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Archives of Orthopaedic and Trauma Surgery

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01-06-2005 | Original Article

Ten-year results of uncemented hip stems for failed intertrochanteric osteotomy

Authors: Steffen J. Breusch, Martin Lukoschek, Marc Thomsen, Hans Mau, Volker Ewerbeck, Peter R. Aldinger

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2005

Abstract

Introduction

Inferior survival of cemented total hip arthroplasty has been reported after previous femoral osteotomy. The purpose of this study was to evaluate the long-term survival of uncemented stems after femoral osteotomy.

Materials and methods

Forty-eight hips in 45 patients had undergone conversion THA for a failed intertrochanteric osteotomy of the hip after a mean of 12 years (2–33 years). Mean time of follow-up was 11 years (5–15 years).

Results

At follow-up, two patients (three hips) had died, and one patient (one hip) was not located. Three patients (three hips) underwent femoral revision—one for infection and two for aseptic loosening of the stem. Survival of the stem was 94% at 10 years, and survival with femoral revision for aseptic loosening as an end point was 96%. The median Harris Hip Score at follow-up was 80 points. Radiolucent lines in Gruen zones 1 and 7 were present in 14 and 18% of hips, respectively. Radiolucencies in other zones were not detected. There was no radiographic evidence of femoral osteolysis, stress-shielding or loosening.

Conclusion

The results with this type of uncemented tapered titanium femoral component after proximal femoral osteotomy are encouraging and compare to those achieved in patients with regular femoral anatomy.

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Title: Ten-year results of uncemented hip stems for failed intertrochanteric osteotomy
Authors: Steffen J. Breusch
Martin Lukoschek
Marc Thomsen
Hans Mau
Volker Ewerbeck
Peter R. Aldinger
Publication date: 01-06-2005
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2005
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-005-0800-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ten-year results of uncemented hip stems for failed intertrochanteric osteotomy

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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