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What Are the Causes for Failures of Primary Hip Arthroplasties in France?

  • Symposium: 2012 International Hip Society Proceedings
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Background

There are no large database cohorts describing the causes for failure of primary THAs in France. Because implants and causes for revision vary between national registers, it is important to obtain data from all countries.

Questions/purposes

We therefore determined (1) the mechanisms of failure of primary THAs, (2) their order of appearance with time, (3) the types of surgical techniques and implant designs used to perform revision THAs, and (4) 90-day complications after revision THA in France.

Methods

We prospectively collected data on all 2107 first-time revision THAs from 30 tertiary centers from January 1, 2010, to December 31, 2011. A dual-mobility liner had been used in 251 hips. Mean time from primary procedure to revision THA was 11.2 years (range, 1 day to 42 years). Mean age at revision was 70 years (range, 17–104 years).

Results

The causes for revision were mechanical loosening (42%), periprosthetic fracture (12%), infection (11%), wear/osteolysis (11%), dislocation (10%), surgical technique error (6%), and implant fracture (3%). The most common type of revision procedure was all-component revision (49%). A dual-mobility liner was used in 1184 hips (62%). The 90-day dislocation rate was less than 4%, and mortality rate was 1.6%.

Conclusions

Contrary to other reported data, we found dislocation was not the main cause for failure of primary THAs but was still the more frequent early complication after revision. These findings might be related to the use of dual-mobility sockets in more than 10% of primary THAs and more than 60% of revision THAs.

Level of Evidence

Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank all the orthopaedic surgeons from the 30 institutions who participated in this project (The SoFCOT Group): CHU d’Amiens, Hôpital Nord (Amiens, France): Jean-François Lardanchet, Patrice Mertl, Jérome Taviaux; Institut Calot (Berck, France): Alain Cazenave; CHU de Caen (Caen, France): Christophe Hulet, Benoit Lebel; CH de Cannes (Cannes, France): Jacques Tabutin; Hôpitaux Civils de Colmar (Colmar, France): Claude Schwartz; Hôpital St-Jacques (Clermond-Ferrand, France): Stéphane Boisgard, Stéphane Descamps, Myriam Galvin, Jean-Paul Levai; CHRU de Grenoble (Grenoble, France): Marc Blaysat, Dominique Saragaglia; CHU Roger Salengro (Lille, France): Henri Migaud, Grégory Kern; Department of Biostatistics, CERIM, Université Lille (Lille, France): Nassima Ramdane-Sebbane; Hôpital E Herriot–Pavillon T (Lyon, France): Jacques Bejui-Hugues, Jean-Paul Carret, Olivier Guyen; Centre Hospitalier Lyon Sud (Lyon, France): Romain Desmarchelier, Michel Fessy, Anthony Viste; Centre ostéo-articulaire des Cèdres (Echirolles, France): Jean-Louis Prudhon, François Steffann; CH Sainte Marguerite (Marseille, France): Jean-Noël Argenson, Xavier Flecher; SINCAL-CHU (Nancy, France): Daniel Molé, Richard Philippe, Olivier Roche; Hôtel Dieu (Nantes, France): Alexandre Bocéno, François Gouin, Norbert Passutti; Groupement cliniques privées GOS (Nice, France): Loys Descamps; Clinique Jouvenet (Paris, France): Fabrice Gaudot, Jean-Baptiste Leymarie, Thierry Siguier, Grégory Sorriaux; Hôpital Cochin–Pavillon Ollier (Paris, France): Jean-Pierre Courpied, Matthieu Karoubi; Institut Mutualiste Montsouris (Paris, France): Emmanuel de Thomasson; Hôpital Bichat (Paris, France): Philippe Loriaut, Philippe Massin; Hôpital Lariboisière (Paris, France): Laurent Sedel, Frédéric Zadegan; CHU Jean Bernard (Poitiers, France): Louis-Etienne Gayet, Simon Teyssédou; CH de Pont-Labbé (Pont-Labbé, France): François Gaucher; CHP St Grégoire (Rennes, France): Philippe Triclot; CHU Sud (Rennes, France): Denis Huten, Jean-Christophe Lambotte, Jean-Louis Polard; Clinique Chirurgicale Orthopédique (Rouen, France): Franck Dujardin; CHU de Saint Etienne (Saint Etienne, France): Bertrand Boyer, Frédéric Farizon; Centre de Chirurgie Orthopédique et Traumatologique de Strasbourg (Strasbourg, France): Jean-Yves Jenny; CHU Hautepierre (Strasbourg, France): François Bonnomet, Matthieu Ehlinger, Frédéric Leiber-Wackenheim, Jean-François Kempf; CHU Rangueil (Toulouse, France): Philippe Chiron, Nicolas Reina; and Hôpital du Chesnay (Versailles, France): Philippe Beaufils, Philippe Oger.

Author information

Authors and Affiliations

  1. Department of Orthopaedics, Clinique de l’Yvette, 67-69 Route de Corbeil, 91160, Longjumeau, France

    Christian Delaunay MD

  2. Clinical Orthopaedic Research Center, Department of Orthopaedic and Reconstructive Surgery, Service A, Centre Hospitalo-Universitaire Cochin-Port Royal, Paris, France

    Moussa Hamadouche MD, PhD

  3. Department of Orthopaedic and Traumatologic Surgery, Centre Hospitalier Universitaire Roger Salengro, Université de Lille, Lille, France

    Julien Girard MD

  4. Department of Biostatistics, CERIM, Université Lille Nord de France, Lille, France

    Alain Duhamel PhD

Authors
  1. Christian Delaunay MD
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  2. Moussa Hamadouche MD, PhD
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  3. Julien Girard MD
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  4. Alain Duhamel PhD
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Consortia

The SoFCOT Group

Corresponding author

Correspondence to Christian Delaunay MD.

Additional information

The institution of one or more of the authors (AD) has received, during the study period, funding from Société Française de Chirurgie Orthopédique et Traumatologique (SoFCOT, Paris, France).

All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request.

This work was performed at 30 French orthopaedic tertiary centers (see Acknowledgments).

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Delaunay, C., Hamadouche, M., Girard, J. et al. What Are the Causes for Failures of Primary Hip Arthroplasties in France?. Clin Orthop Relat Res 471, 3863–3869 (2013). https://doi.org/10.1007/s11999-013-2935-5

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  • DOI: https://doi.org/10.1007/s11999-013-2935-5

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