Revision Total Hip Arthroplasty Using a Modular Tapered Stem With Distal Fixation Good Short-Term Results in 125 Revisions

被引：49

作者：

Ovesen, Ole ^{[1
,2
]}

Emmeluth, Claus ^{[1
]}

Hofbauer, Christian ^{[1
]}

Overgaard, Soren ^{[1
,2
]}

机构：

[1] Univ So Denmark, Odense Univ Hosp, Dept Orthopaed Surg, DK-5000 Odense C, Denmark

[2] Univ So Denmark, Inst Clin, DK-5000 Odense, Denmark

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 03期

关键词：

total hip arthroplasty; revision; modular taper stem; POROUS-COATED STEMS; PROXIMAL BONE LOSS; FEMORAL REVISION; FOLLOW-UP; PROSTHESIS; SURGERY;

D O I：

10.1016/j.arth.2008.11.106

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：

After 2 to 7 years we reviewed 125 prosthetic hip arthroplasty stem revisions using a modular tapered stem with distal fixation. Median age of these patients was 68 (33-92) years. Baseline and follow-up data were registered prospectively according to the Danish Hip Arthroplasty Registry. Survival, free of any rerevision, was 94%. Harris Hip Score improved from average 44 to 85. Bony regeneration was an early and significant finding in most cases. Complications included 4 (3%) fractures intraoperatively and 8 (6%) dislocations, 4 (3%) deep infections, and 1 (1%) stem fracture. This modular taper system is very versatile, can be used in most femoral revision cases, and allows rapid bone remodeling. We did not find an increased number of complications compared to the literature. Further long-term follow-up, however, is essential.

引用

页码：348 / 354

页数：7

共 25 条

[1] Femoral revision - Distal fixation with fluted, tapered grit-blasted stems [J].

Berry, DJ .

JOURNAL OF ARTHROPLASTY, 2002, 17 (04) :142-146

[2]

Böhm P, 2004, CLIN ORTHOP RELAT R, P148

[3] RESULTS OF REVISION FOR MECHANICAL FAILURE AFTER CEMENTED TOTAL HIP-REPLACEMENT, 1979 TO 1982 - A 2 TO 5-YEAR FOLLOW-UP [J].

CALLAGHAN, JJ ;

SALVATI, EA ;

PELLICCI, PM ;

WILSON, PD ;

RANAWAT, CS .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1985, 67A (07) :1074-1085

[4]

ENGH CA, 1990, CLIN ORTHOP RELAT R, P107

[5]

Grunig R, 1997, ARCH ORTHOP TRAUM SU, V116, P187

[6] TRAUMATIC ARTHRITIS OF HIP AFTER DISLOCATION AND ACETABULAR FRACTURES - TREATMENT BY MOLD ARTHROPLASTY - AN END-RESULT STUDY USING A NEW METHOD OF RESULT EVALUATION [J].

HARRIS, WH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1969, A 51 (04) :737-+

[7] Design and first clinical results with the ZMR taper revision prosthesis [J].

Hinrichs, F ;

Boudriot, U ;

Hünerkopf, M ;

Griss, P .

ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE, 2005, 143 (03) :355-359

[8] The Wagner revision prosthesis consistently restores femoral bone structure [J].

Isacson, J ;

Stark, A ;

Wallensten, R .

INTERNATIONAL ORTHOPAEDICS, 2000, 24 (03) :139-142

[9] The Wagner revision stem for severe osteolysis - 31 hips followed for 1.5-5 years [J].

Kolstad, K ;

Adalberth, G ;

Mallmin, H ;

Milbrink, J ;

Sahlstedt, B .

ACTA ORTHOPAEDICA SCANDINAVICA, 1996, 67 (06) :541-544

[10] A modular distal fixation option for proximal bone loss in revision total hip arthroplasty - A 2-to 6-year follow-up study [J].

Kwong, LM ;

Miller, AJ ;

Lubinus, P .

JOURNAL OF ARTHROPLASTY, 2003, 18 (03) :94-97

← 1 2 3 →