A systematic review of the causes of failure of Revision Total Hip Arthroplasty

J Orthop. 2019 May 2;16(5):393-395. doi: 10.1016/j.jor.2019.04.011. eCollection 2019 Sep-Oct.

Abstract

This study reviewed literature published in the last 10 years to investigate the reasons for revision failure. A total of 9952 revisions were identified and it was determined that the number one cause of failure was aseptic loosening (23.19%), followed by instability (22.43%) and infection (22.13%). Further analysis of applicable revisions investigated BMI and age at the failure rates. The rate of rerevision in obese patients was markedly higher (p < 0.01) compared to non-obese patients and individuals receiving a revision THA under the age of 55 are at a higher risk of rerevision (p < 0.01).

Keywords: Rerevision; Revision failure; Total hip arthroplasty (THA).

Publication types

  • Review