Long-term Outcomes of Revision Total Hip Arthroplasty Using a Modular Fluted Conical Femoral Stem.
J Arthroplasty
; 39(4): 1048-1053, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-37871856
ABSTRACT
BACKGROUND:
This study presents minimum 6-year follow-up data on the survival and satisfaction of an uncemented modular revision femoral system, following on from our previously published earlier results.METHODS:
We retrospectively reviewed all revision hip arthroplasties performed at our institution between January 2005 and October 2012, using a single modular femoral revision system. Patient-reported outcomes were collected (satisfaction score and Oxford Hip Score). Preoperative and postoperative radiographs were reviewed for stem subsidence, and Kaplan-Meier analysis was performed for survival. A total of 115 femoral revisions were performed in 106 patients.RESULTS:
All-cause survival was 82% (95% confidence interval 74 to 91%) at 10.8 years, and 96% (95% confidence interval 90 to 100%) excluding septic failure. Of the 19 cases requiring reoperation, 16 were for infection, 2 for aseptic loosening, and 1 for mechanical failure. At final follow-up, 88.5% of patients were "satisfied" or "very satisfied".CONCLUSIONS:
This study showed excellent clinical results of a commonly used revision hip stem with at least 10 years follow-up. Satisfaction rates were high, with few aseptic failures. Stem subsidence was more common in revisions for infection, but did not correlate with lower satisfaction scores.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
/
Prótese de Quadril
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article