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Archives of Orthopaedic and Trauma Surgery

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01-04-2011 | Orthopaedic Surgery

Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision?

Authors: Kiyokazu Fukui, Ayumi Kaneuji, Tanzo Sugimori, Toru Ichiseki, Kenji Kitamura, Tadami Matsumoto

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2011

Abstract

Introduction

The results of isolated acetabular revision performed in 35 patients (36 hips) were monitored from 3 to 10 years. All femoral components were well fixed and not removed or revised during index surgery.

Method

All revision acetabular implants were cementless, using a porous-coated hemispheric cup with or without bone graft. There were no cases of femoral component radiographic or clinical failure. For some cases, we performed bone grafting to focal osteolysis of the proximal femur around the cementless stem.

Results

Bone incorporation occurred in 12 hips (overall 14). The mean pre- and postoperative Harris Hip Scores were 49 and 80, respectively. The findings suggest that isolated acetabular revision using a cementless porous-coated hemispheric cup can be performed without removing or revising a stable, well-fixed, uncemented femoral component if there is no concern about dislocation.

Conclusion

We demonstrated that isolated acetabular revision is feasible and that grafting to the osteolytic femoral defects is a worthwhile procedure to restore bone stock.

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Title: Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision?
Authors: Kiyokazu Fukui
Ayumi Kaneuji
Tanzo Sugimori
Toru Ichiseki
Kenji Kitamura
Tadami Matsumoto
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 4/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1152-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision?

Abstract

Introduction

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Method

Results

Conclusion

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