The Journal of Arthroplasty
Volume 25, Issue 4 , Pages 522-528, June 2010

Long-Term Survival and Reason for Revision of Wagner Resurfacing Hip Arthroplasty

  • Kerry Costi, BA

      Affiliations

    • The Department of Orthopedics and Trauma, Royal Adelaide Hospital and Discipline of Orthopedics and Trauma, University of Adelaide, North Terrace, Adelaide, South Australia, Australia
    • Corresponding Author InformationReprint requests: Kerry Costi, BA, Department of Orthopedics and Trauma, L4 Bice Building, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia, 5000 Australia.
    • ,
  • Donald W. Howie, PhD, FRACS

      Affiliations

    • The Department of Orthopedics and Trauma, Royal Adelaide Hospital and Discipline of Orthopedics and Trauma, University of Adelaide, North Terrace, Adelaide, South Australia, Australia
    • ,
  • David G. Campbell, PhD, FRACS

      Affiliations

    • Wakefield Orthopedic Clinic, Adelaide, South Australia, Australia
    • ,
  • Margaret A. McGee, BSc, MPH

      Affiliations

    • The Department of Orthopedics and Trauma, Royal Adelaide Hospital and Discipline of Orthopedics and Trauma, University of Adelaide, North Terrace, Adelaide, South Australia, Australia
    • ,
  • Brian L. Cornish, FRCS, FRACS

      Affiliations

    • The Department of Orthopedics and Trauma, Royal Adelaide Hospital and Discipline of Orthopedics and Trauma, University of Adelaide, North Terrace, Adelaide, South Australia, Australia

Received 21 July 2008; accepted 4 April 2009. published online 11 June 2009.

Abstract 

The long-term survival of 270 Wagner resurfacing hip arthroplasties was determined. Two patients were lost to follow-up. Eleven hips remained unrevised at 15 to 22 years. Survival at 5, 10, and 16 years was 74%, 35%, and 17%, respectively. Survival in patients older than 55 years was better after 5 years than that for patients 55 years or younger (P = .0067). Femoral neck fracture occurred in 2% of the total cohort. Femoral component failure was an early and midterm complication. Acetabular component loosening was the most common reason for revision. The proportion of cases revised for acetabular component failure increased with time. These long-term data in this large series provide important historical results against which the relative benefits of contemporary designs may be evaluated.

Keywords: Wagner, resurfacing, arthroplasty, hip, replacement

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 This project was financially supported by the Adelaide Bone and Joint Research Foundation, the Australian Orthopedic Association Research Foundation, the Royal Australasian College of Surgeons, and the Royal Adelaide Hospital.

PII: S0883-5403(09)00109-0

doi:10.1016/j.arth.2009.04.007

The Journal of Arthroplasty
Volume 25, Issue 4 , Pages 522-528, June 2010

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