Revision Total Hip Arthroplasty With a Modular Cementless Femoral Stem
Abstract We retrospectively reviewed 123 patients who underwent cementless THA with modular femoral stem designs for revision THA or conversion of failed ORIF and found 75 patients available for analysis. The Harris Hip Score (HHS) improved from 52 ± 14 to 86 ± 11 ( P < 0.001). The femoral stem w...
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| Veröffentlicht in: | The Journal of arthroplasty 2014-09, Vol.29 (9), p.1803-1807 |
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| container_title | The Journal of arthroplasty |
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| creator | Pelt, Christoper E., MD Madsen, Wes, MD Erickson, Jill A., PA-C Gililland, Jeremy M., MD Anderson, Mike B., MS ATC Peters, Christopher L., MD |
| description | Abstract We retrospectively reviewed 123 patients who underwent cementless THA with modular femoral stem designs for revision THA or conversion of failed ORIF and found 75 patients available for analysis. The Harris Hip Score (HHS) improved from 52 ± 14 to 86 ± 11 ( P < 0.001). The femoral stem was re-revised in eight patients (11%). The mean time to re-revision was 1.1 years (0.13–2.54). Reasons for re-revision included infection (n = 5, 7%), aseptic loosening (n = 2, 3%) and significant pain (n = 1, 1%). There were no failures of the modular junctions. PC stems had an increased rate of intraoperative fractures (PC 28% vs. STS 9%, P = 0.04). Modular cementless femoral stems provide acceptable mid-term results in revision THA. |
| doi_str_mv | 10.1016/j.arth.2014.04.042 |
| format | Article |
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The Harris Hip Score (HHS) improved from 52 ± 14 to 86 ± 11 ( P < 0.001). The femoral stem was re-revised in eight patients (11%). The mean time to re-revision was 1.1 years (0.13–2.54). Reasons for re-revision included infection (n = 5, 7%), aseptic loosening (n = 2, 3%) and significant pain (n = 1, 1%). There were no failures of the modular junctions. PC stems had an increased rate of intraoperative fractures (PC 28% vs. STS 9%, P = 0.04). Modular cementless femoral stems provide acceptable mid-term results in revision THA.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2014.04.042</identifier><identifier>PMID: 24929283</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - methods ; Arthroplasty, Replacement, Hip - mortality ; cementless femoral stem ; Female ; Femur ; Femur Neck - diagnostic imaging ; Femur Neck - surgery ; Follow-Up Studies ; Hip Prosthesis - adverse effects ; Humans ; Male ; Middle Aged ; modular femoral stem ; Orthopedics ; Prosthesis Design ; Prosthesis Failure ; Radiography ; Reoperation - methods ; Reoperation - mortality ; Retrospective Studies ; revision total hip arthroplasty ; taper junction ; total hip arthroplasty ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2014-09, Vol.29 (9), p.1803-1807</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-85c7bc2336f2653589cdc6af0f29fdd1bb0bd7c599c98f78417d35186ae3d1933</citedby><cites>FETCH-LOGICAL-c481t-85c7bc2336f2653589cdc6af0f29fdd1bb0bd7c599c98f78417d35186ae3d1933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2014.04.042$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24929283$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pelt, Christoper E., MD</creatorcontrib><creatorcontrib>Madsen, Wes, MD</creatorcontrib><creatorcontrib>Erickson, Jill A., PA-C</creatorcontrib><creatorcontrib>Gililland, Jeremy M., MD</creatorcontrib><creatorcontrib>Anderson, Mike B., MS ATC</creatorcontrib><creatorcontrib>Peters, Christopher L., MD</creatorcontrib><title>Revision Total Hip Arthroplasty With a Modular Cementless Femoral Stem</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract We retrospectively reviewed 123 patients who underwent cementless THA with modular femoral stem designs for revision THA or conversion of failed ORIF and found 75 patients available for analysis. The Harris Hip Score (HHS) improved from 52 ± 14 to 86 ± 11 ( P < 0.001). The femoral stem was re-revised in eight patients (11%). The mean time to re-revision was 1.1 years (0.13–2.54). Reasons for re-revision included infection (n = 5, 7%), aseptic loosening (n = 2, 3%) and significant pain (n = 1, 1%). There were no failures of the modular junctions. PC stems had an increased rate of intraoperative fractures (PC 28% vs. STS 9%, P = 0.04). Modular cementless femoral stems provide acceptable mid-term results in revision THA.