oru.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Complex cemented revision using polished stem and morselized allograft. Minimum 5-years' follow-up
Department of Orthopaedic Surgery, Karolinska Hospital, Stockholm, Sweden; Div. Total Jt. and Reconstr. Surg., Medical College of Ohio, Toledo, OH, United States .
Department of Orthopaedic Surgery, Karolinska Hospital, Stockholm, Sweden .
Department of Orthopaedic Surgery, Karolinska Hospital, Stockholm, Sweden .
Mayo Medical School, Rochester, MN, United States .
1999 (English)In: Archives of Orthopaedic and Trauma Surgery, ISSN 0936-8051, E-ISSN 1434-3916, Vol. 119, no 5-6, 288-291 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to evaluate the results of complex hip revision using a cemented, collarless and polished femoral stem design (CPT, Zimmer, Warsaw, In.) within a tightly impacted morselized allograft. We have now been using the impaction grafting technique in combination with the CPT stem (Zimmer) for 10 years in complex cases of severe bone loss. In this study we have elected to report only those patients who have been revised at least once before revision using the impaction grafting technique. All the patients in the study group have a minimum follow-up of 5 years after the impaction grafting revision. In total, 43 consecutive hips in 40 patients, 22 men and 18 women, with a follow-up time of between 5 and 7 years are included in the study. The complications related to the revised hip consist of three early dislocations managed by closed reduction. Two patients suffered from periprosthetic fracture, both managed with plate osteosynthesis. Two cementless sockets were revised due to aseptic socket loosening. The Endoklinik rating of preoperative bone loss for the revised hips was 2 in 13 hips, 3 in 23 hips, and 4 in 7 hips. During the first year 29 stems subsided 2-4 mm within the cement mantle. In 8 cases, a subsidence of 5-9 mm was measured. The subsidence was nonprogressive, and no subsidence occurred after the 1st year. The Charnley, D'Aubigne, Postel scoring (maximum 6 points) for pain improved from 2.2 points preoperatively to 4.4 postoperatively, function from 2.3 to 4.3, and movement from 2.3 to 4.1. In conclusion, the concept of impaction grafting in THR revision in our study has so far proven to be successful with good clinical results at 5 years despite the relatively high early subsidence of the femoral component.

Place, publisher, year, edition, pages
New York, USA: Springer-Verlag New York, 1999. Vol. 119, no 5-6, 288-291 p.
National Category
Medical and Health Sciences Orthopedics Surgery
Identifiers
URN: urn:nbn:se:oru:diva-55743DOI: 10.1007/s004020050412ISI: 000082294100010PubMedID: 10447625Scopus ID: 2-s2.0-0032867744OAI: oai:DiVA.org:oru-55743DiVA: diva2:1074504
Available from: 2017-02-15 Created: 2017-02-15 Last updated: 2017-10-18Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Wretenberg, Per
In the same journal
Archives of Orthopaedic and Trauma Surgery
Medical and Health SciencesOrthopedicsSurgery

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 94 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf