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. 2011 Nov 22;36(6):1175–1180. doi: 10.1007/s00264-011-1412-6

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