Early Failure of the Polarstem Total Hip Arthroplasty—Can The Australian NJR Tell Us The Full Story?
Abstract The Australian NJR 2012 has reported that the Polarstem/R3 Total hip arthroplasty has a higher than anticipated revision rate with a three year cumulative percentage of 3%. Out of the 733 Polarstem femoral components, 18 had to be revised within 3 years. Our unit has been using this system...
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| Veröffentlicht in: | The Journal of arthroplasty 2014-03, Vol.29 (3), p.609-611 |
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| container_title | The Journal of arthroplasty |
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| creator | Lee, Paul Y.F., MBBCh, MRCS, MSc, PhD Evans, Aled R., MBBCh, BSc, MSc, FRCS (Orth) |
| description | Abstract The Australian NJR 2012 has reported that the Polarstem/R3 Total hip arthroplasty has a higher than anticipated revision rate with a three year cumulative percentage of 3%. Out of the 733 Polarstem femoral components, 18 had to be revised within 3 years. Our unit has been using this system since 2009. The aim of this prospective study is to report the clinical outcome of the PolarStem in our cohort of 646 stems with 100% follow up, compared to the Australian registry. Of the 646 hips, 5 returned to theater for a further operation for any reason. The cumulative 3 year survival rate was 99.7%, with revision for any reason as the endpoint. Our 3 year cumulative revision rate for all revisions in the Polarstem femoral stem is 0.15%, which is 20 times less as compared to the 3% reported by the Australian registry. |
| doi_str_mv | 10.1016/j.arth.2013.07.040 |
| format | Article |
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Out of the 733 Polarstem femoral components, 18 had to be revised within 3 years. Our unit has been using this system since 2009. The aim of this prospective study is to report the clinical outcome of the PolarStem in our cohort of 646 stems with 100% follow up, compared to the Australian registry. Of the 646 hips, 5 returned to theater for a further operation for any reason. The cumulative 3 year survival rate was 99.7%, with revision for any reason as the endpoint. 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Out of the 733 Polarstem femoral components, 18 had to be revised within 3 years. Our unit has been using this system since 2009. The aim of this prospective study is to report the clinical outcome of the PolarStem in our cohort of 646 stems with 100% follow up, compared to the Australian registry. Of the 646 hips, 5 returned to theater for a further operation for any reason. The cumulative 3 year survival rate was 99.7%, with revision for any reason as the endpoint. Our 3 year cumulative revision rate for all revisions in the Polarstem femoral stem is 0.15%, which is 20 times less as compared to the 3% reported by the Australian registry.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Australia</subject><subject>Female</subject><subject>Hip Joint</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Joint Diseases - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>National Joint Replacement Registry</subject><subject>Orthopedics</subject><subject>Polarstem</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>R3 cup</subject><subject>Registries</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9uEzEQxi0EoqHwAhyQj1x28azt_SMhUBQ1FFQBounZcryzqoMTp7YXaW88BE_Ik-AlhQMHTh7L3_eN5zeEPAdWAoP61a7UId2WFQNesqZkgj0gC5C8KlrB6odkwdqWF1IwfkaexLhjDEBK8ZicVbzruOB8QYYLHdxE19q6MSD1A023SD97p0NMuKcbn7Sjl_ZIl7lX8EenY5p-fv-x0ge6ydLlGFPQzubrxw9f6Aadozfx99N6zPV18mF6-5Q8GrSL-Oz-PCc364vN6rK4-vTu_Wp5VRgBkArT9QaFaWQvcJC16Jqh1RUMFYptB5pzyRBq3leNga6Bum1119RbLmRbZwPj5-TlKfcY_N2IMam9jSb_SR_Qj1GB6DqQDESdpdVJaoKPMeCgjsHudZgUMDXzVTs181UzX8Ualflm04v7_HG7x_6v5Q_QLHh9EmCe8pvFoKKxeDDY24Amqd7b_-e_-cdunD1Yo91XnDDu_BgOmZ8CFSvF1PW84XnBwBmTspX8FxQfoDo</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Lee, Paul Y.F., MBBCh, MRCS, MSc, PhD</creator><creator>Evans, Aled R., MBBCh, BSc, MSc, FRCS (Orth)</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Early Failure of the Polarstem Total Hip Arthroplasty—Can The Australian NJR Tell Us The Full Story?</title><author>Lee, Paul Y.F., MBBCh, MRCS, MSc, PhD ; Evans, Aled R., MBBCh, BSc, MSc, FRCS (Orth)</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-c9dce4c75d4ef56497f8a21f2e4b91a3350e163d27c1971688a976b34586ef503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Australia</topic><topic>Female</topic><topic>Hip Joint</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Joint Diseases - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>National Joint Replacement Registry</topic><topic>Orthopedics</topic><topic>Polarstem</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>R3 cup</topic><topic>Registries</topic><topic>total hip arthroplasty</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Paul Y.F., MBBCh, MRCS, MSc, PhD</creatorcontrib><creatorcontrib>Evans, Aled R., MBBCh, BSc, MSc, FRCS (Orth)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Paul Y.F., MBBCh, MRCS, MSc, PhD</au><au>Evans, Aled R., MBBCh, BSc, MSc, FRCS (Orth)</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Failure of the Polarstem Total Hip Arthroplasty—Can The Australian NJR Tell Us The Full Story?</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>29</volume><issue>3</issue><spage>609</spage><epage>611</epage><pages>609-611</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract The Australian NJR 2012 has reported that the Polarstem/R3 Total hip arthroplasty has a higher than anticipated revision rate with a three year cumulative percentage of 3%. Out of the 733 Polarstem femoral components, 18 had to be revised within 3 years. Our unit has been using this system since 2009. The aim of this prospective study is to report the clinical outcome of the PolarStem in our cohort of 646 stems with 100% follow up, compared to the Australian registry. Of the 646 hips, 5 returned to theater for a further operation for any reason. The cumulative 3 year survival rate was 99.7%, with revision for any reason as the endpoint. Our 3 year cumulative revision rate for all revisions in the Polarstem femoral stem is 0.15%, which is 20 times less as compared to the 3% reported by the Australian registry.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23993433</pmid><doi>10.1016/j.arth.2013.07.040</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2014-03, Vol.29 (3), p.609-611 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - instrumentation Australia Female Hip Joint Hip Prosthesis Humans Joint Diseases - surgery Male Middle Aged National Joint Replacement Registry Orthopedics Polarstem Prospective Studies Prosthesis Design Prosthesis Failure R3 cup Registries total hip arthroplasty Treatment Outcome Young Adult |
| title | Early Failure of the Polarstem Total Hip Arthroplasty—Can The Australian NJR Tell Us The Full Story? |
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