Joint arthroplasty within 10 years after primary charnley total hip arthroplasty.

Oct 8, 2009American journal of orthopedics (Belle Mead, N.J.)

Joint replacement surgery within 10 years after initial Charnley total hip replacement

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Abstract

The 10-year rate for undergoing contralateral total hip arthroplasty is 35.0%.

Within 10 years post-primary total hip arthroplasty, 6.2% of patients required revision of the same hip.
A small percentage of patients underwent total knee arthroplasty on the same side (0.6%) or the opposite side (1.9%).
The incidence of bilateral total knee arthroplasty was 0.2%.
The overall death rate within 10 years was 21.8%.
Findings may assist surgeons in evaluating the likelihood of future joint surgeries.

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To evaluate the need for joint arthroplasty within 10 years after index primary Charnley total hip arthroplasty (THA) performed for osteoarthritis, we retrospectively reviewed the cases of 2,547 patients, 50 to 75 years old, from 1969 to 1984, with a minimum potential 20-year follow-up. In this article, we report the age, sex, and time data from this study. For the entire patient population, the 10-year rate of undergoing contralateral THA was 35.0%; ipsilateral hip revision, 6.2%; ipsilateral total knee arthroplasty (TKA), 0.6%; contralateral TKA, 1.9%; and bilateral TKA, 0.2%. The 10-year death rate was 21.8%. With more than 200,000 THAs being performed in the United States each year, these numbers can guide orthopedic surgeons in their discussions about subsequent arthroplasty procedures on other joints.

Joint arthroplasty within 10 years after primary charnley total hip arthroplasty.

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