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

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

Research output: Contribution to journalArticlepeer-review

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

Original languageEnglish (US)
JournalArchives of Orthopaedic and Trauma Surgery
DOIs
StateAccepted/In press - 2021
Externally publishedYes

Keywords

  • Adverse local tissue reaction
  • Dual taper neck-stem
  • Metal-on-metal bearing
  • Post-revision complication
  • Recalled hip implant
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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