Revision hip arthroplasty using impacted cancellous bone and cement: a long-term follow-up study

2015 ◽  
Vol 25 (8) ◽  
pp. 1279-1284 ◽  
Author(s):  
Gowthaman Arumugam ◽  
Shashi Kumar Nanjayan ◽  
Conal Quah ◽  
Philip Wraighte ◽  
Peter Howard
2019 ◽  
Vol 30 (1) ◽  
pp. 56-63
Author(s):  
Hugo C van der Veen ◽  
Inge HF Reininga ◽  
Wierd P Zijlstra ◽  
Martijn F Boomsma ◽  
Sjoerd K Bulstra ◽  
...  

Background: Metal-on-metal total hip arthroplasty (MoM THA) is associated with the formation of pseudotumours. Studies mainly concern pseudotumour formation in large head MoM THA. We performed a long-term follow-up study, comparing pseudotumour incidence in small head metal-on-metal (SHMoM) THA with conventional metal-on-polyethylene (MoP) THA. Predisposing factors to pseudotumour formation were assessed. Methods: From a previous randomised controlled trial comparing SHMoM (28 mm) cemented THA with conventional MoP cemented THA, patients were screened using a standardised CT protocol for the presence of pseudotumours. Serum cobalt levels and functional outcome were assessed. Results: 56 patients (33 MoP and 23 MoM) were recruited after mean follow-up of 13.4 years (SD 0.5). The incidence of pseudotumours was 1 (5%) in the SHMoM THA cohort and 3 (9%) in the MoP THA cohort. Prosthesis survival was 96% for both SHMoM and MoP THAs. Serum cobalt levels did not exceed acceptable clinical values (<5 µg/L) whereas no differences in cobalt levels were detected at follow-up between both groups. Oxford and Harris Hip Scores were good and did not differ between SHMoM and MoP THA. Conclusions: This long-term follow-up study shows a low incidence of pseudotumour formation and good functional outcome in cemented head-taper matched SHMoM and MoP THA.


2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Massimo Mariconda ◽  
Olimpio Galasso ◽  
Giovan Giuseppe Costa ◽  
Pasquale Recano ◽  
Simone Cerbasi

2021 ◽  
Author(s):  
Tsunehito Ishida ◽  
Toshiyuki Tateiwa ◽  
Yasuhito Takahashi ◽  
Yohei Nishikawa ◽  
Takaaki Shishido ◽  
...  

1995 ◽  
Vol 44 (4) ◽  
pp. 1241-1244
Author(s):  
Akinori Hattori ◽  
Ryuunosuke Kouno ◽  
Yoshihito Santou ◽  
Kouji Kuranobu ◽  
Ichirou Shinohara

2004 ◽  
Vol 29 (1) ◽  
pp. 64-66 ◽  
Author(s):  
R. GAULKE ◽  
G. SUPPELNA

Twenty-one patients (17 women and four men) who underwent operative treatment for a solitary enchondroma of the hand were examined at a follow-up of between 2 and 18 years (mean, 9 years). Radiographs showed normal cancellous bone at the site of surgery in 11 cases, three had recurrent enchondroma and seven had bone defects so that recurrence could not be excluded. Two of the three recurrences underwent reoperation. Previous studies have regarded persistent bony defects as evidence of complete excision without recurrence. However, in view of the slow asymptomatic growth of this tumour this opinion is incorrect. As shown in this study, recurrences may occur in these defects many years after excision surgery and go undetected until they cause widening or cortical erosion. We recommend periodical radiological re-examination for asymptomatic recurrences before weakness of bone leads to pathological fracture.


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