Revision of the uncemented hip prosthesis

Abstract

In a series of 213 consecutive total hip replacements a.m. Lubinus, the clinical course after 72 revisions and 141 primary procedures was compared after 5 years. The revised THRs were uncemented Ring prostheses. Dislocation and peroperative fracture were more common in the revision group. Two failures because of aseptic loosening occurred in the revision group and 3 in the control group. No excisional arthroplasty was required, and no infections occurred. Radiographic evaluation of prosthetic positioning, component loosening, calcar resorption, and paraarticular ossification disclosed only slightly inferior results in the revision group. Clinically, the revised cases were not inferior to the primary ones. Revision of the uncemented hip seems less difficult than of the cemented hip.

Influence of forces on peri‐implant bone

“…In the field of orthopedics, aseptic loosening of non‐cemented hip (Søballe et al 1987) and knee (Foran et al 2004) prostheses has been observed. It should be appreciated that this is a closed system without microbially induced inflammation.…”

Paralisia nervosa na artroplastia total do quadril

“…Como, na maioria dos casos há necessidade de alongamento do membro inferior, o risco se torna mais elevado ainda. Stern et al (6) 1972 50 2 4,0 Charnley et al (7) 1973 185 2 1,1 Evarts et al (8) 1973 200 6 3,0 Langenskiold et al (9) 1973 116 1 0,9 Wilson et al (10) 1973 108 4 3,7 Lubinus (11) 1973 1.350 28 2,1 Lazansky (12) 1973 501 6 1,2 Buchholz et al (13) 1973 3.948 76 1,9 Eftekhar et al (14) 1973 800 12 1,5 Murray (15) 1973 808 15 1,9 Smith (16) 1973 112 1 0,9 Weber et al (17) 1976 2.012 14 0,7 Moczynski et al (18) 1976 237 3 1,3 Beckenbaugh et al (19) 1978 300 4 1,3 Sarmiento et al (25) 1979 237 7 3,0 Solheim et al (20) 1980 825 6 0,7 Robinson et al (21) 1980 316 2 0,6 Amstutz et al (5) 1982 66 5 7,6 Tillberg (22) 1982 327 3 0,9 Johanson et al (23) 1983 5.667 36 0,6 Ahlgren et al (24) 1984 150 1 0,7 Andrew et al (26) 1985 179 1 0,6 Edwards et al (27) 1987 614 7 1,1 Soballe et al (28) 1987 213 1 0,5 Mok et al (29) 1989 251 4 1,6 Schmalzried et al (30) 1991 3.126 53 1,7 Simmons et al (31) 1991 440 10 2,3 Dhillon et al (32) 1992 380 6 1,6 Nercessian et al (2) 1994 7.133 45 0,63 Nercessian et al (4) 1994 1.287 1 0,08 Navarro et al (33) 1995 1.000 8 0,8 Linclau et al (34) 1995 1.463 7 0,5 Oldenburg et al (35) 1997 2.723 61 2,2 Pekkarinen et al (36) 1999 4.339 27 0,6 Eggli et al (37) 1999 508 8 1,6 Butt et al (38) 2005 355 6 1,7 Farrell et al (39) 2005 27.004 47 0,17 Hurd et al …”