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Cemented first-time revisions of the femoral component:Prospective 7 to 13 years' follow-up using second-generation and third-generation technique

Authors
Journal
The Journal of Arthroplasty
0883-5403
Publisher
Elsevier
Volume
15
Issue
5
Identifiers
DOI: 10.1054/arth.2000.4811
Keywords
  • Revision Hip Arthroplasty
  • Failure
  • Aseptic Loosening
  • Risk Factors
  • Survivorship Analysis

Abstract

Abstract In a prospective, consecutive study of first-time cemented femoral revisions, 109 hips were evaluated for a minimum of 7 years. There were 87 Charnley (18 standard, 69 long), 21 Spectron (3 standard, 18 long), and 1 Brunswick long-stem arthroplasties. There was an increased risk for rerevision in younger patients (P =.0001) and with use of standard stems (P =.002). Factors of importance for development of mechanical failure were younger age (P =.0001), presence of more pronounced bone defects (P <.005), use of standard stems (P <.0005), and presence of radiolucencies on the postoperative radiographs (Gruen zones 4 and 6) (P <.01). Our results confirm that cemented femoral revisions are a durable option in elderly patients, when improved cementing techniques and long-stem prostheses are used.

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