Management of bone loss in revision total hip arthroplasty using custom cementless femoral components

Bargar, William L.; Murzic, William J.; Taylor, Jeffrey K.; Newman, Mark; Paul, H.A.

doi:10.1016/s0883-5403(06)80085-9

Cited by 20 publications

(3 citation statements)

References 7 publications

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“…Related studies show good to excellent results ranging from 55% to 90%. 1,[54][55][56][57][58] We also used the Charnley modification of the Merle d'Aubigné and Postel scoring system since it is simple, validated and the outcome is indicated by three important criteria. 24 The values for pain and movement were consistently satisfactory in our patients and comparable with those of other studies.…”

Section: Discussionmentioning

confidence: 99%

Revision of cemented hip arthroplasty using a hydroxyapatite-ceramic-coated femoral component

Raman

Kamath

Parikh

et al. 2005

The Journal of Bone and Joint Surgery. British volume

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We report the clinical and radiological outcome of 86 revisions of cemented hip arthroplasties using JRI-Furlong hydroxyapatite-ceramic-coated acetabular and femoral components. The acetabular component was revised in 62 hips and the femoral component in all hips. The mean follow-up was 12.6 years and no patient was lost to follow-up. The mean age of the patients was 71.2 years. The mean Harris hip and Oxford scores were 82 (59 to 96) and 23.4 (14 to 40), respectively. The mean Charnley modification of the Merle d'Aubigné and Postel score was 5 (3 to 6) for pain, 4.9 (3 to 6) for movement and 4.4 (3 to 6) for mobility. Migration of the acetabular component was seen in two hips and the mean acetabular inclination was 42.6 degrees. The mean linear polyethylene wear was 0.05 mm/year. The mean subsidence of the femoral component was 1.9 mm and stress shielding was seen in 23 (28%) with bony ingrowth in 76 (94%). Heterotopic ossification was seen in 12 hips (15%). There were three re-revisions, two for deep sepsis and one for recurrent dislocation and there were no re-revisions for aseptic loosening. The mean EuroQol EQ-5D description scores and health thermometer scores were 0.69 (0.51 to 0.89) and 79 (54 to 95), respectively. With an end-point of definite or probable loosening, the probability of survival at 12 years was 93.9% and 95.6% for the acetabular and femoral components, respectively. Overall survival at 12 years, with removal or further revision of either component for any reason as the end-point, was 92.3%. Our study supports the continued use of this arthroplasty and documents the durability of hydroxyapatite-ceramic-coated components.

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Section: Discussionmentioning

confidence: 99%

Revision of cemented hip arthroplasty using a hydroxyapatite-ceramic-coated femoral component

Raman

Kamath

Parikh

et al. 2005

The Journal of Bone and Joint Surgery. British volume

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“…Predisposing factors are loosening of the femoral implant, defects in the cortex from screw holes or misdirected reaming, stress concentration, and severe osteoporosis [4,15,30]. Bone loss after excessive use of cement is common [2].…”

Section: Introductionmentioning

confidence: 99%

Uncemented revision stem for biological osteosynthesis in periprosthetic femoral fractures

Eingartner¹,

Volkmann²,

Putz³

et al. 1997

International Orthopaedics

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“…Hip arthroplasty is sometimes very difficult when the proximal femur has been destroyed-for example, because of extensive bone resorption in revision cases, an unstable stem after fractures, or severe comminuted fracture. To solve this problem, cementing, 1 autogenous bone grafting, 2 massive allograft bone packing, [3][4][5] cortical strut grafting, 6 and use of various uncemented long-stem prostheses [7][8][9][10] and custommade prostheses 11,12 have been tried, achieving variable results.…”

Section: Introductionmentioning

confidence: 99%

Use of Wagner Cementless Self-Locking Stems for Massive Bone Loss in Hip Arthroplasty

Lyu

2003

J Orthop Surg (Hong Kong)

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Management of bone loss in revision total hip arthroplasty using custom cementless femoral components

Cited by 20 publications

References 7 publications

Revision of cemented hip arthroplasty using a hydroxyapatite-ceramic-coated femoral component

Revision of cemented hip arthroplasty using a hydroxyapatite-ceramic-coated femoral component

Uncemented revision stem for biological osteosynthesis in periprosthetic femoral fractures

Use of Wagner Cementless Self-Locking Stems for Massive Bone Loss in Hip Arthroplasty

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