Femoral Component Revision with Use of Impaction Bone-Grafting and a Cemented Polished Stem: A Concise Follow-up, at Fifteen to Twenty Years, of a Previous Report*
Publication year
2012Source
Journal of Bone and Joint Surgery. American Volume, 94, 23, (2012), pp. e1731-4ISSN
Publication type
Article / Letter to editor

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Organization
Orthopaedics
Journal title
Journal of Bone and Joint Surgery. American Volume
Volume
vol. 94
Issue
iss. 23
Page start
p. e1731
Page end
p. 4
Subject
NCEBP 10: Human Movement & Fatigue; NCEBP 10: Human Movement & Fatigue NCMLS 3: Tissue engineering and pathology; NCMLS 3: Tissue engineering and pathologyAbstract
We previously reported our results for thirty-three consecutive femoral component revisions with impaction bone-grafting, performed with the X-change femoral revision system and a cemented polished Exeter stem, at a minimum of eight years of follow-up. The present updated study shows the results after fifteen to twenty years. One stem was revised again for mechanical reasons during a rerevision of an acetabular cup. The probability of survival at seventeen years was 96% (95% confidence interval [CI], 72% to 99%) with a femoral rerevision for any reason as the end point and 100% (95% one-sided CI, 69% to 100%) with rerevision for aseptic loosening as the end point. The average subsidence was 3 mm and stable relative to our previous report. Although three early femoral fractures occurred after this surgery, in this update no additional fractures were seen. In conclusion, the probability of survival of femoral component revisions with impaction bone-grafting and a cemented polished stem was excellent at a mean of seventeen years. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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- Academic publications [227900]
- Electronic publications [107393]
- Faculty of Medical Sciences [86236]
- Open Access publications [76515]
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