Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs

Sandiford, Nemandra A; Garbuz, Donald S.; Masri, Bassam A.; Duncan, Clivе P.

doi:10.1007/s11999-016-5091-x

Cited by 48 publications

(30 citation statements)

References 37 publications

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“…Additionally, previous work has shown good outcomes in complex cases using monoblock stems. [21][22][23][24] Regardless of implant type, precautions must be taken to limit intraoperative fractures.…”

Section: Discussionmentioning

confidence: 99%

Revision Total Hip Arthroplasty in Osteogenesis Imperfecta

Schoof

Duenes

Feng

et al. 2020

The Journal of Hip Surgery

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Osteogenesis imperfecta (OI) is a rare group of connective tissue disorders commonly associated with bone fragility, deformity, and fractures, leading to instability and early osteoarthritis. Current advancements in the medical and surgical management of OI have extended the life span of these patients, resulting in an increased need for joint arthroplasty to help maintain quality of life. However, surgery among this patient population is technically challenging and comes with a high burden of revision. In this report, we present a case of revision total hip arthroplasty in a patient with OI and review important considerations to help ensure proper preoperative planning and correct precautions to minimize complications and decrease implant failure.

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Section: Discussionmentioning

confidence: 99%

Revision Total Hip Arthroplasty in Osteogenesis Imperfecta

Schoof

Duenes

Feng

et al. 2020

The Journal of Hip Surgery

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“…It can also promote bone in-growth to achieve biological xation with the metaphysis and diaphysis. Sandiford et al [24] reported 104 femoral revisions using the Wagner SL stem, with a follow-up of 24 -46 months, and found that no femoral stems had failed from aseptic loosening. Only one patient with infection of the stem and cup required operation [24].…”

Section: Discussionmentioning

confidence: 99%

“…Sandiford et al [24] reported 104 femoral revisions using the Wagner SL stem, with a follow-up of 24 -46 months, and found that no femoral stems had failed from aseptic loosening. Only one patient with infection of the stem and cup required operation [24]. Previous studies have shown that the Wagner tapered femoral stems have excellent survival rates and favorable results in revision and primary THA [25,26], potentially making it a better choice.…”

Section: Discussionmentioning

confidence: 99%

Cementless total hip arthroplasty for failed treatment of subtrochanteric fracture

Jin

Kim

et al. 2020

Preprint

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Background Failed treatment of subtrochanteric fractures commonly leads to pain, limping, and poor function. Cementless total hip arthroplasty (THA) could be an option as a salvage procedure in such cases. This study was to evaluate the clinical and radiological results and complications of this treatment in our hospital. Method Eighteen cementless THAs for failed treatment of subtrochanteric fractures were performed at our institution between January 2001 to December 2017. There were eleven males and seven females, and the average age was 74 years (range 57.0-89.0). Eight patients were previously operated with an intramedullary nail, six patients were treated with a dynamic hip screw, two patients were treated with an angled blade plate, one patient was treated with a proximal femur locking plate, and one patient was treated with a dynamic compression plate. Results The mean follow-up was 5.2 years (range 2.2-10.8). The mean duration of the operation was 98.0 minutes (standard deviation [SD],15.4; range 70-135). The mean total blood loss was 992.2 mL (SD,171.2; range 640-1260 mL), and the amount of transfusion was 2.2 units (SD, 0.8, range 1-4). The mean Harris hip score (HHS) was 38.2 (SD, 9.3; range, 24-56) preoperatively and 85.4 (SD, 4.9; range, 79-92) at the last follow-up. Compared to the patients treated with plate-screws, those treated with an intramedullary nail had significantly shorter surgical duration, fewer blood transfusions, and less intraoperative blood loss. Kaplan-Meier survivorship with an endpoint of revision was 94.4% (95% confidence interval 72.7-99.9) at five years. Conclusion Cementless THA is one of the acceptable procedures for failed treatment of the subtrochanteric fracture with fewer complications.

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“…Sandiford 21 followed up 104 patients who underwent Wagner SL femoral stem revision for 2 years. The bone remodeling rate was 47%.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Cylindrical and Tapered Stem Designs in Femoral Revision Hip Arthroplasty

Zhang

Sun

et al. 2020

Preprint

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Abstract Background Both cylindrical and tapered stems are commonly used in revision total hip arthroplasty, it is unclear whether the geometry of prosthesis stem has an effect on the patient's efficacy and prognosis. we assume the tapered stem is superior to the cylindrical stem for better clinical outcome. Methods A multicenter review of 120 femoral revisions with Paprosky I, II and III defects using cobalt cylindrical stem (54 hips) or titanium tapered stem (66 hips) was performed with an average follow-up of 6 years. Demographic data was comparable between groups. Results There were no significant group differences were found in surgery time, bleeding volume and the postoperative Harris Hip Score, the level of overall satisfaction, 8-year cumulative survival. However, intraoperative fractures in the tapered group (4.5%) occurred significantly less than in the cylindrical group (14.8%), and stem subsidence was significantly less in the tapered group (2.17mm) than in the cylindrical group (4.17 mm). There was a higher ratio of bone repair and lower bone loss in the tapered group compared to the cylindrical group. The postoperative thigh pain rate was higher in the cylindrical group (12.9%) than in the tapered group (4.5%). Conclusion Both cylindrical stem and tapered stem can achieve satisfactory mid-term clinical results in revision THA; The tapered stem has better bone restoration of proximal femur, low incidence of intraoperative fracture, and low postoperative thigh pain rate compared with the cylindrical stem.

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Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs

Cited by 48 publications

References 37 publications

Revision Total Hip Arthroplasty in Osteogenesis Imperfecta

Revision Total Hip Arthroplasty in Osteogenesis Imperfecta

Cementless total hip arthroplasty for failed treatment of subtrochanteric fracture

A Comparison of Cylindrical and Tapered Stem Designs in Femoral Revision Hip Arthroplasty

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