Total Hip Arthroplasty Clinical Trial
Official title:
Age Dependency of Biological Reaction on Wear Particles
Wear is the main reason for revision operations after joint arthroplasty. While the survival
of modern implants is often longer than the expected life span in old patients, young
patients (<60 years) have to expect at least one wear induced revision operation. The reason
is the throughout all registries consistantly significantly reduced implant survival rates
in young patients. In the swedish arthrplasty registry the 15 year survival for patients
older than 75 years is 95 % and for those younger than 50 years is 75 %. This corresponds to
a 5fold increased revision rate (5 % vs. 25 %) 15 years after implantation. This significant
difference cannot be explained by the higher activity of younger patients alone. Patient
specific factors, that modulate the biological reaction on wear particles, are therefore
highly probable. These could explain the significant age dependency of implant survival.
The main hypothesis of this study is therefore, that the biological reaction on wear
particles depends on the patients age.
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