The Journal of Bone and Joint Surgery (American). 2007;89:144-151.
doi:10.2106/JBJS.G.00587
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Future Clinical and Economic Impact of Revision Total Hip and Knee Arthroplasty

Steven M. Kurtz, PhD, Kevin L. Ong, PhD, Jordana Schmier, MA, Fionna Mowat, PhD, Khaled Saleh, MD, MSc, FRSCS, Eva Dybvik, MSc, Johan Kärrholm, MD, PhD, Göran Garellick, MD, PhD, Leif I. Havelin, MD, PhD, Ove Furnes, MD, PhD, Henrik Malchau, MD, PhD and Edmund Lau, MS

Corresponding author:
Kevin L. Ong, PhD
Exponent Incorporated, 3401 Market Street, Suite 300, Philadelphia, PA 19104.
E-mail address: kong@exponent.com

The first 150 words of the full text of this article appear below.


   Introduction
 
A recent analysis of historical procedure data indicated that the prevalence of primary and revision total hip and total knee arthroplasty increased steadily between 1990 and 20021. A massive demand for primary and revision surgeries is also expected in the next two decades2. Similarly, the overall incidence of deep infection also has increased substantially between 1990 and 2003 for both total hip arthroplasty and total knee arthroplasty3. In 2003, approximately 1.2% of the total hip arthroplasties performed in the United States were associated with deep infection, which was similar to the rate seen for total knee arthroplasties3. Deep infection is a catastrophic complication of both total hip and total knee arthroplasty, and it also represents a tremendous economic burden4,5. The implications for a growing incidence of infections, coupled with accelerating demand for arthroplasty, remain unexplored.

Long-term survival of total hip arthroplasty and total knee arthroplasty . . . [Full Text of this Article]


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