Survivorship and Complications of Revision Total Hip Arthroplasty with a Mid-Modular Femoral Stem

被引:19
|
作者
Riesgo, Aldo M. [1 ]
Hochfelder, Jason P. [1 ]
Adler, Edward M. [1 ]
Slover, James D. [1 ]
Specht, Lawrence M. [2 ]
Iorio, Richard [1 ]
机构
[1] NYU, Langone Med Ctr, Hosp Joint Dis, Dept Orthopaed Surg, New York, NY 10003 USA
[2] Boston Univ, Sch Med, Lahey Clin Hosp & Med Ctr, Burlington, MA USA
来源
JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 12期
关键词
revision hip arthroplasty; mid-modular femoral stem; Restoration; Modular; loosening; subsidence; FOLLOW-UP; BONE LOSS; RISK-FACTORS; UNITED-STATES; FIXATION; REPLACEMENT;
D O I
10.1016/j.arth.2015.06.037
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
We retrospectively reviewed 161 revision THAs with diaphyseal fitting, mid-modular femoral components performed by ten surgeons at two academic medical centers. The average follow-up was 6.1 years. At final follow-up, 4 patients required re-revision for failure of the femoral component; 3 (2%) for aseptic loosening and 1 for mechanical failure of stem in setting of periprosthetic fracture. There were a total of 24 (14.9%) revisions for any reason, with the most common reason being septic failure (10 of 24). To our knowledge, this is the largest reported series of mid-term survivorship and complications of revision THA with mid-modular femoral components. Our results show that these stems have a low rate of aseptic loosening, subsidence, and mechanical failure. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:2260 / 2263
页数:4
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