Document Detail


Femoral revision surgery with impaction bone grafting: 31 hips followed prospectively for ten to 15 years.
MedLine Citation:
PMID:  22529079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this prospective study was to evaluate the long-term clinical and radiological outcomes of revision of the femoral component of a total hip replacement using impaction bone grafting. Femoral revision with an impacted allograft was performed on 29 patients (31 hips). In all, 21 hips (68%) had grade III or IV femoral defects according to the Endo-Klinik classification. A total of 11 patients (12 hips) died before the ten-year follow-up period. Of the remaining patients, 18 patients (19 hips) were followed for 10 to 15 years; three further patients died during this time. None of the 31 stems underwent further revision of their stem. However, four stems showed extensive subsidence (> 15 mm). One of these patients had a femoral fracture that required fixation. Three other patients had a femoral fracture, two of which required fixation and the other was treated conservatively. Patients with a femoral fracture and/or severe subsidence had significantly more grade IV defects (six of seven hips; p = 0.004). One patient needed a closed reduction for dislocation. Impaction allografting in revision hip surgery gives good long-term results for femora with grades I, II and III Endo-Klinik-classified defects. Extensive subsidence and femoral fractures were seen mainly in patients with grade IV damaged femora.
Authors:
B L E F Ten Have; R W Brouwer; R W Brouwer Md; F C van Biezen; J A N Verhaar
Related Documents :
21028989 - Part ii: crystalline fluorapatite-coated hydroxyapatite implant material: a dog study w...
22837919 - Thyroid function and bone mineral density among indian subjects.
22807949 - Atypical subtrochanteric femur fracture in patient with metastatic breast cancer treate...
3326879 - Transfer of vascularized grafts of iliac bone to the extremities.
18836599 - Contemporary alternatives to synthetic bone grafts for spine surgery.
155469 - Mandibular reconstruction and craniofacial fairing.
24205769 - Revision total hip arthroplasty using an interlocking stem with an allograft-prosthesis...
3178979 - Adolescent-type tillaux fracture of the ankle: two case reports.
23365159 - A tale of two pelvises.
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  94     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-24     Completed Date:  2012-07-17     Revised Date:  2013-03-11    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  615-8     Citation Subset:  AIM; IM    
Affiliation:
Martini Hospital Groningen, Orthopaedic Department, Van Swietenplein 1, Groningen 9728, The Netherlands. havetenb@mzh.nl
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / adverse effects,  instrumentation,  methods*
Bone Transplantation / adverse effects,  methods*
Female
Femoral Fractures / etiology,  prevention & control
Femur / surgery*
Follow-Up Studies
Humans
Male
Middle Aged
Periprosthetic Fractures / etiology,  prevention & control
Prospective Studies
Prosthesis Design
Prosthesis Failure
Reoperation / methods
Comments/Corrections
Erratum In:
J Bone Joint Surg Br. 2013 Feb;95-B(2):286
Note: Brouwer Md, R W [corrected to Brouwer, R W]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A customised collared polished stem may reduce the complication rate of impaction grafting in revisi...
Next Document:  A financial analysis of revision hip arthroplasty: The economic burden in relation to the national t...