Home E-Weekly March 27, 2018

Hip Replacement Revisions Increasing in Middle-Aged Patients

Published: March 27, 2018

Hip Surgery DO OVER Hip replacement surgery is getting safer, but techniques and implant materials must continue to improve.

Patients who opt to get their hips replaced at a younger age are more likely to require a revision surgery to fix joint dislocations or repair faulty implants, according to a study published in The Journal of Bone & Joint Surgery.

The review of 320,500 total hip revisions performed between 2007 and 2013 revealed a 12% increase in the rate of the procedures. A closer look at the data shows that the rate increased by 30% among patients between the ages of 45 and 64, but declined among all other age groups. Revision surgeries caused by hip dislocations decreased by 14%, but rates of mechanical-related complications increased, likely due to the prevalent use of metal-on-metal implants during the study period, according to the researchers.

There was some positive news to take from the findings: Rates of mortality, discharges to skilled nursing facilities and serious post-op complications — including blood clots, heart attack, pneumonia and urinary tract infection — decreased significantly over the study period.

The researchers say their study revealed an overall positive trend in hip replacement outcomes, but add that middle-aged patients who undergo successful hip replacement surgery typically outlive their implants, a reality that demands making the devices with longer-lasting materials.

"Hip arthroplasty revision is a lot safer and more successful than 20 years ago, but still occurs too frequently," says study senior author Guy Paiement, MD, associate director of the Education Orthopaedic Center at Cedars-Sinai Medical Center in Los Angeles, Calif. "We need to continue improving techniques and implants."

Daniel Cook

New to Outpatient Surgery Magazine?
Sign-up to continue reading this article.
Register Now
Have an account? Please log in:
Email Address:
  Remember my login on this computer

advertiser banner

Other Articles That May Interest You

5 Difference-Making Tools for Total Joints

Investing in these innovations could push your program to the next level.

The Brave New World of Bundled Joint Payments

Expert advice on how to succeed in a packaged-price model with hugely popular and highly expensive joint replacements.

Positioning Pointers From the Pros

Orthopedic surgeons offer their top tips for optimizing access during hip, knee and shoulder procedures.