Long-term Outcomes of Hip Replacement
- Products
- ADEPT® Hip Resurfacing System
- Long-term Outcomes
Although THR is a highly successful procedure in many patients, younger patients are more likely to require revision surgery in the early years after their primary surgery than older patients (Figures 4-5). The rate of revisions beyond 10 years also increases in younger patient groups (the graphs become steeper), illustrating the number of younger patients who will face a more complex and expensive revision operation in their lifetime.
Figure 4: NJR Kaplan-Meier estimates of cumulative revision of all hip replacements, excluding MoM THR and resurfacings5.
Note the increasing rate of revisions (upward curve) for younger patients beyond 10 years.
Figure 5: Swedish registry survivorship of total hip replacements for younger patients: 30-50% of patients will have required
revision surgery within 25 years of their primary operation24.
Registry data does differ for individual devices and bearing options; however, a distinct overall trend is evident in younger males for whom hip resurfacing is most often prescribed (80.6% of the AOANJRR-recorded hip resurfacing patients were male with average age 53.4 years, SD: 9.1)19. An independent post-market surveillance report on ADEPT® Hip Resurfacing25 found that male patients under the age of 50 with indication osteoarthritis have a lower risk of revision than any THR bearing type: 0.9% (0.0, 1.9) at 10.5 years. Not only have these patients benefitted from the return to activity offered by hip resurfacing, but they have also become less likely to have required a revision surgery than similarly aged THR patients overall.
Young, male hip resurfacing patients are less likely to require revision surgery than similarly aged THR patients.
References
5. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 18th Annual Report, 2021: Surgical data to 31 December 2020. www.njrreports.org.uk.
19. Australian Orthopaedic Association National Joint Replacement Registry. Hip, Knee & Shoulder Arthroplasty: 2021 Annual Report. Adelaide: AOA. 2021. https://aoanjrr.sahmri.com.
24. The Swedish Hip Arthroplasty Register. Annual Report 2015. https://registercentrum.blob.core.windows.net/shpr/r/Annual-Report-2015-H19dFINOW.pdf. Accessed 6 Dec 18.
25 Van der Straeten C. Independent Post Market Surveillance Report on ADEPT (worldwide data sources). Internal report reference ER-2020-011.
Resources
ADEPT® Clinical Rationale
ADEPT® Flyer
ADEPT® Operative Technique
Download Now
Fill in your details below to download the ADEPT® Clinical Rationale
Additional Text
Download Now
Fill in your details below to download the ADEPT® Flyer.
Additional Text
Download Now
Fill in your details below to download the ADEPT® Operative Technique