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In the multivariate analysis, patients with a prior revision (hazard ratio [HR]= 2.78, P= .02), an isolated polyethylene exchange (HR= 3.0, P= .004), and a hinged prosthesis (HR= 3.47, P= .05) were significant risk factors for lower revision-free survival. Forty-two patients (21%) underwent re-revision, most commonly for periprosthetic joint infection (7%), instability (6%), and aseptic loosening (5%). Re-revision occurred in 18/68 (26%) patients undergoing an isolated polyethylene exchange. Patients less than 55 years undergoing revis

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