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
Hauptverfasser: Nouri, Habib, Kallel, Sofiene, Hadj Slimane, Mohamed, Meherzi, Mohamed Hédi, Ouertatani, Moez, Karray, Salahedine
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container_end_page 332
container_issue 5
container_start_page 327
container_title European journal of orthopaedic surgery & traumatology
container_volume 18
creator Nouri, Habib
Kallel, Sofiene
Hadj Slimane, Mohamed
Meherzi, Mohamed Hédi
Ouertatani, Moez
Karray, Salahedine
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  
doi_str_mv 10.1007/s00590-008-0310-0
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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  &lt; 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. 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Medicine & Public Health
Original Article
Surgical Orthopedics
Traumatic Surgery
title Revision total hip arthroplasty with cemented femoral component
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