Reconstruction of Acetabular Defects With Impaction Grafting in Primary Cemented Total Hip Arthroplasty Produces Favorable Results: Clinical and Radiographic Outcomes Over 6.4 Years on Average

2021 ◽  
Vol 36 (1) ◽  
pp. 200-209
Author(s):  
Guydo M.H. Duarte ◽  
Robinson E. Pires ◽  
Carla J. Machado ◽  
Marco A.P. Andrade
2021 ◽  
pp. 112070002110043
Author(s):  
Antonios A Koutalos ◽  
Sokratis Varitimidis ◽  
Konstantinos N Malizos ◽  
Theofilos Karachalios

Purpose: The aim of the study was to systematically evaluate clinical outcomes of tapered fluted stems, either monoblock or modular, in revision total hip arthroplasty. Methods: PubMed, EMBASE and Web of Science and Cochrane databases were systematically searched by 2 researchers. Clinical studies reporting primarily on survival and re-revision rates, and secondarily on subsidence, dislocation, intraoperative fractures, periprosthetic fractures and infection were included. 2 investigators assessed the quality of the studies. Results: 46 studies were included in this review, reporting on 4601 stem revisions. The pooled re-revision rate was 5.1% and long-term survival ranged from 75% to 98.5%. No differences were observed between monoblock and modular stems regarding re-revision rate, dislocation rate, periprosthetic fracture rate or infection rates. Monoblock stems exhibited more subsidence and modular stems displayed more intraoperative fractures. Conclusions: Satisfactory results can be obtained with the use of tapered fluted end-bearing stems. Monoblock stems offer the same clinical results as modular stems.


2005 ◽  
Vol 15 (3) ◽  
pp. 182-183
Author(s):  
R. Wilson ◽  
J. McConway ◽  
S. O'Brien ◽  
N.W. Thompson ◽  
D.E. Beverland

Acetabular extrusion of cement during total hip arthroplasty is a well-recognised occurrence. We report a case of femoral neuropathy secondary to an extruded cement mass nine years after primary cemented total hip arthroplasty. Removal of the cement resulted in resolution of the patient's symptoms.


2020 ◽  
Vol 16 (S2) ◽  
pp. 412-419
Author(s):  
Stephanie V. Kaszuba ◽  
Nancy Cipparrone ◽  
Alexander C. Gordon

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