Back to Search
Start Over
Mid- and long-term results of femoral component revision using the cement-in-cement technique: Average 10.8-year follow-up study.
- Source :
-
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association [J Orthop Sci] 2016 Nov; Vol. 21 (6), pp. 810-814. Date of Electronic Publication: 2016 Aug 20. - Publication Year :
- 2016
-
Abstract
- Background: Few reports are available on the long-term outcomes of femoral component revision by using the cement-in-cement technique. We report the mid- and long-term results of femoral component revision in total hip arthroplasty using the cement-in-cement technique.<br />Methods: Between April 1996 and June 2009, 62 consecutive total hip arthroplasties with femoral component revision were performed in 57 patients by using the cement-in-cement technique. We retrospectively reviewed the cases with a follow-up period of at least five years. Three patients died, and two were lost to follow-up. Thus, 52 patients (57 hips), comprising 51 women and one man, were followed for average 10.8 years.<br />Results: The mean Japanese Orthopaedic Association hip score improved from 57.6 points (range, 28-95 points) preoperatively to 79.8 points (range, 52-98 points) at one year postoperatively and to 77.4 points (range, 59-96 points) at the final follow up. Three revisions of the femoral component were necessary. One of the causes for the revision was a periprosthetic infection that occurred 20 months postoperatively. Another was aseptic loosening that occurred 99 months postoperatively and required revision of the acetabular component. The well-fixed femoral component was revised using the cement-in-cement technique at time of the acetabular revision. The third case was aseptic loosening of the femoral component that occurred 84 months postoperatively. The five-, 10-, and 15-year survival rates for the femoral re-revision due to any reason were 98.4%, 94.0%, and 94.0%, respectively.<br />Conclusion: Use of the cement-in-cement technique for revision total hip arthroplasty resulted in good mid- and long-term radiological and clinical outcomes.<br /> (Copyright © 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip methods
Bone Cements
Cementation methods
Cohort Studies
Female
Follow-Up Studies
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Prosthesis Design methods
Prosthesis Failure
Retrospective Studies
Risk Assessment
Time Factors
Treatment Outcome
Arthroplasty, Replacement, Hip adverse effects
Femur surgery
Hip Prosthesis
Range of Motion, Articular physiology
Reoperation methods
Subjects
Details
- Language :
- English
- ISSN :
- 1436-2023
- Volume :
- 21
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
- Publication Type :
- Academic Journal
- Accession number :
- 27553266
- Full Text :
- https://doi.org/10.1016/j.jos.2016.03.013