The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies

The rising volume of primary hip and knee arthroplasties has led to a parallel increase in revision surgeries, creating significant clinical and economic challenges for healthcare systems worldwide. This study synthesizes national arthroplasty registry data to evaluate trends in revision aetiology,...

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Autores: Sadoghi, Patrick, Koutp, Amir, Pérez-Prieto, Daniel, Clauss, Martin, Kayaalp, M. Enes, Hirschmann, Michael
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:dnet:rdupf_______::78aa194bdd6f0584796ba31a14514f19
Acceso en línea:https://hdl.handle.net/10230/73391
http://dx.doi.org/10.1002/ksa.12678
Access Level:acceso abierto
Palabra clave:Aseptic loosening
Hip arthroplasty
Knee arthroplasty
National registry
Septic complications
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spelling The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studiesSadoghi, PatrickKoutp, AmirPérez-Prieto, DanielClauss, MartinKayaalp, M. EnesHirschmann, MichaelAseptic looseningHip arthroplastyKnee arthroplastyNational registrySeptic complicationsThe rising volume of primary hip and knee arthroplasties has led to a parallel increase in revision surgeries, creating significant clinical and economic challenges for healthcare systems worldwide. This study synthesizes national arthroplasty registry data to evaluate trends in revision aetiology, associated costs and regional disparities. While advancements in prosthetic design have reduced aseptic loosening rates (declining to 35.1% for hips and 18.3% for knees), septic complications now account for a growing proportion of revision cases, rising to 18.2% for hips and 21.6% for knees. Additionally, instability and malalignment persist at 15.9% and 14.1%, respectively. Revision procedures are 76% more costly than primary surgeries, with two-stage septic revisions incurring costs of up to $37,297 per case. Beyond direct surgical costs, prolonged recovery and productivity loss contribute to a broader economic impact. Regional variations, such as higher periprosthetic fracture rates in England and Wales, highlight inconsistencies in data reporting and healthcare practices. Addressing these challenges requires standardized infection definitions, enhanced registry collaboration and investment in infection prevention strategies. The role of referral centres in improving outcomes and reducing costs through multidisciplinary care is increasingly recognized. By integrating evidence-based infection management protocols and leveraging emerging technologies, the orthopaedic community can optimize patient outcomes and reduce the financial burden of revising arthroplasties.Wiley2026202620252026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/10230/73391http://dx.doi.org/10.1002/ksa.12678reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésKnee Surgery, Sports Traumatology, Arthroscopy. 2025;33(9):3211-7© 2025 The Author(s). Knee Surgery, Sports Traumatology, Arthroscopy published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:rdupf_______::78aa194bdd6f0584796ba31a14514f192026-06-12T07:21:37Z
dc.title.none.fl_str_mv The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
title The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
spellingShingle The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
Sadoghi, Patrick
Aseptic loosening
Hip arthroplasty
Knee arthroplasty
National registry
Septic complications
title_short The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
title_full The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
title_fullStr The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
title_full_unstemmed The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
title_sort The projected economic burden and complications of revision hip and knee arthroplasties: insights from national registry studies
dc.creator.none.fl_str_mv Sadoghi, Patrick
Koutp, Amir
Pérez-Prieto, Daniel
Clauss, Martin
Kayaalp, M. Enes
Hirschmann, Michael
author Sadoghi, Patrick
author_facet Sadoghi, Patrick
Koutp, Amir
Pérez-Prieto, Daniel
Clauss, Martin
Kayaalp, M. Enes
Hirschmann, Michael
author_role author
author2 Koutp, Amir
Pérez-Prieto, Daniel
Clauss, Martin
Kayaalp, M. Enes
Hirschmann, Michael
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Aseptic loosening
Hip arthroplasty
Knee arthroplasty
National registry
Septic complications
topic Aseptic loosening
Hip arthroplasty
Knee arthroplasty
National registry
Septic complications
description The rising volume of primary hip and knee arthroplasties has led to a parallel increase in revision surgeries, creating significant clinical and economic challenges for healthcare systems worldwide. This study synthesizes national arthroplasty registry data to evaluate trends in revision aetiology, associated costs and regional disparities. While advancements in prosthetic design have reduced aseptic loosening rates (declining to 35.1% for hips and 18.3% for knees), septic complications now account for a growing proportion of revision cases, rising to 18.2% for hips and 21.6% for knees. Additionally, instability and malalignment persist at 15.9% and 14.1%, respectively. Revision procedures are 76% more costly than primary surgeries, with two-stage septic revisions incurring costs of up to $37,297 per case. Beyond direct surgical costs, prolonged recovery and productivity loss contribute to a broader economic impact. Regional variations, such as higher periprosthetic fracture rates in England and Wales, highlight inconsistencies in data reporting and healthcare practices. Addressing these challenges requires standardized infection definitions, enhanced registry collaboration and investment in infection prevention strategies. The role of referral centres in improving outcomes and reducing costs through multidisciplinary care is increasingly recognized. By integrating evidence-based infection management protocols and leveraging emerging technologies, the orthopaedic community can optimize patient outcomes and reduce the financial burden of revising arthroplasties.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10230/73391
http://dx.doi.org/10.1002/ksa.12678
url https://hdl.handle.net/10230/73391
http://dx.doi.org/10.1002/ksa.12678
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Knee Surgery, Sports Traumatology, Arthroscopy. 2025;33(9):3211-7
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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