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1. Biomedical articles (top 50; 2010 to 2015)
1. Howie DW, Callary SA, McGee MA, Russell NC, Solomon LB: Reduced femoral component subsidence with improved impaction grafting at revision hip arthroplasty. Clin Orthop Relat Res; 2010 Dec;468(12):3314-21
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Reduced femoral component subsidence with improved impaction grafting at revision hip arthroplasty.
  • BACKGROUND: Despite stem subsidence being a major complication of femoral impaction bone grafting in cemented revision hip arthroplasty, few studies have distinguished subsidence at the prosthesis-cement interface from that at the cement-bone interface.
  • QUESTIONS/PURPOSES: We used a sensitive technique to measure subsidence of a cemented polished collarless double-taper stem at each interface after femoral impaction grafting and compared subsidence, radiographic loosening, complications, and reoperations over three series of hips defined by technique developments.
  • CONCLUSIONS: Evolution in techniques of femoral impaction grafting in this study were associated with reduced subsidence of the stem at both the prosthesis-cement interface and cement-bone interface when compared to the original series.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Bone Transplantation. Femur / surgery. Hip Joint / surgery
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Bone Cements / therapeutic use. Female. Fractures, Bone / etiology. Fractures, Bone / prevention & control. Hip Prosthesis. Humans. Joint Instability / etiology. Joint Instability / prevention & control. Male. Middle Aged. Prospective Studies. Prosthesis Design. Reoperation. South Australia. Time Factors. Transplantation, Homologous. Treatment Outcome

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  • (PMID = 20680531.001).
  • [ISSN] 1528-1132
  • [Journal-full-title] Clinical orthopaedics and related research
  • [ISO-abbreviation] Clin. Orthop. Relat. Res.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Bone Cements
  • [Other-IDs] NLM/ PMC2974885
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2. Prosser GH, Yates PJ, Wood DJ, Graves SE, de Steiger RN, Miller LN: Outcome of primary resurfacing hip replacement: evaluation of risk factors for early revision. Acta Orthop; 2010 Feb;81(1):66-71
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  • [Title] Outcome of primary resurfacing hip replacement: evaluation of risk factors for early revision.
  • The Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) started collection of data on hip resurfacing at a time when modern resurfacing was started in Australia.
  • This study was undertaken to determine the results of this series and the risk factors associated with revision.
  • PATIENTS AND METHODS: Data from the AOANJRR were used to analyze the survivorship of 12,093 primary resurfacing hip replacements reported to the Joint Replacement Registry between September 1999 and December 2008.
  • This was compared to the results of primary conventional total hip replacement reported during the same period.
  • The Kaplan-Meier method and proportional hazards models were used to determine risk factors such as age, sex, femoral component size, primary diagnosis, and implant design.
  • RESULTS: Female patients had a higher revision rate than males; however, after adjusting for head size, the revision rates were similar.
  • Prostheses with head sizes of less than 50 mm had a higher revision rate than those with head sizes of 50 mm or more.
  • At 8 years, the cumulative per cent revision of hip resurfacing was 5.3 (4.6-6.2), as compared to 4.0 (3.8-4.2) for total hip replacement.
  • However, in osteoarthritis patients aged less than 55 years with head sizes of 50 mm or more, the 7-year cumulative per cent revision for hip resurfacing was 3.0 (2.2-4.2).
  • Also, hips with dysplasia and some implant designs had an increased risk of revision.
  • INTERPRETATION: Risk factors for revision of resurfacing were older patients, smaller femoral head size, patients with developmental dysplasia, and certain implant designs.
  • These results highlight the importance of patient and prosthesis selection in optimizing the outcome of hip resurfacing.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects
  • [MeSH-minor] Adult. Aged. Australia. Female. Hip Prosthesis. Humans. Male. Middle Aged. Osteoarthritis, Hip / surgery. Prosthesis Design. Prosthesis Failure. Registries. Reoperation. Risk Factors. Sex Factors. Treatment Outcome

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  • (PMID = 20180719.001).
  • [ISSN] 1745-3682
  • [Journal-full-title] Acta orthopaedica
  • [ISO-abbreviation] Acta Orthop
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC2856206
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3. Richards CJ, Duncan CP, Masri BA, Garbuz DS: Femoral revision hip arthroplasty: a comparison of two stem designs. Clin Orthop Relat Res; 2010 Feb;468(2):491-6
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  • [Title] Femoral revision hip arthroplasty: a comparison of two stem designs.
  • For various reasons the tapered, fluted, modular titanium (TFMT) stem has become our component of choice over cylindrical, nonmodular cobalt chrome (CNCC) components for THA revision.
  • We therefore asked whether the TFMT femoral components better achieved three important goals of revision arthroplasty than CNCC stems:.
  • (2) avoiding complications; and (3) preserving or restoring femoral bone stock.
  • We compared patients undergoing femoral component revision hip arthroplasty with either a CNCC (N = 105) component or a TFMT (N = 95) component to determine if the increased use of TFMT components is justified.
  • We retrospectively reviewed all patients undergoing revision total hip arthroplasty between January 2000 and March 2006.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Chromium Alloys. Femur / surgery. Hip Joint / surgery. Hip Prosthesis. Prosthesis Failure. Titanium

