Revision total hip arthroplasty using a cementless tapered revision stem in patients with a mean age of 82 years
- 355 Downloads
A tapered straight cementless stem was used for revision in a group of old and very old patients. We wanted to know whether the use of this implant could achieve satisfactory results despite age and osteoporosis.
We retrospectively analysed data of 77 elderly patients (77 hips) who underwent revision in cemented and uncemented primary total hip arthroplasties (THA). The patients had a mean age of 82.2 years (range, 75–92 years) at revision surgery. They were monitored for a mean follow up of 7.1 years (range, 5.0–10.2 years). During the minimum follow-up period 11 patients died of unrelated causes, leaving 66 patients (66 hips) for evaluation.
During the period of study three stems failed due to aseptic loosening, three hips dislocated and were successfully treated by closed reduction and bracing. No infection, osteolysis or significant stress shielding around the stems was observed. The survivorship at an average of 7.1-year follow-up was 95.5%.
These results indicate that this stem is an excellent alternative in revision THA in patients of 75 years or older.
KeywordsAseptic Loosening Femoral Revision Cementless Femoral Component Octogenarian Group Fissure Line
- 3.Chang JD, Kim TY, Rao MB, Lee SS, Kim IS (2011) Revision total hip arthroplasty using a tapered, press-fit cementless revision stem in elderly patients. J Arthroplasty 26(7):1045–1049Google Scholar
- 7.D’Aubigne RM, Postel M (1954) Functional results of hip arthroplasty with acrylic prosthesis. J Bone Jt Surg Am 36:451–475Google Scholar
- 8.Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Jt Surg Am 51:737–755Google Scholar
- 11.Gundolf F (2007) Compression cerclage. In: 25 years of biologic fixation, Ed.: Friedrich N, Santore R. Elsevier, Urban+Fischer, MunichGoogle Scholar
- 23.Meek RM, Garbuz DS, Masri BA et al (2004) Intraoperative fracture of the femur in revision total hip arthroplasty with a diaphyseal fitting stem. J Bone Jt Surg Am 86A:480–484Google Scholar
- 24.Lintner F, Huber M, Böhm G, Attems J, Wais R (1996) Der Schneide-Schleif Effekt als wichtiger Parameter zur ossären Einheilung zementfreier Pfannen (German). In: Zweymüller K (ed) 15 Jahre Zweymüller Hüftprothese. Verlag Hans Huber, BernGoogle Scholar