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Low Follow-Up Rates After a Total Hip Arthroplasty Prosthesis Recall.

Leo H Cooper¹, Stephen Wahl², Jeffrey B Stambough¹

¹Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

The Journal of Arthroplasty

|December 11, 2025

Summary

This summary is machine-generated.

Less than 60% of patients followed up after a hip implant recall, despite outreach efforts. This highlights a need for better systems to ensure patients with recalled devices receive necessary follow-up care.

Keywords:

adherence demographics follow-up recall total hip arthroplasty

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Area of Science:

Orthopedic Surgery
Biomaterials Science
Patient Safety

Background:

A hip arthroplasty liner recall was issued due to premature polyethylene wear, risking osteolysis and implant failure.
Physicians and hospitals must inform patients about recalled implants.
A protocol was implemented to contact patients with recalled implants for follow-up.

Purpose of the Study:

To evaluate the effectiveness of a patient outreach protocol following a hip arthroplasty device recall.
To identify risk factors associated with patient nonresponse to recall notifications.

Main Methods:

Retrospective cohort study involving 763 patients who received hip arthroplasty with the recalled liner.
Standardized letters were used to notify patients of the implant recall.
Demographic data were collected to analyze predictors of follow-up.

Main Results:

A follow-up rate of 58.8% was achieved after recall letters were sent.
Significant predictors of follow-up included patient proximity to the institution, the performing surgeon, and health literacy.
Age, sex, BMI, and race were not associated with follow-up rates.

Conclusions:

Despite organized outreach, less than 60% of patients followed up after the hip implant recall.
A significant number of patients did not attend follow-up, increasing the risk of undetected implant failure.
Improved patient contact systems are necessary to ensure appropriate follow-up for recalled medical devices.