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  • (PMID = 19847578.001).
  • [ISSN] 1528-1132
  • [Journal-full-title] Clinical orthopaedics and related research
  • [ISO-abbreviation] Clin. Orthop. Relat. Res.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Chromium Alloys; D1JT611TNE / Titanium
  • [Other-IDs] NLM/ PMC2806991
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4. Mahadevan D, Challand C, Keenan J: Revision total hip replacement: predictors of blood loss, transfusion requirements, and length of hospitalisation. J Orthop Traumatol; 2010 Sep;11(3):159-65
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Revision total hip replacement: predictors of blood loss, transfusion requirements, and length of hospitalisation.
  • BACKGROUND: Revision total hip replacement (THR) is associated with increased blood loss and extended hospitalization.
  • MATERIALS AND METHODS: We reviewed 146 patients who underwent revision THR to identify predictors of blood loss, transfusion requirements, and length of hospitalization.
  • Femoral and dual-component revision and revision of cemented hip components were also associated with greater blood loss.
  • Transfusion requirements were greater in patients who had lower preoperative hemoglobin concentration and in patients undergoing dual-component revision.
  • Length of hospitalization was significantly increased in patients who received transfusion but less in patients who underwent isolated acetabular-component hip revision.
  • CONCLUSIONS: This study shows significantly greater blood loss in men, older patients, revision surgery of cemented implants, and dual-component revisions.
  • More complex revision surgery and preoperative anemia are clearly associated with increased transfusion requirements and length of hospitalization.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Blood Loss, Surgical / statistics & numerical data. Blood Transfusion / utilization. Length of Stay / statistics & numerical data
  • [MeSH-minor] Age Distribution. Aged. Cohort Studies. Confidence Intervals. Female. Follow-Up Studies. Great Britain. Hip Prosthesis. Humans. Incidence. Intraoperative Complications / diagnosis. Intraoperative Complications / epidemiology. Male. Middle Aged. Multivariate Analysis. Predictive Value of Tests. Prosthesis Failure. Regression Analysis. Reoperation / methods. Retrospective Studies. Risk Assessment. Sex Distribution. Time Factors. Treatment Outcome

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  • (PMID = 20835744.001).
  • [ISSN] 1590-9999
  • [Journal-full-title] Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology
  • [ISO-abbreviation] J Orthop Traumatol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
  • [Other-IDs] NLM/ PMC2948129
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5. Al-Taki MM, Masri BA, Duncan CP, Garbuz DS: Quality of life following proximal femoral replacement using a modular system in revision THA. Clin Orthop Relat Res; 2011 Feb;469(2):470-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Quality of life following proximal femoral replacement using a modular system in revision THA.
  • BACKGROUND: Proximal femoral replacement using a segmental modular system is one option for revision THA in the presence of severe bone loss or periprosthetic fracture.
  • QUESTIONS/PURPOSES: We evaluated the quality of life in patients undergoing proximal femoral replacement using a segmental modular system for severe bone loss.
  • PATIENTS AND METHODS: We retrospectively reviewed 63 patients undergoing complex revision THA using a modular replacement system for nonneoplastic conditions between April 1996 and June 2006.
  • Study patients were matched by age-decade to a control group of patients undergoing conventional revision THA.
  • RESULTS: At last followup, the modular system group showed improvement in WOMAC function, WOMAC pain, Oxford score, and the SF-12 mental component.
  • CONCLUSIONS: In patients with severely compromised bone stock, a segmental modular replacement system can improve the quality of life.
  • Special attention should be given to the stability of the hip intraoperatively and a constrained acetabular liner should be used when the risk of postoperative dislocation is high.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Femur / surgery. Hip Joint / surgery. Hip Prosthesis. Osteolysis / surgery. Quality of Life

