Role and results of tapered fluted modular titanium stems in revision total hip arthroplasty

被引:26
作者
Munro, J. T. [1 ]
Garbuz, D. S. [1 ]
Masri, B. A. [1 ]
Duncan, C. P. [1 ]
机构
[1] Vancouver Gen Hosp, Dept Orthopaed, Vancouver, BC, Canada
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2012年 / 94B卷 / 11期
关键词
FEMORAL REVISION; FIXATION;
D O I
10.1302/0301-620X.94B11.30612
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Tapered, fluted, modular, titanium stems have a long history in Europe and are increasing in popularity in North America. We have reviewed the results at our institution looking at stem survival and clinical outcomes. Radiological outcomes and quality of life assessments have been performed and compared to cylindrical non-modular cobalt chromium stems. Survival at five years was 94%. This fell to 85% at ten years due to stem breakage with older designs. Review of radiology showed maintenance or improvement of bone stock in 87% of cases. Outcome scores were superior in tapered stems despite worse pre-operative femoral deficiency. Tapered stems have proved to be a useful alternative in revision total hip arthroplasty across the spectrum of femoral bone deficiency.
引用
收藏
页码:58 / 60
页数:3
相关论文
共 7 条
[1]  
Böhm P, 2001, J BONE JOINT SURG AM, V83A, P1023
[2]  
Della Valle CJ, 2003, J BONE JOINT SURG AM, V85A, P1
[3]  
ENGH CA, 1990, CLIN ORTHOP RELAT R, P107
[4]   Improved outcome in femoral revision arthroplasty with tapered fluted modular titanium stems [J].
Garbuz, Donald S. ;
Toms, Andrew ;
Masri, Bassam A. ;
Duncan, Clive P. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (453) :199-202
[5]   Femoral Revision Hip Arthroplasty A Comparison of Two Stem Designs [J].
Richards, Corey J. ;
Duncan, Clive P. ;
Masri, Bassam A. ;
Garbuz, Donald S. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (02) :491-496
[6]   Femoral fixation in the face of considerable bone loss - The use of modular stems [J].
Sporer, SM ;
Paprosky, WG .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (429) :227-231
[7]  
Van Houwelingen AP, 2012, CLIN ORTHOP IN PRESS