Early death following revision total hip arthroplasty



The frequency of primary total hip arthroplasty procedures is increasing, with a subsequent rise in revision procedures. This study aims to describe timing and surgical mortality associated with revision total hip arthroplasty (THA) compared to those on the waiting list.


All patients from a single institution who underwent revision total hip arthroplasty or were added to the waiting list for the same procedure between 2003 and 2013 were recorded. Mortality rates were calculated at 30 and 90 days following surgery or addition to the waiting list.


561 patients were available for the survivorship analysis in the surgical group. Following exclusion, 901 and 484 patients were available for the 30 and the 90-day analysis in the revision THA waiting list group.

30- and 90-day mortality rates were significantly greater for the revision THA group compared to the waiting list group (excess surgical mortality at 30 days = 0.357%, p = 0.037; odds ratio of 5.22, excess surgical mortality at 90 days = 0.863%, p = 0.045).


Revision total hip arthroplasty is associated with a significant excess surgical mortality rate until 90 days post-operation when compared to the waiting list population. We would encourage other authors with access to larger samples to use our method to quantify excess mortality after both primary and revision arthroplasty procedures.

Post author correction


Article Subject: Hip replacement



Mark D. Jones, Michael Parry, Michael R. Whitehouse, Ashley W. Blom

Article History


Financial support: None.
Conflict of Interest: MRW: Speakers bureau/paid presentations by DePuy and Heraeus (money paid into University administered research fund), research support as Principal Investigator by DePuy (research grant for consumables), travelling fellowship from Zimmer administered by the British Orthopaedic Association.
AWB: Research support from Stryker as principal investigator.
All other authors: None.

This article is available as full text PDF.

  • If you are a Subscriber, please log in now.

  • Article price: Eur 36,00
  • You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
  • If you are not a Subscriber you may:
  • Subscribe to this journal
  • Unlimited access to all our archives, 24 hour a day, every day of the week.



  • Conquest Hospital, East Sussex Healthcare NHS Trust, St. Leonards-on-Sea, Hastings - UK
  • The Royal Orthopaedic Hospital, Birmingham - UK
  • Musculoskeletal Research Unit, Southmead Hospital, Bristol - UK

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.