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Quality of Life Following Proximal Femoral Replacement Using a Modular System in Revision THA

  • Symposium: Papers Presented at the Hip Society Meetings 2010
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Background

Proximal femoral replacement using a segmental modular system is one option for revision THA in the presence of severe bone loss or periprosthetic fracture. While many papers report function in these patients, they do not describe the quality of life.

Questions/purposes

We evaluated the quality of life in patients undergoing proximal femoral replacement using a segmental modular system for severe bone loss.

Patients and Methods

We retrospectively reviewed 63 patients undergoing complex revision THA using a modular replacement system for nonneoplastic conditions between April 1996 and June 2006. Average age was 73 years (range, 23–94 years). Twenty-one patients were lost to followup and six patients died before 2-year minimum followup. The remaining 36 patients were followed for an average of 3.2 years (range, 2–10 years). Study patients were matched by age-decade to a control group of patients undergoing conventional revision THA. At baseline, both groups were comparable with respect to age, comorbidities, and quality-of-life scores.

Results

At last followup, the modular system group showed improvement in WOMAC function, WOMAC pain, Oxford score, and the SF-12 mental component. Compared to the control group, the modular system group scored lower on WOMAC function and Oxford scores, but there were no differences in any other scores.

Conclusions

In patients with severely compromised bone stock, a segmental modular replacement system can improve the quality of life. Special attention should be given to the stability of the hip intraoperatively and a constrained acetabular liner should be used when the risk of postoperative dislocation is high.

Level of Evidence

Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgment

We thank Daphné Savoy for her assistance in the preparation of this manuscript.

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Authors and Affiliations

  1. Division of Lower Limb Reconstruction and Oncology, Department of Orthopaedics, University of British Columbia, Room 3114, 910 West 10th Avenue, Vancouver, BC, V5Z 4E3, Canada

    Muhyeddine M. Al-Taki MD, Bassam A. Masri MD, Clive P. Duncan MD, MSc & Donald S. Garbuz MD, MHSc

Authors
  1. Muhyeddine M. Al-Taki MD
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  2. Bassam A. Masri MD
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  3. Clive P. Duncan MD, MSc
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  4. Donald S. Garbuz MD, MHSc
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Corresponding author

Correspondence to Donald S. Garbuz MD, MHSc.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent was obtained for participation in the study.

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Al-Taki, M.M., Masri, B.A., Duncan, C.P. et al. Quality of Life Following Proximal Femoral Replacement Using a Modular System in Revision THA. Clin Orthop Relat Res 469, 470–475 (2011). https://doi.org/10.1007/s11999-010-1522-2

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  • DOI: https://doi.org/10.1007/s11999-010-1522-2

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