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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 2/2012

01-02-2012 | Symposium: Papers Presented at the Annual Meetings of The Hip Society

Incidence of Contralateral THA After Index THA for Osteoarthritis

Authors: Siraj A. Sayeed, MD, Aaron J. Johnson, MD, David E. Jaffe, MD, Michael A. Mont, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 2/2012

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Abstract

Background

Currently more than 200,000 THAs are performed annually in the United States. In patients with bilateral disease, the chance of subsequent contralateral THA reportedly ranges from 16% to 85%. Factors influencing contralateral THA are not completely understood.

Questions/Purposes

We therefore determined (1) the 10-year probability free of progression to contralateral THA after index THA, (2) whether demographics differed between those who did and did not ultimately undergo contralateral THA, and (3) whether initial clinical symptoms and/or degree of radiographic osteoarthritis affects progression.

Patients and Methods

We retrospectively identified 332 patients with minimum 24-month followup and primary osteoarthritis who underwent unilateral THA between 2001 and 2008. There were 150 men and 182 women with a mean age of 61 years (range, 27–93 years) and a mean BMI of 29.6 kg/m2 (range, 17.6–49.2 kg/m2). We reviewed clinical, radiographic, and demographic data at index THA and last followup and classified patients as low, indeterminate, or high risk of undergoing contralateral THA.

Results

Seventy-four of the 332 patients (22%) underwent contralateral THA, resulting in an 83% 10-year probability free of progression to the contralateral hip. Low-risk patients had a less than 1% chance of progression, indeterminate-risk patients had a 16% to 24% chance of progression, and high-risk patients had a 97% chance of progression.

Conclusions

Indeterminate-risk patients may be managed nonoperatively and deserve further study with a larger multicenter analysis. We defined high- and low-risk patients who may be candidates for bilateral THA or may rarely need a contralateral THA.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
Literature
1.
Aghayev E, Beck A, Staub LP, Dietrich D, Melloh M, Orljanski W, Roder C. Simultaneous bilateral hip replacement reveals superior outcome and fewer complications than two-stage procedures: a prospective study including 1819 patients and 5801 follow-ups from a total joint replacement registry. BMC Musculoskelet Disord. 2010;11:245.PubMedCrossRef
2.
Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M. Development of criteria for the classification and reporting of osteoarthritis. Arthritis Rheum. 1986;29:1039–1049.PubMedCrossRef
3.
Bhan S, Pankaj A, Malhotra R. One- or two-stage bilateral total hip arthroplasty: a prospective, randomised, controlled study in an Asian population. J Bone Joint Surg Br. 2006;88:298–303.PubMedCrossRef
4.
Birtwistle SJ, Wilson K, Porter ML. Long-term survival analysis of total hip replacement. Ann R Coll Surg Engl. 1996;78:180–183.PubMed
5.
Brandt KD, Fife RS, Braunstein EM, Katz B. Radiographic grading of the severity of knee osteoarthritis: relation of the Kellgren and Lawrence grade to a grade based on joint space narrowing, and correlation with arthroscopic evidence of articular cartilage degeneration. Arthritis Rheum. 1991;34:1381–1386.PubMedCrossRef
6.
Callaghan JJ, Albright JC, Goetz DD, Olejniczak JP, Johnston RC. Charnley total hip arthroplasty with cement: minimum twenty-five-year follow-up. J Bone Joint Surg Am. 2000;82:487–497.PubMed
7.
Cooper C, Cushnaghan J, Kirwan JR, Dieppe PA, Rogers J, McAlindon T, McCrae F. Radiographic assessment of the knee joint in osteoarthritis. Ann Rheum Dis. 1992;51:80–82.PubMedCrossRef
8.
Emery D, Britton A, Clarke H, Grover M. The Stanmore total hip arthroplasty: a 15- to 20-year follow-up study. J Arthroplasty. 1997;12:728–735.PubMedCrossRef
9.
Garellick G, Malchau H, Herberts P. Survival of hip replacements: a comparison of a randomized trial and a registry. Clin Orthop Relat Res. 2000;375:157–167.PubMedCrossRef
10.
Goker B, Doughan AM, Schnitzer TJ, Block JA. Quantification of progressive joint space narrowing in osteoarthritis of the hip, longitudinal analysis of the contralateral hip after total hip arthroplasty. Arthritis Rheum. 2000;43:988–994.PubMedCrossRef
11.
Hart DJ, Spector TD. Radiographic criteria for epidemiologic studies of osteoarthritis. J Rheumatol Suppl. 1995;43:46–48.PubMed
12.
Husted H, Overgaard S, Laursen JO, Hindso K, Hansen LN, Knudsen HM, Mossing NB. Need for bilateral arthroplasty for coxarthrosis: 1,477 replacements in 1,199 patients followed for 0–14 years. Acta Orthop Scand. 1996;67:421–423.PubMedCrossRef
13.
Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J Am Statist Assoc. 1958;53:457–481.CrossRef
14.
Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16:494–502.PubMedCrossRef
15.
Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–785.PubMedCrossRef
16.
Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F; National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum. 2008;58:26–35.PubMedCrossRef
17.
Mont MA, Mitzner DL, Jones LC, Hungerford DS. History of the contralateral knee after primary knee arthroplasty for osteoarthritis. Clin Orthop Relat Res. 1995;321:145–150.PubMed
18.
Parvizi J, Tarity TD, Sheikh E, Sharkey PF, Hozack WJ, Rothman RH. Bilateral total hip arthroplasty: one-stage versus two-stage procedures. Clin Orthop Relat Res. 2006;453:137–141.PubMedCrossRef
19.
Ritter MA, Carr K, Herbst SA, Eizember LE, Keating EM, Faris PM, Meding JB. Outcome of the contralateral hip following total hip arthroplasty for osteoarthritis. J Arthroplasty. 1996;11:242–246.PubMedCrossRef
20.
Roos NP, Lyttle D. Hip arthroplasty surgery in Manitoba: 1973–1978. Clin Orthop Relat Res. 1985;199:248–255.PubMed
21.
Sayeed SA, Trousdale RT, Barnes SA, Kaufman KR, Pagnano MW. Joint arthroplasty within 10 years after primary Charnley total hip arthroplasty. Am J Orthop. 2009;38:E141–E143.PubMed
22.
Shakoor N, Block JA, Shott S, Case JP. Nonrandom evolution of end-stage osteoarthritis of the lower limbs. Arthritis Rheum. 2002;46:3185–3189.PubMedCrossRef
23.
24.
Metadata
Title
Incidence of Contralateral THA After Index THA for Osteoarthritis
Authors
Siraj A. Sayeed, MD
Aaron J. Johnson, MD
David E. Jaffe, MD
Michael A. Mont, MD
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 2/2012
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-011-2110-9

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