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In a study of a first-generation porous-coated cup (PCA) with 15 17 years follow-up, 17% of the cups had been revised due to loosening with or without osteolysis [21], whereas a recent 20-year study found 96% survival of shell and 17% liner revision rate [15].
In total 256 hips have been revised due to ARMD.
Only 1 of 287 dual-mobility cups had been revised due to dislocation.
Earlier views have been revised due to the increased proportion of overweight children in society.
At the time of latest follow-up, 143 hips had been revised due to reasons other than ceramic head failure.
1.5% of the HAs were reported to the NHFR to have been revised due to infection (Table 2).
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205 prostheses (23% of all revisions) were revised due to infection.
As for their revision profile, which can include multiple diagnoses, 4 were revised due to pain without loosening, 4 were revised due to infection, and 3 were revised due to aseptic loosening.
5 years after implantation, 1 case of progressive subsidence due to poor cement technique required revision; only the stem was changed. 1 prosthesis was revised due to persistent and unexplained pain; the implant was not loose.
Except for the patient who was revised due to infection before the 5-year follow-up, there were no revisions up to 10 years.
Two (0.7%) arthoplasties, in which patient selection and surgical errors were identified, were revised due to aseptic loosening, one due to infection and one due to a traumatic dislocation.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com