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The Australian registry reported high failure rates in all registered 8971 primary proximal modular neck total hip replacements undertaken for symptomatic osteoarthritis (19 different brands): five and 10 year cumulative revisions were 7.4%95%5% confidence interval 6.7 to 8.1) and 10.8% (9.6 to 12.1).
Similar(59)
While only 60% of the patients have actually been revised, the estimated cumulative revision risk at end of follow-up is 100%.
Evidence from cohort and observational studies has confirmed substantial improvements in pain relief with cumulative revision rates at 10 years following total hip (THA) and total knee arthroplasties (TKA) at 7% and 10%, respectively.
The unadjusted cumulative revision rates were similar.
The cumulative revision rate for all studies was 1.22%.
Survival statistics were used to calculate the cumulative revision rate.
The cumulative revision rate (CRR) was calculated using any reason for revision as the endpoint.
The cumulative revision rate at 40 months with revision for any reason was 11%95%5% CI: 4 18).
There were 14 revisions for a cumulative revision rate of 1.22%.
The cumulative revision rate was calculated using the life-table method with 1-month intervals.
Kaplan-Meier survival analysis was used to estimate the unadjusted cumulative revision rates.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com