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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 1/2017

01-01-2017 | CORR Insights

CORR Insights®: Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs

Author: Marcus R. Streit, MSc, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 1/2017

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Excerpt

Good medium-term results for cemented femoral revisions have been shown using third-generation cementing techniques [11] and impaction allografting [10]. As a result, cemented stem revisions remain a useful option for older, less-active patients with extensive metaphyseal and diaphyseal defects and cortical thinning, although others have suggested that cemented revisions are technically demanding, and poor results have also been reported with that approach [2]. …
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Davis CM, 3rd, Berry DJ, Harmsen WS. Cemented revision of failed uncemented femoral components of total hip arthroplasty. J Bone Joint Surg Am. 2003;85-A:1264–1269.
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Fink B, Urbansky K, Schuster P. Mid term results with the curved modular tapered, fluted titanium Revitan stem in revision hip replacement. Bone Joint J. 2014;96-B:889–895.
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Huddleston JI, 3rd, Tetreault MW, Yu M, Bedair H, Hansen VJ, Choi HR, Goodman SB, Sporer SM, Della Valle CJ. Is there a benefit to modularity in ‘simpler’ femoral revisions? Clin Orthop Relat Res. 2016;474:415–420.CrossRefPubMed
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Marx A, Beier A, Jung L, Lohmann CH, Halder AM. Peri-prosthetic femoral fractures treated with the uncemented Wagner revision stem. Hip Int. 2012;22:286–291.CrossRefPubMed
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McLaughlin JR, Lee KR. Total hip arthroplasty with an uncemented tapered femoral component in patients younger than 50 years of age: A minimum 20-year follow-up study. J Arthroplasty. 2016;31:1275–1278.CrossRefPubMed
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Regis D, Sandri A, Bartolozzi P. Stem modularity alone is not effective in reducing dislocation rate in hip revision surgery. J Orthop Traumatol. 2009;10:167–171.CrossRefPubMedPubMedCentral
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Regis D, Sandri A, Bonetti I, Braggion M, Bartolozzi P. Femoral revision with the Wagner tapered stem: A ten- to 15-year follow-up study. J Bone Joint Surg Br. 2011;93:1320–1326.CrossRefPubMed
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Streit MR, Innmann MM, Merle C, Bruckner T, Aldinger PR, Gotterbarm T. Long-term (20- to 25-year) results of an uncemented tapered titanium femoral component and factors affecting survivorship. Clin Orthop Relat Res. 2013;471:3262–3269.CrossRefPubMedPubMedCentral
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te Stroet MA, Rijnen WH, Gardeniers JW, van Kampen A, Schreurs BW. The outcome of femoral component revision arthroplasty with impaction allograft bone grafting and a cemented polished Exeter stem: A prospective cohort study of 208 revision arthroplasties with a mean follow-up of ten years. Bone Joint J. 2015;97-b:771–779.
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Te Stroet MA, Rijnen WH, Gardeniers JW, Van Kampen A, Schreurs BW. Medium-term follow-up of 92 femoral component revisions using a third-generation cementing technique. Acta Orthop. 2016;87:106–112.CrossRef
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Wagner H. [Revision prosthesis for the hip joint in severe bone loss] [in German]. Orthopade. 1987;16:295–300.PubMed
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Weiss RJ, Stark A, Karrholm J. A modular cementless stem vs. cemented long-stem prostheses in revision surgery of the hip: A population-based study from the Swedish Hip Arthroplasty Register. Acta Orthop. 2011;82:136–142.
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Wirtz DC, Gravius S, Ascherl R, Thorweihe M, Forst R, Noeth U, Maus UM, Wimmer MD, Zeiler G, Deml MC. Uncemented femoral revision arthroplasty using a modular tapered, fluted titanium stem: 5- to 16-year results of 163 cases. Acta Orthop. 2014;85:562–569.CrossRefPubMedPubMedCentral
Metadata
Title
CORR Insights®: Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs
Author
Marcus R. Streit, MSc, MD, PhD
Publication date
01-01-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 1/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-5144-1

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