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

Kenney, Connor; Dick, Steven; Lea, Justin; Liu, Jiayong; Ebraheim, Nabil A · J Orthop · 2019

systematic_review · Level I

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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).

Anatomy