Revision total hip arthroplasty with cemented femoral component
We reviewed retrospectively the results of 28 hips (25 patients) after revision of the femoral component with use of a cemented stem, because of aseptic loosening. The mean duration of follow-up was 4.43 years (range 2–12 years). Over the course of the study period, repeat revision was done in 4 hip...
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Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2008-07, Vol.18 (5), p.327-332 |
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description | We reviewed retrospectively the results of 28 hips (25 patients) after revision of the femoral component with use of a cemented stem, because of aseptic loosening. The mean duration of follow-up was 4.43 years (range 2–12 years). Over the course of the study period, repeat revision was done in 4 hips after an average of 4.45 years. Three hips had a repeat revision of the femoral component because of aseptic loosening and one for a deep infection. The rate of loosening of the femoral component was 32.4% (9 hips) at an average of 5.22 years. The 5-year survival rate was 76.9% with mechanical failure as end point; and 90% with re-revision of femoral component because of aseptic loosening as end point. The cement mantle was the principal factor, which was significantly associated with a better survival rate of femur fixation (
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P
< 0.05). No correlation was noted between quality of bone loss at the time of revision, bone graft or the use of long stems, and the survival rate of femoral component. By improving the cementing technique and in selected patients, the use of cemented femoral stem could be a good alternative for aseptic loosening THA.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-008-0310-0</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Medicine ; Medicine & Public Health ; Original Article ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2008-07, Vol.18 (5), p.327-332</ispartof><rights>The Author(s) 2008</rights><rights>The Author(s) 2008. This work is published under http://creativecommons.org/licenses/by-nc/2.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-ba0c04459c84caa13c9de4f1b30815d13e816b6dde06d6c5679760c24ca22cc63</citedby><cites>FETCH-LOGICAL-c359t-ba0c04459c84caa13c9de4f1b30815d13e816b6dde06d6c5679760c24ca22cc63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-008-0310-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-008-0310-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids></links><search><creatorcontrib>Nouri, Habib</creatorcontrib><creatorcontrib>Kallel, Sofiene</creatorcontrib><creatorcontrib>Hadj Slimane, Mohamed</creatorcontrib><creatorcontrib>Meherzi, Mohamed Hédi</creatorcontrib><creatorcontrib>Ouertatani, Moez</creatorcontrib><creatorcontrib>Karray, Salahedine</creatorcontrib><title>Revision total hip arthroplasty with cemented femoral component</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>We reviewed retrospectively the results of 28 hips (25 patients) after revision of the femoral component with use of a cemented stem, because of aseptic loosening. The mean duration of follow-up was 4.43 years (range 2–12 years). Over the course of the study period, repeat revision was done in 4 hips after an average of 4.45 years. Three hips had a repeat revision of the femoral component because of aseptic loosening and one for a deep infection. The rate of loosening of the femoral component was 32.4% (9 hips) at an average of 5.22 years. The 5-year survival rate was 76.9% with mechanical failure as end point; and 90% with re-revision of femoral component because of aseptic loosening as end point. The cement mantle was the principal factor, which was significantly associated with a better survival rate of femur fixation (
P
< 0.05). No correlation was noted between quality of bone loss at the time of revision, bone graft or the use of long stems, and the survival rate of femoral component. By improving the cementing technique and in selected patients, the use of cemented femoral stem could be a good alternative for aseptic loosening THA.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE9LxDAQxYMouFY_gLeC5-hM0qTtSWTxHywIoueQpqnbZdvUJKvstzdLBU9eZobhvTfMj5BLhGsEKG8CgKiBAlQUOKbhiCyw4IwiyOo4zZJzWoEUp-QshA0AihrFgty-2q8-9G7Mo4t6m6_7Kdc-rr2btjrEff7dx3Vu7GDHaNu8s4PzSWbcMLkx7c7JSae3wV789oy8P9y_LZ_o6uXxeXm3ooaLOtJGg4GiELWpCqM1clO3tuiw4VChaJHbCmUj29aCbKURsqxLCYYlMWPGSJ6Rqzl38u5zZ0NUG7fzYzqpWMVLBrxM72YEZ5XxLgRvOzX5ftB-rxDUgZOaOanESR04pZIRNntC0o4f1v8l_2_6Afi5aqM</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Nouri, Habib</creator><creator>Kallel, Sofiene</creator><creator>Hadj Slimane, Mohamed</creator><creator>Meherzi, Mohamed Hédi</creator><creator>Ouertatani, Moez</creator><creator>Karray, Salahedine</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20080701</creationdate><title>Revision total hip arthroplasty with cemented femoral component</title><author>Nouri, Habib ; 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The mean duration of follow-up was 4.43 years (range 2–12 years). Over the course of the study period, repeat revision was done in 4 hips after an average of 4.45 years. Three hips had a repeat revision of the femoral component because of aseptic loosening and one for a deep infection. The rate of loosening of the femoral component was 32.4% (9 hips) at an average of 5.22 years. The 5-year survival rate was 76.9% with mechanical failure as end point; and 90% with re-revision of femoral component because of aseptic loosening as end point. The cement mantle was the principal factor, which was significantly associated with a better survival rate of femur fixation (
P
< 0.05). No correlation was noted between quality of bone loss at the time of revision, bone graft or the use of long stems, and the survival rate of femoral component. By improving the cementing technique and in selected patients, the use of cemented femoral stem could be a good alternative for aseptic loosening THA.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><doi>10.1007/s00590-008-0310-0</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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title | Revision total hip arthroplasty with cemented femoral component |
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