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    
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.
B L E F Ten Have; R W Brouwer; R W Brouwer Md; F C van Biezen; J A N Verhaar
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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    
Martini Hospital Groningen, Orthopaedic Department, Van Swietenplein 1, Groningen 9728, The Netherlands.
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MeSH Terms
Aged, 80 and over
Arthroplasty, Replacement, Hip / adverse effects,  instrumentation,  methods*
Bone Transplantation / adverse effects,  methods*
Femoral Fractures / etiology,  prevention & control
Femur / surgery*
Follow-Up Studies
Middle Aged
Periprosthetic Fractures / etiology,  prevention & control
Prospective Studies
Prosthesis Design
Prosthesis Failure
Reoperation / methods
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

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