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Isolated acetabular revision after total hip arthroplasty: results at 5–9 years of follow-up

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Abstract

The purpose of the study was to determine whether isolated revision of the acetabular component can be successfully performed without disturbing the femoral stem and to determine the fate of the unrevised femoral stem following revision. Fifty-seven hips in 55 patients underwent isolated acetabular revision without removal of the femoral component. Thirty-three hips with minimal acetabular deficiency required no bone grafting; the remaining 24 hips were treated by morselized or structural allograft in addition to a new acetabular component. Twenty-two of these 24 hips demonstrated incorporation of the bone graft. A mean follow-up of 5.8 (5–9) years, all femoral and acetabular components were judged to be stable and well fixed.

Résumé

Le but de l’étude est de déterminer si la révision isolé du composant acétabulaire peut être exécutée avec succès sans déranger la tige fémorale et, deuxièmement, de déterminer l’avenir de la tige fémorale laissée en place, après cette révision. Cinquante-sept hanches chez cinquante-cinq malades ont subi une révision acétabulaire isolée sans ablation du composant fémoral. Trente-trois hanches avec une déficience acétabulaire minime n’ont exigé aucune greffe osseuse; les 24 hanches restantes ont été traitées par une allogreffe morcelée ou structurelle associée à un nouveau composant acétabulaire. Vingt-deux de ces 24 hanches ont montré une incorporation de la greffe d’os. A un suivi moyen de 5,8 ans (5 à 9 ans) tout les composants fémoraux et acétabulaires ont été jugés stables et bien fixés.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Xinhu Hospital Affiliated to Shanghai Second Medical University, 1665 Kongjiang Road, Shanghai, 200092, People’s Republic of China

    Xiao-Dong Chen

  2. Division of Orthopaedic Surgery, St. Michael’s Hospital, 30 Bond, Street, Toronto, Ontario, M5B 1W8, Canada

    James P. Waddell

  3. Orthopaedic Research Office, St. Michael’s Hospital, 38 Shuter Street Annex, Room 3011, Toronto, Ontario, M5B 1A6, Canada

    Jane Morton

  4. St. Michael’s Orthopaedic Associates, 55 Queen Street East, Suite 800, Toronto, Ontario, M5C 1R6, Canada

    Emil H. Schemitsch

Authors
  1. Xiao-Dong Chen
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  2. James P. Waddell
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  3. Jane Morton
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  4. Emil H. Schemitsch
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Correspondence to James P. Waddell.

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Chen, XD., Waddell, J.P., Morton, J. et al. Isolated acetabular revision after total hip arthroplasty: results at 5–9 years of follow-up. International Orthopaedics (SICOT) 29, 277–280 (2005). https://doi.org/10.1007/s00264-005-0674-2

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  • DOI: https://doi.org/10.1007/s00264-005-0674-2

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