The Effect of Preoperative Planning and Impaction Grafting Surgical Technique on Intraoperative and Postoperative Complication Rate for Femoral Revision Patients with Moderate to Severe Bone Loss

Autor:	Christine M. Luland, Gordon E. Hill, Gwen Gratto-Cox, John E. Kilgore, William A. Leone, Marybeth Naughton
Rok vydání:	2008
Předmět:	medicine.medical_specialty Preoperative planning business.industry Impaction Grafting (decision trees) Radiography Osteoporosis Postoperative complication Bone healing medicine.disease Surgery Medicine Orthopedics and Sports Medicine Femur Radiology business
Zdroj:	The Journal of Arthroplasty. 23:383-394
ISSN:	0883-5403
DOI:	10.1016/j.arth.2007.02.017
Popis:	This study reports the results of 41 revision hips, implanted by a single surgeon using impaction grafting (mean follow-up, 4.7 years). All hips had Paprosky scores of III or IV. Harris hip scores improved from 43 to 82. There was 1 intraoperative and 2 postoperative fractures. A single stem was revised during the study. Radiographic review showed the 40 unrevised stems to be stable, and graft incorporation was seen in at least 1 zone in 100% of the femurs. There was no stem subsidence greater than 2.5 mm. The results of this study demonstrate that preoperative planning and a surgical technique, which emphasizes femoral support and vigorous impaction grafting, resulted in an acceptable incidence of complications.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::d5dbac40679d3341022899cc8d128076 https://doi.org/10.1016/j.arth.2007.02.017 Zobrazit plný text záznamu Full Text from ScienceDirect