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International Orthopaedics

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01-06-2012 | Original Paper

Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy

Authors: Christian Merle, Marcus R. Streit, Moritz Innmann, Tobias Gotterbarm, Peter R. Aldinger

Published in: International Orthopaedics | Issue 6/2012

Abstract

Purpose

The objective of this retrospective cohort study was to assess the long-term outcome of cementless femoral reconstruction in patients with previous intertrochanteric osteotomy (ITO).

Methods

We evaluated the clinical and radiographic results of a consecutive series of 45 patients (48 hips, mean age 50 years) who had undergone conversion hip replacement following ITO with a cementless, grit-blasted, double-tapered femoral component. Clinical outcome was determined using the Harris hip score. Stem survival for different end points was assessed using Kaplan-Meier survivorship analysis.

Results

At a mean follow-up of 20 (range, 16–24) years, 11 patients (12 hips) had died, and no patient was lost to follow-up. Six patients (six hips) underwent femoral revision, two for infection, three for aseptic loosening and one for periprosthetic fracture. Mean Harris hip score at final follow-up was 78 points (range, 23–100 points). Stem survival for all revisions was 89% (95%CI, 75–95) at 20 years, and survival for aseptic loosening was 93% (95%CI, 80–98).

Conclusions

The long-term results with this type of cementless femoral component in patients with previous intertrochanteric osteotomy are encouraging and compare well to those achieved in patients with normal femoral anatomy.

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Title: Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy
Authors: Christian Merle
Marcus R. Streit
Moritz Innmann
Tobias Gotterbarm
Peter R. Aldinger
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 6/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1396-2

At a glance: The STEP trials

Springer Medicine

Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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