Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 Procedures
Background: Total hip arthroplasty (THA) is an effective treatment for symptomatic hip osteoarthritis. The aim of this study was to determine the revision outcome of commercially available navigation technologies. Methods: Data from the Australian Orthopaedic Association National Joint Replacement R...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235234412200228X |
| _version_ | 1811294165739241472 |
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| author | Ernest C. Lourens, MD (Dist), BPhysio (Hons), GradCertClinRehab Andrew P. Kurmis, FRACS (Ortho), FAOrthA, CIME, PhD (Ortho), BMBS (Hons), BMedRad (Hons), BAppSc (Med Rad) Carl Holder, MBiostat Richard N. de Steiger, MBBS, PhD, FRACS (Orth), FAOrthA |
| author_facet | Ernest C. Lourens, MD (Dist), BPhysio (Hons), GradCertClinRehab Andrew P. Kurmis, FRACS (Ortho), FAOrthA, CIME, PhD (Ortho), BMBS (Hons), BMedRad (Hons), BAppSc (Med Rad) Carl Holder, MBiostat Richard N. de Steiger, MBBS, PhD, FRACS (Orth), FAOrthA |
| author_sort | Ernest C. Lourens, MD (Dist), BPhysio (Hons), GradCertClinRehab |
| collection | DOAJ |
| description | Background: Total hip arthroplasty (THA) is an effective treatment for symptomatic hip osteoarthritis. The aim of this study was to determine the revision outcome of commercially available navigation technologies. Methods: Data from the Australian Orthopaedic Association National Joint Replacement Registry from January 2016 to December 2020 included all primary THA procedures performed for osteoarthritis. Procedures using the Intellijoint HIP navigation system were identified and compared to procedures using “other” computer navigation systems and to nonnavigated procedures. The cumulative percent revision (CPR) was compared between the 3 groups using Kaplan-Meier estimates of survivorship and hazard ratios from Cox proportional hazards models, adjusted for age and gender. Results: There were 1911 procedures that used the Intellijoint system, 4081 used “other” computer navigation systems, and 160,661 were nonnavigated procedures. The all-cause 2-year CPR rate for the Intellijoint system was 1.8% (95% confidence interval [CI], 1.2-2.6), compared to 2.2% (95% CI, 1.8-2.8) for other navigated cases and 2.2% (95% CI, 2.1-2.3) for nonnavigated cases. A prosthesis analysis identified the Paragon/Acetabular Shell THAs combined with the Intellijoint system to have a higher (3.4%) rate of revision than nonnavigated THAs (hazard ratio = 2.00 [95% CI, 1.01-4.00], P = .048). When this combination was excluded, the Intellijoint group demonstrated a 2-year CPR of 1.3%. There was no statistical difference in the CPR between the 3 groups before or after excluding the Paragon/Acetabular Shell system. Conclusions: The preliminary data presented demonstrate no statistical difference in all-cause revision rates when comparing the Intellijoint system with “other” navigation systems and “nonnavigated” approaches for primary THAs. Level of evidence: III (National registry analysis). |
| first_indexed | 2024-04-13T05:12:28Z |
| format | Article |
| id | doaj.art-fdc64879462f415eab4e2958132a732c |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-13T05:12:28Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-fdc64879462f415eab4e2958132a732c2022-12-22T03:00:59ZengElsevierArthroplasty Today2352-34412022-12-0118149156Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 ProceduresErnest C. Lourens, MD (Dist), BPhysio (Hons), GradCertClinRehab0Andrew P. Kurmis, FRACS (Ortho), FAOrthA, CIME, PhD (Ortho), BMBS (Hons), BMedRad (Hons), BAppSc (Med Rad)1Carl Holder, MBiostat2Richard N. de Steiger, MBBS, PhD, FRACS (Orth), FAOrthA3Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia; Corresponding author. Alice Springs Hospital, 6 Gap Road, The Gap, Alice Springs, Northern Territory 0870, Australia. Tel.: +61 403 467 716.Department of Orthopaedic Surgery, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia; Discipline of Medical Specialties, University of Adelaide, Adelaide, South Australia, AustraliaSouth Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, AustraliaDepartment of Surgery, Epworth Healthcare, University of Melbourne, Melbourne, Australia; Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, South Australia, AustraliaBackground: Total hip arthroplasty (THA) is an effective treatment for symptomatic hip osteoarthritis. The aim of this study was to determine the revision outcome of commercially available navigation technologies. Methods: Data from the Australian Orthopaedic Association National Joint Replacement Registry from January 2016 to December 2020 included all primary THA procedures performed for osteoarthritis. Procedures using the Intellijoint HIP navigation system were identified and compared to procedures using “other” computer navigation systems and to nonnavigated procedures. The cumulative percent revision (CPR) was compared between the 3 groups using Kaplan-Meier estimates of survivorship and hazard ratios from Cox proportional hazards models, adjusted for age and gender. Results: There were 1911 procedures that used the Intellijoint system, 4081 used “other” computer navigation systems, and 160,661 were nonnavigated procedures. The all-cause 2-year CPR rate for the Intellijoint system was 1.8% (95% confidence interval [CI], 1.2-2.6), compared to 2.2% (95% CI, 1.8-2.8) for other navigated cases and 2.2% (95% CI, 2.1-2.3) for nonnavigated cases. A prosthesis analysis identified the Paragon/Acetabular Shell THAs combined with the Intellijoint system to have a higher (3.4%) rate of revision than nonnavigated THAs (hazard ratio = 2.00 [95% CI, 1.01-4.00], P = .048). When this combination was excluded, the Intellijoint group demonstrated a 2-year CPR of 1.3%. There was no statistical difference in the CPR between the 3 groups before or after excluding the Paragon/Acetabular Shell system. Conclusions: The preliminary data presented demonstrate no statistical difference in all-cause revision rates when comparing the Intellijoint system with “other” navigation systems and “nonnavigated” approaches for primary THAs. Level of evidence: III (National registry analysis).http://www.sciencedirect.com/science/article/pii/S235234412200228XTHAHip arthroplastyNavigationIntellijoint HIPTechnology-assisted surgery |
| spellingShingle | Ernest C. Lourens, MD (Dist), BPhysio (Hons), GradCertClinRehab Andrew P. Kurmis, FRACS (Ortho), FAOrthA, CIME, PhD (Ortho), BMBS (Hons), BMedRad (Hons), BAppSc (Med Rad) Carl Holder, MBiostat Richard N. de Steiger, MBBS, PhD, FRACS (Orth), FAOrthA Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 Procedures Arthroplasty Today THA Hip arthroplasty Navigation Intellijoint HIP Technology-assisted surgery |
| title | Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 Procedures |
| title_full | Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 Procedures |
| title_fullStr | Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 Procedures |
| title_full_unstemmed | Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 Procedures |
| title_short | Early Revision Rates of Total Hip Arthroplasty Using the Intellijoint HIP Computer Navigation System: A Study From the Australian National Joint Replacement Registry of 1911 Procedures |
| title_sort | early revision rates of total hip arthroplasty using the intellijoint hip computer navigation system a study from the australian national joint replacement registry of 1911 procedures |
| topic | THA Hip arthroplasty Navigation Intellijoint HIP Technology-assisted surgery |
| url | http://www.sciencedirect.com/science/article/pii/S235234412200228X |
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