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Arthroplasty, Replacement, Hip - mortality</subject><subject>cementless femoral stem</subject><subject>Female</subject><subject>Femur</subject><subject>Femur Neck - diagnostic imaging</subject><subject>Femur Neck - surgery</subject><subject>Follow-Up Studies</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>modular femoral stem</subject><subject>Orthopedics</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Reoperation - methods</subject><subject>Reoperation - mortality</subject><subject>Retrospective Studies</subject><subject>revision total hip arthroplasty</subject><subject>taper junction</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9r3DAUxEVoSTZpvkAPxcdevNVfrwwhEJZsUkgpNCk5Cll6JtrK1kaSA_vtI7NpDj0UBt5lZuD9BqHPBC8JJs237VLH_LSkmPAlnkWP0IIIRmvJcfMBLbCUrBYcsxN0mtIWY0KE4MfohPKWtlSyBdr8gheXXBirh5C1r27drroqrTHsvE55Xz26_FTp6kewk9exWsMAY_aQUrWBIcQSuc8wfEIfe-0TnL_dM_R7c_2wvq3vft58X1_d1YZLkmspzKozlLGmp41gQrbGmkb3uKdtby3pOtzZlRFta1rZryQnK8sEkY0GZknL2Bn6eujdxfA8QcpqcMmA93qEMCVFREM5LwxksdKD1cSQUoRe7aIbdNwrgtXMT23VzE_N_BSeRUvoy1v_1A1g3yN_gRXDxcEA5csXB1El42A0YF0Ek5UN7v_9l__EjXejM9r_gT2kbZjiWPgpohJVWN3PC84DEo4xK2KvsDeVUg</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Pelt, Christoper E., MD</creator><creator>Madsen, Wes, MD</creator><creator>Erickson, Jill A., PA-C</creator><creator>Gililland, Jeremy M., MD</creator><creator>Anderson, Mike B., MS ATC</creator><creator>Peters, Christopher L., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Revision Total Hip Arthroplasty With a Modular Cementless Femoral Stem</title><author>Pelt, Christoper E., MD ; Madsen, Wes, MD ; Erickson, Jill A., PA-C ; Gililland, Jeremy M., MD ; Anderson, Mike B., MS ATC ; Peters, Christopher L., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-85c7bc2336f2653589cdc6af0f29fdd1bb0bd7c599c98f78417d35186ae3d1933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Arthroplasty, Replacement, Hip - mortality</topic><topic>cementless femoral stem</topic><topic>Female</topic><topic>Femur</topic><topic>Femur Neck - diagnostic imaging</topic><topic>Femur Neck - surgery</topic><topic>Follow-Up Studies</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>modular femoral stem</topic><topic>Orthopedics</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Reoperation - methods</topic><topic>Reoperation - mortality</topic><topic>Retrospective Studies</topic><topic>revision total hip arthroplasty</topic><topic>taper junction</topic><topic>total hip arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pelt, Christoper E., MD</creatorcontrib><creatorcontrib>Madsen, Wes, MD</creatorcontrib><creatorcontrib>Erickson, Jill A., PA-C</creatorcontrib><creatorcontrib>Gililland, Jeremy M., MD</creatorcontrib><creatorcontrib>Anderson, Mike B., MS ATC</creatorcontrib><creatorcontrib>Peters, Christopher L., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pelt, Christoper E., MD</au><au>Madsen, Wes, MD</au><au>Erickson, Jill A., PA-C</au><au>Gililland, Jeremy M., MD</au><au>Anderson, Mike B., MS ATC</au><au>Peters, Christopher L., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revision Total Hip Arthroplasty With a Modular Cementless Femoral Stem</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>29</volume><issue>9</issue><spage>1803</spage><epage>1807</epage><pages>1803-1807</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract We retrospectively reviewed 123 patients who underwent cementless THA with modular femoral stem designs for revision THA or conversion of failed ORIF and found 75 patients available for analysis. The Harris Hip Score (HHS) improved from 52 ± 14 to 86 ± 11 ( P < 0.001). The femoral stem was re-revised in eight patients (11%). The mean time to re-revision was 1.1 years (0.13–2.54). Reasons for re-revision included infection (n = 5, 7%), aseptic loosening (n = 2, 3%) and significant pain (n = 1, 1%). There were no failures of the modular junctions. PC stems had an increased rate of intraoperative fractures (PC 28% vs. STS 9%, P = 0.04). Modular cementless femoral stems provide acceptable mid-term results in revision THA.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24929283</pmid><doi>10.1016/j.arth.2014.04.042</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - methods Arthroplasty, Replacement, Hip - mortality cementless femoral stem Female Femur Femur Neck - diagnostic imaging Femur Neck - surgery Follow-Up Studies Hip Prosthesis - adverse effects Humans Male Middle Aged modular femoral stem Orthopedics Prosthesis Design Prosthesis Failure Radiography Reoperation - methods Reoperation - mortality Retrospective Studies revision total hip arthroplasty taper junction total hip arthroplasty Treatment Outcome |
| title | Revision Total Hip Arthroplasty With a Modular Cementless Femoral Stem |
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