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Updated: Feb 3, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
12.4K
Revision Surgery in Total Joint Replacement Is Cost-Intensive
Markus Weber1, Tobias Renkawitz1, Florian Voellner1
1Department of Orthopaedic Surgery, Regensburg University Medical Center, Asklepios Klinikum Bad Abbach, Kaiser-Karl V.-Allee 3, 93077 Bad Abbach, Germany.
Biomed Research International
|October 26, 2018
Summary
Revision joint replacement surgery shows lower patient success rates and higher infection risks compared to primary procedures. These revisions also incur significantly higher costs, with reimbursement not fully covering the increased expenses.
Area of Science:
- Orthopedic Surgery
- Health Economics
- Clinical Outcomes Research
Background:
- Revision arthroplasty procedures are increasingly common.
- Understanding the outcomes, complications, and cost-effectiveness of revision joint replacement is crucial.
Purpose of the Study:
- To compare clinical outcomes, complication rates, and cost-effectiveness of revision hip and knee arthroplasty versus primary total joint replacements.
- To analyze patient-reported outcome measures (EQ-5D, WOMAC) and financial aspects of revision versus primary procedures.
Main Methods:
- Retrospective analysis of 162 revision hip and knee arthroplasties.
- Comparison with a matched control group of primary total joint replacements using institutional joint registry data.
- Evaluation of responder rates, patient-reported outcomes, complication rates, and patient-individual charges versus reimbursement.
Main Results:
- Lower positive responder rates one year postoperatively for revision (72.9%) versus primary (90.1%) arthroplasty.
- Reduced improvement in patient-reported outcomes (EQ-5D, WOMAC) after revision compared to primary surgery.
- Higher infection rates in revision (6.8%) versus primary (0%) replacements, with significantly higher mean charges for revisions.
Conclusions:
- Revision arthroplasty is associated with inferior clinical outcomes and increased infection rates compared to primary joint replacements.
- The financial burden of revision arthroplasty is substantial, with costs exceeding reimbursement levels.
- Further research into optimizing revision arthroplasty outcomes and cost-effectiveness is warranted.
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