Revision total hip replacement using the cement-in-cement technique for the acetabular component
| Autor: | John Charity, J. R. Howell, A. J. Timperley, Sarah L. Whitehouse, Kit R. F. S. Brogan, A. Sheeraz, M. J. W. Hubble |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Revision total hip replacement Disarticulation Arthroplasty Replacement Hip Aseptic loosening Operating time Humans Medicine Orthopedics and Sports Medicine Survival rate Aged Fixation (histology) Aged 80 and over business.industry Bone Cements Acetabulum Middle Aged equipment and supplies medicine.disease Surgery Survival Rate Treatment Outcome surgical procedures operative Acetabular component Female Hip Joint business Follow-Up Studies |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :1482-1486 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.94b11.29415 |
| Popis: | The technique of femoral cement-in-cement revision is well established, but there are no previous series reporting its use on the acetabular side at the time of revision total hip replacement. We describe the technique and report the outcome of 60 consecutive acetabular cement-in-cement revisions in 59 patients at a mean follow-up of 8.5 years (5 to 12). All had a radiologically and clinically well-fixed acetabular cement mantle at the time of revision. During the follow-up 29 patients died, but no hips were lost to follow-up. The two most common indications for acetabular revision were recurrent dislocation (46, 77%) and to complement femoral revision (12, 20%).Of the 60 hips, there were two cases of aseptic loosening of the acetabular component (3.3%) requiring re-revision. No other hip was clinically or radiologically loose (96.7%) at the latest follow-up. One hip was re-revised for infection, four for recurrent dislocation and one for disarticulation of a constrained component. At five years the Kaplan-Meier survival rate was 100% for aseptic loosening and 92.2% (95% CI 84.8 to 99.6), with revision for any cause as the endpoint.These results support the use of cement-in-cement revision on the acetabular side in appropriate cases. Theoretical advantages include preservation of bone stock, reduced operating time, reduced risk of complications and durable fixation. |
| Databáze: | OpenAIRE |
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