Revision with Cementless Acetabular Components A Concise Follow-up, at a Minimum of Twenty Years, of Previous Reports

被引:0
作者
Trumm, Bryan N.
Callaghan, John J.
Liu, Steve S.
Goetz, Devon D.
Johnston, Richard C.
机构
[1] Univ Iowa, Iowa City, IA USA
[2] Des Moines Orthopaed Surg, W Des Moines, IA 50266 USA
关键词
TOTAL HIP-REPLACEMENT; OSTEOARTHRITIS; WEAR;
D O I
10.2106/JBJS.L00058
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
The purpose of the present study was to analyze the longer-term results for a previously reported cohort of patients who were managed with cementless acetabular fixation at the time of revision arthroplasty. Sixty-one consecutive revision total hip arthroplasties were performed in fifty-five patients with use of a cementless acetabular component and screw-augmented fixation. This series was evaluated at minimum of twenty years. Twelve patients (fourteen hips) were living at twenty years. In this group of sixty-one arthroplasties, there were nineteen revisions in fourteen hips (22.9%) during the follow-up period, but no revisions were performed because of loosening of the acetabular component and no additional cups had loosened since the time of the last report at a minimum of ten years. Two components had previously been reported as loose and had migrated, but neither had been revised at the time of the latest follow-up. The minimum twenty-year follow-up of these cementless acetabular components demonstrated durable long-term fixation. The survival rate was 100% with revision of the shell because of aseptic loosening as the end point and 97.7% (95% confidence interval, +/- 8.8%) with radiographic evidence of loosening as the end point. The authors continue to use cementless acetabular fixation with screw augmentation for most revision total hip arthroplasty procedures.
引用
收藏
页码:2001 / 2004
页数:4
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