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Outcome of revision surgery for adverse local tissue reactions in patients with recalled total hip arthroplasty

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Recalls of total hip arthroplasty (THA) implants, including metal-on-metal (MoM) THA and dual taper stems, due to increased risk of adverse local tissue reaction (ALTR), represent a challenge for both surgeons and patients. This study aims to analyze the revision surgery outcomes for ALTR in patients with recalled THA implants.

Methods

A total of 118 consecutive patients who underwent revision surgery due to ALTR with recalled THA were analyzed. Sub-group analysis was performed for recalled MoM THAs, head-neck modular stems, and dual taper neck-stems.

Results

At a mean follow-up of 6.6 years, the complication and reoperation rates of the recalled THAs were 32.2% and 25.4% respectively. The most common post-revision complication was dislocation (16%). Revision of modular taper corrosion THA and high-grade intraoperative tissue damage were risk factors associated with post-revision complications.

Conclusion

This study reports high complication and reoperation rates of recalled THAs at mid-term follow-up. The high revision surgery complication rates in both groups suggest the importance of a systematic evaluation of all THA patients with at-risk implants.

Level of evidence

Level III, case control retrospective analysis

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Authors and Affiliations

  1. Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA

    Christian Klemt, Sakkadech Limmahakhun, Georges Bounajem, Christopher M. Melnic, Michael J. Harvey & Young-Min Kwon

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  1. Christian Klemt
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  2. Sakkadech Limmahakhun
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Correspondence to Young-Min Kwon.

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The authors have no relevant financial or non-financial interests to disclose. The authors have no conflicts of interest to declare that are relevant to the content of this article. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.

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Klemt, C., Limmahakhun, S., Bounajem, G. et al. Outcome of revision surgery for adverse local tissue reactions in patients with recalled total hip arthroplasty. Arch Orthop Trauma Surg 142, 2577–2583 (2022). https://doi.org/10.1007/s00402-021-03891-3

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  • DOI: https://doi.org/10.1007/s00402-021-03891-3

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