Table 6.
Isolated acetabular revision of metal-on-polyethylene bearing surfaces
| Study | Number of hips (patients) | Followup: mean (years; range) | Dislocation | Aseptic cup loosening | Deep Infection | Survival rate (no rerevision of acetabular component) |
|---|---|---|---|---|---|---|
| Poon and Lachiewicz 1998 [35] | 38 (36) | 4 (2–10) | 3 (8%) | 0% | 1 | 100% at final followup; 95% both components |
| Jamali et al. 2004 [22] | 63 (61) 95 (93) |
10.8 (5–17) 2 |
8% | 5% | 0 | 90.5% at 10 years; 32 additional were included in survivorship but not detailed analysis |
| Jones and Lachiewicz 2004 [23] | 69 isolated acetabular revision. | 6 (< 1–18) | 14 (20%) | 4 of 211 (2%) | 3 | 95% at 12 years; no statistically significant difference between isolated revision and both component revision |
| 142 both component revision | 11 (8%) | |||||
| Manning et al. 2005 [29] (recalled components) |
26 (25) | 2.4 (2.1–2.7) | 0 | 0 | 0 | 100% at final followup |
| Lawless et al. 2010 [25] | 42 (39) | 6.4 (2.5–13.4) | 0 | 3 (7%) | 1 (2%) | 88% at final followup includes femur only revision for fracture |
| Hernigou et al. 2012 [20] (includes alumina) |
165 (150) 83 alumina heads 82 metal heads |
15 (10–25) 15 (10–20) alumina heads 17 (10–25) metal heads |
3 | 2 both in metal heads | NR (0 revisions for infection) | 100% at 10 years and 98% at 15 years alumina head; 89% and 85% at 10 and 15 years metal head (survival rate for both components) |
| Civinini et al. 2012 [10] (dual mobility) |
33 (33) | 3.3 (2–5) | 0 | 0 | 1 | 97% at 5 years both components |
| Wetters et al. 2013 [41] | 316 (NR) out of 1152 (991) any type revision |
2 (0.25–7.1) for all revisions | 32 (10%) | NR | NR | NR |
| Cogan et al. 2011 [11] (anterior approach) |
61 (59) | 2.4 (1–7) | 4 (7%) | NR | NR | NR |
NR = not reported.