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This method was recently reported with 6/47 repeat revisions after a mean of 5 years follow-up (Tze-Pui and Kwong-Yuen 2003).
Considering the probably catastrophic outcome of repeat revisions for septic failure, further studies are required to define the indications for this approach.
We determined the (1) survival rates with the end point revision for any reason, aseptic revision, and radiographic loosening; (2) VAS pain score, HHS [ 22], and the OHQS [ 11]; (3) number of repeat revisions; (4) complications; and (5) radiographic loosening, wear, and radiolucencies.
We specifically determined the (1) survival rates with the end point of revision for any reason, aseptic revision, and radiographic loosening; (2) visual analog scale (VAS) pain score, Harris hip score (HHS), and the Oxford Hip Questionnaire score (OHQS); (3) number of repeat revisions; (4) complications; and (5) radiographic loosening, wear, and radiolucencies.
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Eisler, T., Malchau, H., Oden, A., Soderman, P., Karrholm, J., Herberts, P. Early-Revision THR Indicates High Risk of Repeat Revision.
The use of locked stems has increased, but repeat revision with a short stem which is also called "de-escalation" has not been extensively studied.
Three cups (11%) needed repeat revision.
In addition to the three hips needing repeat revision, another two cups were considered radiographically loose.
Three patients (three hips) underwent repeat revision surgery and another two patients (two hips) had radiographically loose hips.
In a study of revision arthroplasty using impaction grafting, Buttaro et al. [ 7] also reported no additional radiolucent lucencies except in patients with hips needing repeat revision.
Moreover, 28 of these patients underwent 47 additional surgical procedures, 34 of which were again major revisions either a repeat revision or an ankle fusion.
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