Revision Total Hip Arthroplasty With a Modular Cementless Femoral Stem

被引：17
|
作者：
Pelt, Christoper E. [1 ]
Madsen, Wes [1 ]
Erickson, Jill A. [1 ]
Gililland, Jeremy M. [1 ]
Anderson, Mike B. [1 ]
Peters, Christopher L. [1 ]
机构：
[1] Univ Utah, Orthopaed Ctr, Salt Lake City, UT 84108 USA
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 09期
关键词：
total hip arthroplasty; revision total hip arthroplasty; cementless femoral stem; modular femoral stem; taper junction; PROXIMAL BONE LOSS; FOLLOW-UP; UNITED-STATES; TITANIUM; COMPONENTS; FIXATION; FEMUR; PROSTHESIS; FRACTURES;
D O I：
10.1016/j.arth.2014.04.042
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 123 patients who underwent cementless THA with modular femoral stem designs for revision THA or conversion of failed ORIF and found 75 patients available for analysis. The Harris Hip Score (HHS) improved from 52 +/- 14 to 86 +/- 11 (P < 0.001). The femoral stem was re-revised in eight patients (11%). The mean time to re-revision was 1.1 years (0.13-2.54). Reasons for re-revision included infection (n = 5, 7%), aseptic loosening (n = 2, 3%) and significant pain (n = 1, 1%). There were no failures of the modular junctions. PC stems had an increased rate of intraoperative fractures (PC 28% vs. STS 9%, P = 0.04). Modular cementless femoral stems provide acceptable mid-term results in revision THA. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：1803 / 1807
页数：5
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