Cement-Within-Cement Stem Exchange Using the Collarless Polished Double-Taper Stem
Abstract The clinical and radiographic outcomes of the cement-within-cement femoral stem exchange technique at revision hip arthroplasty were determined. Twenty-three revisions with a collarless polished double-taper stem design were prospectively monitored at up to 12 years. The most common indicat...
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Published in | The Journal of arthroplasty Vol. 22; no. 7; pp. 1000 - 1006 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
01.10.2007
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Abstract | Abstract The clinical and radiographic outcomes of the cement-within-cement femoral stem exchange technique at revision hip arthroplasty were determined. Twenty-three revisions with a collarless polished double-taper stem design were prospectively monitored at up to 12 years. The most common indications for revision were recurrent dislocation and acetabular revision. Radiographic stem subsidence was measured by the Ein Bild Röentgen Analyse method. There was no stem re-revision and no radiographic loosening. Stem within cement subsidence, an intentional design feature of this stem, averaged 0.8 mm (range, 0-2 mm). The average subsidence was similar to that in primary hip arthroplasty. The excellent long-term results of cemented collarless polished taper stems for primary and revision hip arthroplasty can be extended even further by cement-within-cement exchange, which preserves the femur. |
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AbstractList | The clinical and radiographic outcomes of the cement-within-cement femoral stem exchange technique at revision hip arthroplasty were determined. Twenty-three revisions with a collarless polished double-taper stem design were prospectively monitored at up to 12 years. The most common indications for revision were recurrent dislocation and acetabular revision. Radiographic stem subsidence was measured by the Ein Bild Röentgen Analyse method. There was no stem re-revision and no radiographic loosening. Stem within cement subsidence, an intentional design feature of this stem, averaged 0.8 mm (range, 0-2 mm). The average subsidence was similar to that in primary hip arthroplasty. The excellent long-term results of cemented collarless polished taper stems for primary and revision hip arthroplasty can be extended even further by cement-within-cement exchange, which preserves the femur. Abstract The clinical and radiographic outcomes of the cement-within-cement femoral stem exchange technique at revision hip arthroplasty were determined. Twenty-three revisions with a collarless polished double-taper stem design were prospectively monitored at up to 12 years. The most common indications for revision were recurrent dislocation and acetabular revision. Radiographic stem subsidence was measured by the Ein Bild Röentgen Analyse method. There was no stem re-revision and no radiographic loosening. Stem within cement subsidence, an intentional design feature of this stem, averaged 0.8 mm (range, 0-2 mm). The average subsidence was similar to that in primary hip arthroplasty. The excellent long-term results of cemented collarless polished taper stems for primary and revision hip arthroplasty can be extended even further by cement-within-cement exchange, which preserves the femur. |
Author | Howie, Donald W., MBBS, PhD FRACS Neale, Susan D., MSc McGee, Margaret A., MPH, BSc Mandziak, Daniel G., MBBS |
Author_xml | – sequence: 1 fullname: Mandziak, Daniel G., MBBS – sequence: 2 fullname: Howie, Donald W., MBBS, PhD FRACS – sequence: 3 fullname: Neale, Susan D., MSc – sequence: 4 fullname: McGee, Margaret A., MPH, BSc |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/17920472$$D View this record in MEDLINE/PubMed |
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Keywords | double taper cement-within-cement outcomes revision hip arthroplasty femoral stem |
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Snippet | Abstract The clinical and radiographic outcomes of the cement-within-cement femoral stem exchange technique at revision hip arthroplasty were determined.... The clinical and radiographic outcomes of the cement-within-cement femoral stem exchange technique at revision hip arthroplasty were determined. Twenty-three... |
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SubjectTerms | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods Bone Cements cement-within-cement double taper Female femoral stem Femur - diagnostic imaging Femur - surgery Follow-Up Studies Hip Prosthesis Humans Male Middle Aged Orthopedics outcomes Prospective Studies Prosthesis Design - instrumentation Prosthesis Design - methods Radiography Reoperation - instrumentation Reoperation - methods revision hip arthroplasty |
Title | Cement-Within-Cement Stem Exchange Using the Collarless Polished Double-Taper Stem |
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