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Revision by procedure characteristics
Knee » Survival TKA » Revision by procedure characteristics » TKA by type of revision
FIGURE Cumulative revision percentage of total knee arthroplasties by type of revision in the Netherlands in 2007-2022 (n=335,039)
TABLE Cumulative revision percentages
Number at risk (n) | Competing Risk (95% CI) | Kaplan Meier¹ (95% CI) | |
Any type of revision | |||
1-year revision (%) | 304,549 | 1.0 (1.0-1.1) | 0.9 (0.9-1.0) |
3-year revision (%) | 252,296 | 3.3 (3.2-3.3) | 3.3 (3.2-3.3) |
5-year revision (%) | 194,494 | 4.2 (4.1-4.2) | 4.2 (4.2-4.3) |
10-year revision (%) | 73,177 | 5.5 (5.4-5.6) | 5.7 (5.6-5.8) |
14-year revision (%) | 13,062 | 6.2 (6.1-6.3) | 6.7 (6.6-6.9) |
Major revision² | |||
1-year revision (%) | 305,942 | 0.4 (0.4-0.5) | 0.4 (0.3-0.4) |
3-year revision (%) | 256,416 | 1.6 (1.5-1.6) | 1.6 (1.5-1.6) |
5-year revision (%) | 198,506 | 2.2 (2.1-2.2) | 2.2 (2.1-2.2) |
10-year revision (%) | 75,118 | 3.1 (3.0-3.1) | 3.2 (3.2-3.3) |
14-year revision (%) | 13,463 | 3.5 (3.4-3.6) | 3.9 (3.8-4.0) |
Minor revision³ | |||
1-year revision (%) | 305,581 | 0.6 (0.6-0.7) | 0.6 (0.6-0.6) |
3-year revision (%) | 256,236 | 1.7 (1.7-1.8) | 1.8 (1.8-1.9) |
5-year revision (%) | 198,965 | 2.1 (2.1-2.2) | 2.3 (2.2-2.3) |
10-year revision (%) | 76,046 | 2.6 (2.6-2.7) | 2.9 (2.8-2.9) |
14-year revision (%) | 13,665 | 2.9 (2.8-3.0) | 3.3 (3.2-3.4) |
¹ The cumulative revision percentage using the Kaplan Meier method is shown in the figure.
² First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
³ Only insert and/or patella exchange (including patella addition).
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; CI: confidence interval.
© LROI 2023
In 2007-2022, 44,088 (13.2%) primary TKAs were implanted in patients who died within fourteen years after the primary diagnosis
Knee » Survival TKA » Revision by procedure characteristics » TKA by procedure year
FIGURE Cumulative major revision percentage of total knee arthroplasties by procedure year of primary TKA in the Netherlands in 2009-2022 (n=256,136)
TABLE Cumulative major revision percentages
Cumulative major revision percentages – Kaplan Meier (95% CI) | |||||||
Procedure year primary TKA for osteoarthritis | Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 13yr |
2009-2010 | 33,148 | 0.35 (0.28-0.41) | 1.68 (1.54-1.82) | 2.40 (2.23-2.57) | 2.87 (2.69-3.05) | 3.52 (3.32-3.72) | 4.08 (3.85-4.31) |
2011-2012 | 39,145 | 0.41 (0.34-0.47) | 1.82 (1.69-1.95) | 2.52 (2.36-2.68) | 2.97 (2.80-3.14) | 3.52 (3.33-3.71) | n.a. |
2013-2014 | 44,035 | 0.40 (0.34-0.46) | 1.82 (1.69-1.95) | 2.44 (2.29-2.59) | 2.91 (2.75-3.07) | 3.55 (3.34-3.76) | n.a. |
2015-2016 | 46,940 | 0.43 (0.37-0.49) | 1.63 (1.51-1.75) | 2.21 (2.08-2.34) | 2.59 (2.44-2.74) | n.a. | n.a. |
2017-2018 | 49,370 | 0.33 (0.28-0.38) | 1.38 (1.28-1.48) | 1.88 (1.76-2.00) | n.a. | n.a. | n.a. |
2019-2020 | 43,498 | 0.28 (0.23-0.33) | 1.17 (1.06-1.28) | n.a. | n.a. | n.a. | n.a. |
Major revision precentage: first revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
TKA: total knee arthroplasty; CI: confidence interval; n.a. if <50 cases were at risk.
