Long-term results after cemented revision of the femoral component in total hip arthroplasty

Gramkow, Jens; Jensen, Thomas; Varmarken, Jens-Erik; Retpen, Jens B

doi:10.1054/arth.2001.23923

Cited by 35 publications

(21 citation statements)

References 31 publications

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“…The re-revision rate of 4% with cemented stems in this study was lower than the 4.6%–26% rates reported by other studies1141516. The lower re-operation rates witnessed in this series may be because only patients with minor bone defects (Paprosky types I and II) formed the study group, and only short-to medium-term follow-up results were obtained.…”

Section: Discussioncontrasting

confidence: 71%

Medium-term Outcomes of Cemented Prostheses and Cementless Modular Prostheses in Revision Total Hip Arthroplasty

Wang

Lei

Xie

et al. 2013

Sci Rep

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There is an increasing trend towards cementless modular femoral prostheses for revision hip replacement surgery, especially in patients with severe proximal femoral bone defects. However, for minor femoral bone defects, the benefit of cementless modular is not clear. We designed a retrospective cross-sectional study to compare outcomes of the two femoral implant designs. There were no significant differences in terms of visual analog pain scores, Harris hip scores, femoral bone restoration, stem subsidence, leg length correction, or overall complication rate. Three femoral reoperations (11%) occurred in the cemented group, and two (9%) in the cementless modular group. One femoral stem re-revised (4%) in the cemented group due to recurrent deep infection. Five-year survival for femoral reoperation was 88.2% for patients with the cemented implant and 91.3% for cementless group. Both groups had good clinical and radiological outcomes for femoral revision in patients with minor femoral bone defects during medium-term follow-up.

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Section: Discussioncontrasting

confidence: 71%

Medium-term Outcomes of Cemented Prostheses and Cementless Modular Prostheses in Revision Total Hip Arthroplasty

Wang

Lei

Xie

et al. 2013

Sci Rep

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“…However, we believe this revision technique would be contraindicated given the high rate of failures at the shortterm followup (Table 5). 3,8,11,16,17,23,24,27 We evaluated fractures during the first postoperative year. As reported by others, this complication is most likely to occur within the first year.…”

Section: Discussionmentioning

confidence: 99%

Femoral Fractures in Revision Hip Surgeries with Impacted Bone Allograft

Farfalli

Buttaro

Piccaluga

2007

Clinical Orthopaedics &Amp; Related Research

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Impacted allograft bone in hip revision arthroplasty is a biologic reconstruction method that restores bone loss. Periprosthetic femoral fracture is one of the most frequent complications. However, the incidence, types of fracture, time of occurrence, predisposing factors, and whether and how complication affects the reconstruction are unknown. We analyzed 285 femoral revisions performed with this technique. Fractures occurred in 64 patients (22.4%). Fifty-nine of these 64 incidents (92%) occurred during surgery and five within the first postoperative year. Of the 59 intraoperative lesions, 34 were fractures (57.6%) and 25 were incidental perforations (42.3%). Most fractures and incidental perforations were associated with cement removal rather than the reconstructive technique. The reconstruction was compromised in two of the 34 fractures, but the remainder healed without complications. Five patients had a diaphyseal fracture develop within the first postoperative year, four of whom had an intraoperative incidental perforation. There was an increased risk of fractures within the first postoperative year in patients who had an incidental perforation during surgery and in those with severe bone defects. Despite the high rate of femoral complications associated with this reconstructive technique, most did not influence the reconstruction and only the intraoperative and postoperative complete diaphyseal fractures underwent additional treatment.

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“…It is clear, however, that this rate is less favourable than the published rates for prosthetic survival of up to 96.4% for a primary prosthesis [24][25][26] and up to 94% for a revision prosthesis, ten to 14 years after surgery. [27][28][29] Patients with cirrhosis have a reduced life expectancy, 30 and the reduced longevity of their hip implants may not be important. The improvement in the quality of life after hip arthroplasty may outweigh the risk of failure.…”

Section: Discussionmentioning

confidence: 99%

Hip arthroplasty in patients with cirrhosis of the liver

Hsieh

Chen

Lee

et al. 2003

The Journal of Bone and Joint Surgery. British volume

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e retrospectively reviewed 45 hip arthroplasties which were performed over a period of 20 years in 38 patients with cirrhosis of the liver. There was a high perioperative 30-day complication rate (26.7%). Advanced cirrhosis was associated with a higher risk of complications (p = 0.004) as also was increased age, a high level of creatinine, a low level of albumin, a low platelet count, ascites, encephalopathy and an increased operative blood loss. The survival of the prosthesis at five years was 77.8% and infection was a major cause of failure.In view of the high rate of early complications and the limited longevity of the prosthesis, surgeons who perform hip arthroplasty on such patients should counsel them appropriately preoperatively.

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Long-term results after cemented revision of the femoral component in total hip arthroplasty

Cited by 35 publications

References 31 publications

Medium-term Outcomes of Cemented Prostheses and Cementless Modular Prostheses in Revision Total Hip Arthroplasty

Medium-term Outcomes of Cemented Prostheses and Cementless Modular Prostheses in Revision Total Hip Arthroplasty

Femoral Fractures in Revision Hip Surgeries with Impacted Bone Allograft

Hip arthroplasty in patients with cirrhosis of the liver

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