0.01) and revision of both components or just the acetabular component (p < 0.01). At the last review, mean Oxford Hip Score (OHS) was 34 (SD: 11.3) and 92% of the living patients with unrevised hips were satisfied with the outcome of revision surgery.This long term study has demonstrated that positive predictors of survival and outcome of revision THR surgery are age greater than 70 years, revision for aseptic loosening and component revision. This should aid surgeons in their counselling of patients prior to surgery.

UR - http://www.scopus.com/inward/record.url?scp=84893640706&partnerID=8YFLogxK

UR - http://dx.doi.org/10.1016/j.maturitas.2013.10.019

U2 - 10.1016/j.maturitas.2013.10.019

DO - 10.1016/j.maturitas.2013.10.019

M3 - Article

C2 - 24289896

VL - 77

SP - 185

EP - 190

JO - Maturitas

JF - Maturitas

SN - 0378-5122

IS - 2

ER -