© LROI 2023
Knee » Survival TKA » Revision by procedure characteristics » TKA cemented by procedure year
FIGURE Cumulative major revision percentage of cemented total knee arthroplasties for osteoarthritis by procedure year of primary arthroplasty in the Netherlands in 2009-2022 (n=232,070)
TABLE Cumulative major revision percentages
Cumulative major revision percentages – Kaplan Meier (95% CI) | |||||||
Procedure year primary cemented TKA for osteoarthritis | Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 13yr |
2009-2010 | 28,010 | 0.32 (0.25-0.38) | 1.62 (1.47-1.77) | 2.31 (2.13-2.49) | 2.79 (2.59-2.99) | 3.46 (3.24-3.68) | 4.05 (3.81-4.29) |
2011-2012 | 34,137 | 0.40 (0.33-0.47) | 1.83 (1.69-1.97) | 2.54 (2.37-2.71) | 2.98 (2.80-3.16) | 3.56 (3.36-3.76) | n.a. |
2013-2014 | 40,178 | 0.37 (0.31-0.43) | 1.81 (1.68-1.94) | 2.43 (2.28-2.58) | 2.92 (2.75-3.09) | 3.59 (3.37-3.81) | n.a. |
2015-2016 | 43,515 | 0.40 (0.34-0.46) | 1.59 (1.47-1.71) | 2.16 (2.02-2.30) | 2.54 (2.39-2.69) | n.a. | n.a. |
2017-2018 | 45,958 | 0.32 (0.27-0.37) | 1.37 (1.26-1.48) | 1.89 (1.76-2.02) | n.a. | n.a. | n.a. |
2019-2020 | 40,272 | 0.27 (0.22-0.33) | 1.15 (1.04-1.26) | n.a. | n.a. | n.a. | n.a. |
Major revision precentage: first revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
TKA: total knee arthroplasty; CI: confidence interval; n.a. if <50 cases were at risk.
© LROI 2023
Knee » Survival TKA » Revision by procedure characteristics » TKA uncemented by procedure year
FIGURE Cumulative major revision percentage of uncemented total knee arthroplasties for osteoarthritis by procedure year of primary arthroplasty in the Netherlands in 2009-2022 (n=11,235)
TABLE Cumulative major revision percentages
Cumulative major revision percentages – Kaplan Meier (95% CI) | |||||||
Procedure year primary uncemented TKA for osteoarthritis | Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 13yr |
2009-2010 | 1,982 | 0.76 (0.38-1.15) | 2.56 (1.86-3.26) | 3.50 (2.68-4.32) | 3.78 (2.93-4.63) | 4.48 (3.55-5.41) | 4.75 (3.78-5.72) |
2011-2012 | 2,189 | 0.41 (0.14-0.68) | 2.26 (1.63-2.89) | 2.83 (2.13-3.53) | 3.13 (2.39-3.87) | 3.56 (2.77-4.35) | n.a. |
2013-2014 | 1,727 | 0.87 (0.43-1.31) | 1.93 (1.28-2.58) | 2.65 (1.89-3.41) | 2.90 (2.10-3.70) | 3.15 (2.22-4.08) | n.a. |
2015-2016 | 1,692 | 1.01 (0.53-1.49) | 2.51 (1.76-3.26) | 3.13 (2.29-3.97) | 3.42 (2.54-4.30) | n.a. | n.a. |
2017-2018 | 1,874 | 0.59 (0.24-0.94) | 1.68 (1.10-2.26) | 2.10 (1.44-2.76) | n.a. | n.a. | n.a. |
2019-2020 | 1,771 | 0.51 (0.18-0.84) | 2.08 (1.38-2.78) | n.a. | n.a. | n.a. | n.a. |
Major revision precentage: first revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
TKA: total knee arthroplasty; CI: confidence interval; n.a. if <50 cases were at risk.
