Table 4.
0–20-year follow-up | Revision % | 6–10-year follow-up | 11–20-year follow-up | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cause of revision Prosthesis | No. revised | RR | 95% CI | p-value | 8-year | 18-year | 95% CI | No. revised | RR | p-value | No. revised | RR | p-value |
All causes | |||||||||||||
Charnley | 1,141 | 1 | 5.3 | 12 | 11–13 | 406 | 1 | 242 | 1 | ||||
Exeter | 330 | 0.9 | 0.8–1.1 | 0.3 | 3.9 | 12 | 10–15 | 102 | 0.8 | 0.1 | 124 | 1.4 | 0.02 |
Titan | 146 | 0.7 | 0.6–0.8 | < 0.001 | 3.0 | 9.7 | 7.2–12 | 51 | 0.7 | 0.01 | 39 | 1.0 | 1.0 |
Spectron/ITH | 135 | 0.8 | 0.7–1.0 | 0.02 | 2.2 | 11 | 9.3–14 | 49 | 0.8 | 0.2 | 67 | 1.7 | < 0.001 |
IP/SP (I, II) b | 8 | 0.3 | 0.1–0.6 | < 0.001 | 1.6 | c | c | 1 | 0.1 | 0.02 | 2 | 0.3 | 0.1 |
Aseptic loosening | |||||||||||||
Charnley | 851 | 1 | 3.6 | 8.6 | 7.8–9.5 | 340 | 1 | 203 | 1 | ||||
Exeter | 219 | 0.8 | 0.6–1.0 | 0.03 | 2.1 | 8.8 | 6.9–11 | 74 | 0.7 | 0.01 | 96 | 1.3 | 0.1 |
Titan | 100 | 0.7 | 0.5–0.8 | < 0.001 | 1.8 | 6.8 | 5.1–8.9 | 43 | 0.7 | 0.02 | 32 | 1.0 | 1.0 |
Spectron/ITH | 119 | 0.9 | 0.7–1.1 | 0.4 | 1.7 | 9.7 | 7.8–12 | 46 | 0.9 | 0.5 | 62 | 1.9 | < 0.001 |
IP/SP (I, II) b | 3 | 0.1 | 0.0–0.6 | 0.001 | 0.3 | c | c | 1 | 0.1 | 0.03 | 2 | 0.4 | 0.2 |
Aseptic loosening of cup | |||||||||||||
Charnley | 417 | 1 | 1.4 | 4.5 | 3.9–5.2 | 152 | 1 | 136 | 1 | ||||
Exeter | 188 | 1.4 | 1.1–1.9 | 0.01 | 1.7 | 7.6 | 5.7–9.7 | 59 | 1.3 | 0.2 | 88 | 1.8 | < 0.001 |
Titan | 76 | 1.1 | 0.8–1.4 | 0.5 | 1.3 | 5.4 | 3.8–7.0 | 33 | 1.2 | 0.4 | 27 | 1.3 | 0.2 |
Spectron | 90 | 1.4 | 1.1–1.8 | 0.003 | 0.9 | 7.5 | 5.7–9.2 | 33 | 1.5 | 0.05 | 53 | 2.4 | < 0.001 |
IP b | 2 | 0.2 | 0.1–0.8 | 0.03 | 0.3 | c | c | 1 | 0.3 | 0.2 | 1 | 0.3 | 0.3 |
Aseptic loosening of stem | |||||||||||||
Charnley | 789 | 1 | 3.5 | 7.8 | 7.0–8.6 | 321 | 1 | 1 | 178 | 1 | |||
Exeter | 106 | 0.4 | 0.3–0.5 | < 0.001 | 1.1 | 3.9 | 2.7–5.1 | 35 | 0.3 | < 0.001 | 40 | 0.5 | 0.002 |
Titan | 63 | 0.5 | 0.4–0.6 | < 0.001 | 1.2 | 4.0 | 2.9–5.2 | 26 | 0.5 | < 0.001 | 21 | 0.7 | 0.2 |
ITH | 59 | 0.5 | 0.4–0.6 | < 0.001 | 1.3 | 4.1 | 3.0–5.3 | 25 | 0.5 | < 0.001 | 24 | 0.8 | 0.3 |
SP (I, II)b | 3 | 0.1 | 0.0–0.5 | 0.001 | 0.3 | c | c | 1 | 0.1 | 0.03 | 2 | 0.4 | 0.2 |
a Revision rate ratios (RRs) and revision percentages with adjustment for sex, age, diagnosis, and cement brand.
b Full brand name: Link IP/Lubinus SP I (n = 205) and Link IP/Lubinus SP II (n = 1,809).
c Less than 50 prostheses at risk.