Cement-Within-Cement Stem Exchange Using the Collarless Polished Double-Taper Stem
| Autor: | Donald W. Howie, Margaret A. McGee, Susan D. Neale, Daniel Mandziak |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Arthroplasty Replacement Hip Radiography Dentistry Recurrent dislocation Femoral stem Prosthesis Design Ein bild roentgen analyse medicine Humans Orthopedics and Sports Medicine Femur Prospective Studies Stem subsidence Revision hip arthroplasty Aged Aged 80 and over Cement business.industry Bone Cements Middle Aged equipment and supplies Surgery surgical procedures operative Female Hip Prosthesis business Follow-Up Studies |
| Zdroj: | The Journal of Arthroplasty. 22:1000-1006 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2007.06.001 |
| Popis: | The clinical and radiographic outcomes of the cement-within-cement femoral stem exchange technique at revision hip arthroplasty were determined. Twenty-three revisions with a collarless polished double-taper stem design were prospectively monitored at up to 12 years. The most common indications for revision were recurrent dislocation and acetabular revision. Radiographic stem subsidence was measured by the Ein Bild Röentgen Analyse method. There was no stem re-revision and no radiographic loosening. Stem within cement subsidence, an intentional design feature of this stem, averaged 0.8 mm (range, 0-2 mm). The average subsidence was similar to that in primary hip arthroplasty. The excellent long-term results of cemented collarless polished taper stems for primary and revision hip arthroplasty can be extended even further by cement-within-cement exchange, which preserves the femur. |
| Databáze: | OpenAIRE |
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