Skip to main content
SpringerLink
Log in
Book cover

Congenital Hip Disease in Adults pp 113–129Cite as

Timing for Revision

  • Chapter
  • First Online:

  • 1409 Accesses

Abstract

Constant follow-up after total hip replacement is necessary for revision on time. Annual or biannual follow-up, and more often in patients with an increased risk is recommended. The cemented and cementless devices, used for primary total hip replacement, have different failure mechanisms. The major problem of the cemented all-polyethylene acetabular components remains the aseptic loosening, while cementless acetabular components introduce other potential causes of failure, mainly the individual wear of polyethylene. Failure of cemented and cementless femoral components, indicating the need for revision, is the progressive osteolysis and loosening. Revision after total hip replacement in patients with congenital hip disease has additional difficulties due to the already compromised anatomy. Implants and techniques used depend on the type and extent of the bone loss. Revision can be successful if it is performed on time, before catastrophic bone destruction occurs.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Hartofilakidis G, Karachalios T (2004) Total hip arthroplasty for congenital hip disease. J Bone Joint Surg Am 86-A(2):242–250

    PubMed  Google Scholar 

  2. O’Brien JJ, Burnett RS, McCalden RW, MacDonald SJ, Bourne RB, Rorabeck CH (2004) Isolated liner exchange in revision total hip arthroplasty: clinical results using the direct lateral surgical approach. J Arthroplasty 19(4):414–423

    Article  PubMed  Google Scholar 

  3. Goetz DD, Smith EJ, Harris WH (1994) The prevalence of femoral osteolysis associated with components inserted with or without cement in total hip replacements. A retrospective matched-pair series. J Bone Joint Surg Am 76(8):1121–1129

    PubMed  CAS  Google Scholar 

  4. Barrack RL, Mulroy RD Jr, Harris WH (1992) Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. J Bone Joint Surg Br 74(3):385–389

    PubMed  CAS  Google Scholar 

  5. Dearborn JT, Harris WH (2000) Acetabular revision after failed total hip arthroplasty in patients with congenital hip dislocation and dysplasia. Results after a mean of 8.6 years. J Bone Joint Surg Am 82-A(8):1146–1153

    PubMed  CAS  Google Scholar 

  6. Hartofilakidis G, Stamos K, Karachalios T, Ioannidis TT, Zacharakis N (1996) Congenital hip disease in adults. Classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. J Bone Joint Surg Am 78(5):683–692

    PubMed  CAS  Google Scholar 

  7. Morag G, Zalzal P, Liberman B, Safir O, Flint M, Gross AE (2005) Outcome of revision hip arthroplasty in patients with a previous total hip replacement for developmental dysplasia of the hip. J Bone Joint Surg Br 87(8):1068–1072

    Article  PubMed  CAS  Google Scholar 

  8. Chougle A, Hemmady MV, Hodgkinson JP (2005) Severity of hip dysplasia and loosening of the socket in cemented total hip replacement. A long-term follow-up. J Bone Joint Surg Br 87(1):16–20

    PubMed  CAS  Google Scholar 

  9. Duncan WW, Hubble MJ, Howell JR, Whitehouse SL, Timperley AJ, Gie GA (2009) Revision of the cemented femoral stem using a cement-in-cement technique: a five- to 15-year review. J Bone Joint Surg Br 91(5):577–582

    Article  PubMed  CAS  Google Scholar 

  10. Babis GC, Sakellariou VI, Chatziantoniou AN, Soucacos PN, Megas P (2011) High complication rate in reconstruction of Paprosky type IIIa acetabular defects using an oblong implant with modular side plates and a hook. J Bone Joint Surg Br 93(12):1592–1596

    Article  PubMed  CAS  Google Scholar 

  11. Sternheim A, Rogers BA, Kuzyk PR, Safir OA, Backstein D, Gross AE (2012) Segmental proximal femoral bone loss and revision total hip replacement in patients with developmental dysplasia of the hip: the role of allograft prosthesis composite. J Bone Joint Surg Br 94(6):762–767

    Article  PubMed  CAS  Google Scholar 

  12. Babis GC, Sakellariou VI, O’Connor MI, Hanssen AD, Sim FH (2010) Proximal femoral allograft-prosthesis composites in revision hip replacement: a 12-year follow-up study. J Bone Joint Surg Br 92(3):349–355

    Article  PubMed  CAS  Google Scholar 

  13. D’Antonio JA, Capello WN, Borden LS, Bargar WL, Bierbaum BF, Boettcher WG, Steinberg ME, Stulberg SD, Wedge JH (1989) Classification and management of acetabular abnormalities in total hip arthroplasty. Clin Orthop Relat Res 243:126–137

    PubMed  Google Scholar 

  14. Estok DM, Harris WH (1994) Long-term results of cemented femoral revision surgery using second-generation techniques. An average 11.7-year follow-up evaluation. Clin Orthop Relat Res 299:190–202

    PubMed  Google Scholar 

  15. Sporer SM, Paprosky WG (2003) Revision total hip arthroplasty: the limits of fully coated stems. Clin Orthop Relat Res 417:203–209

    PubMed  Google Scholar 

  16. Paprosky WG, Perona PG, Lawrence JM (1994) Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplasty 9(1):33–44

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Department Medical School, National and Kapodistrian University, Athens, Greece

    George Hartofilakidis MD, FACS

  2. 2nd Orthopaedic Department Medical School, National and Kapodistrian University Nea Ionia General Hospital “Konstantopoulion”, Athens, Greece

    George C. Babis MD, DSc

  3. 3rd Orthopaedic Department, National and Kapodistrian University KAT General Hospital, Athens, Greece

    Kalliopi Lampropoulou-Adamidou MD, MSc

Authors
  1. George Hartofilakidis MD, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. George C. Babis MD, DSc
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kalliopi Lampropoulou-Adamidou MD, MSc
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Italia

About this chapter

Cite this chapter

Hartofilakidis, G., Babis, G.C., Lampropoulou-Adamidou, K. (2014). Timing for Revision. In: Congenital Hip Disease in Adults. Springer, Milano. https://doi.org/10.1007/978-88-470-5492-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5492-9_10

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5491-2

  • Online ISBN: 978-88-470-5492-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation