Summary of knee implant one, three, five, and 10-year revision risk reported by national and regional arthroplasty registries: a valuable source of evidence for clinical decision-making

Abstract

Optimal implant selection is a major component of high-quality arthroplasty care, and revision risk is an important parameter characterizing knee arthroplasty implant clinical performance. National and regional arthroplasty registries are essential sources of revision risk data, but these data are often difficult to find because they are buried within extensive annual reports. Summarizing total knee arthroplasty (TKA) implant revision risks as presented in registry reports can maximize the usefulness of registry data for orthopaedic surgeons. The findings summarize the revision risk data found in national arthroplasty reports from the Australian, Danish, Finnish, and the England, Wales, Northern Ireland and the Isle of Man registries, and in regional arthroplasty reports from the Emilia-Romagna Region (Italty), and the Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) registries. The six supplemental summary tables present revision risk data for TKA implants by cemented, uncemented, hybrid, and unreported fixation types. Additional summary tables are presented for revision risk of unicondylar (UKA) and patellofemoral joint (PFJ) revisions. Within TKA fixation categories, revision risks at 10 years ranged from 2.4% to 35.7% (cemented), 2.8% to 25.0% (uncemented), 2.0% to 9.2% (hybrid), and 0.0% to 39.7% (unreported). Unicondylar 10-year revision risk ranged from 4.9% to 17.2%. Patellofemoral joint 10-year revision risk ranged from 15.2% to 21.7%. There is substantial variation in one, three, five, and 10-year revision risk across implants, which suggests surgeons should choose implants carefully. Cite this article: EFORT Open Rev 2020;5:268-272. DOI: 10.1302/2058-5241.5.190053