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The potential long term revision rate with a higher complication rate on revisions needs to be considered.
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For total knee replacements (TKR), wear of the ultra-high molecular weight polyethylene (UHMWPE) tibial bearing surface is a frequent cause for long term revisions and failure.
However, to our knowledge, the literature on the long-term revision rates following THA in national samples has not been reviewed systematically.
In joint replacement surgery aseptic mechanical loosening is the main reason for long-term revision.
In the other, we determined the long-term revision rates for aseptic loosening of acetabular cups from survival studies.
From the other, we determined the long-term revision rates for aseptic loosening of TKPs from survival studies.
Cementing the prosthesis affords more secure fixation and may result in less postoperative midthigh pain and a reduced long-term revision rate (loosening is less).
The long-term revision rate reported by Ravikumar and Marsh [ 31] was used to estimate the rates for septic and aseptic revision for intracapsular fracture.
Now the observed association between early migration and long-term revision translates into practical thresholds that can lead to clinical guidelines for phased, evidence-based introduction of new TKPs.
The association we have found between early migration and long-term revision of acetabular cups translates into practical threshold values of migration (i.e. RSA) for such a phased evidence-based introduction policy.
Thus, the observed association in our study between early migration and long-term revision on shape-closed designed femoral stems can be adopted in phased evidence-based market introduction of new THAs.
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