Our clinical experience with non-cemented total hip revision arthroplasty

• Published in: Acta orthopaedica et traumatologica turcica Vol. 37; no. 1; pp. 1 - 8
• Main Authors: Yanmiş, Ibrahim, Tunay, Servet, Yildiz, Cemil, Solakoğlu, Can, Gür, Ethem
• Format: Journal Article
• Language: Turkish
• Published: Turkey 2003
• Subjects: Acetabulum - diagnostic imaging; Acetabulum - surgery; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip; Bone Cements; Female; Femur - diagnostic imaging; Femur - surgery; Hip Prosthesis; Humans; Male; Middle Aged; Postoperative Complications; Radiography; Reoperation; Treatment Outcome
• ISSN: 1017-995X

We evaluated the results of non-cemented revision arthroplasty in patients who had undergone cemented total hip arthroplasty. Twenty patients (12 women, 8 men; mean age 72 years; range 61 to 84 years) underwent non-cemented revision arthroplasty after a mean of 9.4 years (range 3 to 16 years) following primary surgery. The mean follow-up period was 4.5 years (range 3 months to 6.3 years). During revision arthroplasty, femur fractures were observed in three patients (15%). Three patients (15%) had femoral cortex perforations. Trochanteric osteotomy was performed in five patients (25%). The mean Harris hip score after the operation was 76.7 (range 50 to 90). The results were excellent in three patients (15%), good in seven (35%), fair in seven (35%), and poor in three patients (15%). Despite a high intraoperative complication rate during non-cemented revision total hip arthroplasty, we believe that non-cemented revision should be the preferred method because of low infection and low aseptic loosening rates.