© LROI 2023
Knee » Survival TKA » Revision by procedure characteristics » TKA by procedure side
FIGURE Cumulative major revision percentage of total knee arthroplasties for osteoarthritis by procedure side in the Netherlands in 2007-2022 (n=319,487)
TABLE Cumulative major revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
Procedure side | |||||||
Left | 150,733 | 0.4 (0.3-0.4) | 1.5 (1.5-1.6) | 2.1 (2.0-2.2) | 2.5 (2.4-2.6) | 3.1 (3.0-3.2) | 3.8 (3.6-4.0) |
Right | 168,754 | 0.4 (0.3-0.4) | 1.6 (1.5-1.6) | 2.2 (2.1-2.3) | 2.7 (2.6-2.7) | 3.3 (3.1-3.4) | 3.9 (3.7-4.0) |
Major revision precentage: first revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; CI: confidence interval.
© LROI 2023
Knee » Survival TKA » Revision by procedure characteristics » TKA by ODEP 5A or higher
FIGURE Cumulative major revision percentage of total knee arthroplasties for osteoarthritis by ODEP classification 5A or higher in the Netherlands in 2007-2022 (n= 301,773)
TABLE Cumulative major revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
ODEP | |||||||
<5A | 28,880 | 0.3 (0.3-0.4) | 1.7 (1.6-1.9) | 2.5 (2.3-2.7) | 3.0 (2.8-3.2) | 3.9 (3.7-4.2) | 4.9 (4.6-5.3) |
5A or higher | 272,893 | 0.4 (0.3-0.4) | 1.5 (1.5-1.6) | 2.1 (2.1-2.2) | 2.6 (2.5-2.6) | 3.1 (3.0-3.2) | 3.7 (3.5-3.8) |
Major revision percentage: First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
ODEP rating: ODEP provides ratings for hip femoral stems, hip acetabular cups and total knee replacement implants. Detailed information can be found at www.odep.org.uk.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; CI: confidence interval.
© LROI 2023
Knee » Survival TKA » Revision by procedure characteristics » TKA by type of femur
FIGURE Cumulative major revision percentage of total knee arthroplasties for osteoarthritis by prosthesis design in the Netherlands in 2007-2022 (n=300,909)
TABLE Cumulative major revision percentages
Cumulative revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
Prosthesis design | |||||||
Posterior stabilised (PS) | 160,121 | 0.4 (0.4-0.4) | 1.6 (1.5-1.7) | 2.2 (2.2-2.3) | 2.8 (2.7-2.9) | 3.6 (3.5-3.8) | 4.5 (4.3-4.7) |
Cruciate retaining (CR) | 140,788 | 0.3 (0.3-0.4) | 1.5 (1.5-1.6) | 2.1 (2.0-2.2) | 2.5 (2.4-2.6) | 2.9 (2.8-3.0) | 3.5 (3.3-3.6) |
Major revision percentage: First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; PS: posterior stabilised; CR: cruciate retaining; CI: confidence interval.
© LROI 2023
Knee » Survival TKA » Revision by procedure characteristics » TKA by PE type
FIGURE Cumulative major revision percentages of total knee arthroplasties for osteoarthritis by inlay material in the Netherlands in 2007-2022 (306,279)
TABLE Cumulative major revision percentages
Cumulative major revision percentages – Kaplan Meier (95% CI) | |||||||
Number (n) | 1yr | 3yr | 5yr | 7yr | 10yr | 14yr | |
Inlay material | |||||||
Non XLPE | 260,384 | 0.4 (0.3-0.4) | 1.6 (1.5-1.6) | 2.2 (2.2-2.3) | 2.7 (2.6-2.7) | 3.3 (3.2-3.3) | 3.9 (3.8-4.0) |
XLPE (+ AO) | 45,895 | 0.3 (0.3-0.4) | 1.4 (1.2-1.5) | 1.9 (1.8-2.1) | 2.3 (2.1-2.5) | 2.8 (2.6-3.1) | 4.0 (3.1-4.9) |
Major revision percentage: First revision of the femur or tibia component, regardless of whether a minor revision has already taken place. Therefor, the first three revision procedures were reviewed.
Please note: Dotted lines represent the upper and lower limits of the 95% confidence interval.
TKA: total knee arthroplasty; XLPE: cross-linked polyethylene; CI: confidence interval.
© LROI 2023