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Updated: Jul 10, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Ten-year life expectancy after primary total hip replacement.

R D Ramiah1, A M Ashmore, E Whitley

  • 1The Avon Orthopaedic Centre, Bristol, England.

The Journal of Bone and Joint Surgery. British Volume
|October 25, 2007
PubMed
Summary

Ten-year survival after total hip replacement varies significantly by age. Younger patients (<65) show 89% survival, while older patients (>75) have 51% survival, indicating age is a key factor in long-term outcomes.

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Area of Science:

  • Orthopaedic Surgery
  • Geriatric Medicine
  • Public Health

Background:

  • Elective primary total hip replacement is a common procedure for hip osteoarthritis.
  • Understanding long-term patient survival post-total hip replacement is crucial for surgical decision-making and patient counseling.
  • Previous studies have not comprehensively analyzed ten-year life expectancy specifically for this patient cohort.

Purpose of the Study:

  • To determine the ten-year life expectancy of patients undergoing elective primary total hip replacement.
  • To analyze the impact of age at surgery on post-operative survival rates.
  • To compare the survival of cemented hip replacements with general population life expectancy.

Main Methods:

  • Retrospective cohort study of 5831 patients (6653 procedures) between April 1993 and October 2004.

Related Experiment Videos

Last Updated: Jul 10, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

  • Data collection included hospital, general practitioner, and local health authority records for mortality.
  • Kaplan-Meier survival analysis was used to estimate ten-year survival rates stratified by age groups.

    • Main Results:

    • Of 1154 patients with ten-year follow-up, 340 (29.5%) died.
    • Ten-year survival rates were 89% (under 65), 75% (65-74), and 51% (over 75).
    • Standardized mortality rates were higher in younger age groups (<45 and 45-64) compared to older groups.

    Conclusions:

    • Age is a significant predictor of ten-year survival following total hip replacement.
    • Cemented hip replacement survival appears to exceed general population life expectancy for patients over 60.
    • Cemented hip replacement may be the preferred procedure for patients over 60 years old.