Table 2.
Risk of insert exchange. Crude and adjusted hazard ratios (HR) for insert exchange derived from the Cox-regression comparing 6-mm inserts to inserts of 8 mm or more
| Parameter | Hazard ratio | 95% CI |
|---|---|---|
| Crude | 11 | 1.4–93 |
| Adjusted for: | ||
| Age | 11 | 1.4–94 |
| Gender | 10 | 1.1–79 |
| Weighta | 85 | 4.1–1758 |
| BMIa | 39 | 3–511 |
| Diagnosis | 21 | 2.3–196 |
| Medial / Lateral | 10 | 1.3–87 |
| Post-operative FTA angle | 15 | 1.7–143 |
| Post-operative KSS | 12 | 1.4–102 |
| Difference in femoral and tibial component size [23] | 13 | 1.5–106 |
Note the 6-mm inserts have a significant 11 times higher revision risk compared to the inserts of 8 mm or more. This increased risk remains when adjusting for confounders
a When adjusting for weight or BMI the HR increases to 39 and 85, respectively, with a very wide confidence interval. This is due to the fact that BMI and weight are strong confounders and the cohort is relatively small with only eight insert exchanges