The Important Advances in Aseptic Revision of Total Hip Replacement

Commentary This is a must-read clinical study of importance to all surgeons performing total hip arthroplasty (THA) in younger patients. Carender et al. report on the risk and frequency of aseptic revision of THA in patients ≤50 years of age. This study is important because it has a long follow-up and a high number of patients and reports on aseptic revision in young patients. Noted and discussed are how ongoing advances in techniques and materials used in THA have reduced the need for revision and improved the length of implant survivorship over time. It also documents the changing reasons for revisions over time. This information is of great importance to help to discuss the risks, benefits, and options with our younger patients prior to the surgical procedure. The statistical analysis is excellent, as expected from a major institution that has collected data and studied advances in THA for years. The information from 1 highly specialized institution may not accurately reflect all clinical practices, but it is still highly important in identifying the need to address long-term follow-up and postoperative risks to our younger patients undergoing THA. It also identifies how some of these risks have decreased and changed with the length of follow-up. It is important no matter the practice setting. I highly recommend that all surgeons performing THA on young patients read this clinical research article on aseptic revision in younger patients. It will benefit you and your patients.