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  • (PMID = 20824405.001).
  • [ISSN] 1528-1132
  • [Journal-full-title] Clinical orthopaedics and related research
  • [ISO-abbreviation] Clin. Orthop. Relat. Res.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3018217
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6. Hernigou P, Dupuy N, Pidet O, Homma Y, Flouzat Lachaniette CH: Alumina heads minimize wear and femoral osteolysis progression after isolated simple acetabular revision. Clin Orthop Relat Res; 2012 Nov;470(11):3094-100
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Alumina heads minimize wear and femoral osteolysis progression after isolated simple acetabular revision.
  • BACKGROUND: Patients with THA requiring cup revision for acetabular osteolysis may have a stable stem component without loosening.
  • However, it is unclear whether isolated cup revision halts femoral osteolysis progression.
  • QUESTION/PURPOSES: We asked (1) whether and to what degree osteolysis progresses after isolated acetabular revision with a change of the femoral head and (2) whether an alumina or metal bearing better reduces osteolysis progression and wear with a polyethylene (PE) cup.
  • METHODS: We retrospectively evaluated 150 patients who underwent 165 acetabular revisions but no treatment for proximal femoral osteolysis in hips with stable femoral components.
  • Mean age at revision was 63 years (range, 48-74 years).
  • Revisions of the femoral stem were recorded.
  • RESULTS: An isolated cup revision with a change of the femoral head halted femoral osteolysis progression for 10 years in 133 hips (81%), with a greater percentage without progression in hips with alumina heads (99% versus 62% with metal head).
  • Alumina heads were better than metal heads at reducing the area of osteolysis progression (47 versus 250 mm(2)) and wear (0.07 versus 0.14 mm/year) and increasing the survival probability before femoral revision (98% versus 85% at 15 years' followup).
  • CONCLUSIONS: An isolated cup revision with a new alumina femoral head (in hips that have a stable stem component without loosening) usually halts femoral osteolysis progression (no change or osseous restoration) over 10 years if the osteolysis is less than 1000 mm(2).
  • [MeSH-major] Acetabulum / surgery. Aluminum Oxide. Biocompatible Materials. Hip Prosthesis / adverse effects. Osteolysis / etiology. Prosthesis Failure
  • [MeSH-minor] Aged. Arthroplasty, Replacement, Hip / adverse effects. Disease Progression. Female. Femur. Humans. Male. Middle Aged. Reoperation. Retrospective Studies

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  • [Cites] Clin Orthop Relat Res. 2010 Feb;468(2):472-9 [19789935.001]
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  • (PMID = 22528390.001).
  • [ISSN] 1528-1132
  • [Journal-full-title] Clinical orthopaedics and related research
  • [ISO-abbreviation] Clin. Orthop. Relat. Res.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biocompatible Materials; LMI26O6933 / Aluminum Oxide
  • [Other-IDs] NLM/ PMC3462876
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7. Cooper IF, Siadaty MS: 'Qualitative Concepts' associated with 'Hip Replacement Revision': Top Publications. BioMedLib Review; QualitativeConcept;HipReplacementRevision:706870201. ISSN: 2331-5717. 2014/7/2
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  • [Title] 'Qualitative Concepts' associated with 'Hip Replacement Revision': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'Qualitative Concept' for 'hip replacement revision'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals, and there are many types of 'Qualitative Concept'.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 25 publications, and group two 4521 publications.
  • Here are the top 10.
  • Cooper IF et al: 'Steroids' associated with 'Hip Replacement Revision': Top Publications.
  • Biring GS et al: Predictors of quality of life outcomes after revision total hip replacement.
  • Katz JN et al: Predictive value of Medicare claims data for identifying revision of index hip replacement was modest.
  • Katz JN et al: Twelve-year risk of revision after primary total hip replacement in the U.S. Medicare population.
  • Langlais F: Can we improve the results of revision arthroplasty for infected total hip replacement?.
  • Prabu A et al: Anaemia in a patient with rheumatoid arthritis recovering from revision of a hip replacement.
  • Rose DM et al: Focal femoral osteolysis after revision hip replacement with a cannulated, hydroxyapatite-coated long-stemmed femoral component: a new route for particulate wear debris.
  • Avrunin AS et al: [Biorhythmic characteristics of patients with total primary and revision hip replacement].
  • Korda M et al: Use of mesenchymal stem cells to enhance bone formation around revision hip replacements.
  • Whittaker JP et al: Is prolonged systemic antibiotic treatment essential in two-stage revision hip replacement for chronic Gram-positive infection?.

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  • [Copyright] Copyright 2014 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 706870201.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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8. Cooper IF, Siadaty MS: 'Spatial Concepts' associated with 'Hip Replacement Revision': Top Publications. BioMedLib Review; SpatialConcept;HipReplacementRevision:706871925. ISSN: 2331-5717. 2014/10/2
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  • [Title] 'Spatial Concepts' associated with 'Hip Replacement Revision': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'Spatial Concept' for 'hip replacement revision'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals, and there are many types of 'Spatial Concept'.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 18 publications, and group two 5092 publications.
  • Here are the top 10.
  • Marti RK et al: Superolateral bone grafting for acetabular deficiency in primary total hip replacement and revision.
  • Wroblewski BM et al: The angle-bore acetabular component and dislocation after revision of a failed total hip replacement.
  • Huntley JS et al: Surface replacement of the hip: a late revision.
  • Rose DM et al: Focal femoral osteolysis after revision hip replacement with a cannulated, hydroxyapatite-coated long-stemmed femoral component: a new route for particulate wear debris.
  • Fink B et al: Mid term results with the curved modular tapered, fluted titanium Revitan stem in revision hip replacement.
  • Babis GC et al: Proximal femoral allograft-prosthesis composites in revision hip replacement: a 12-year follow-up study.
  • Malkani AL et al: Custom-made segmental femoral replacement prosthesis in revision total hip arthroplasty.
  • Jaiswal PK et al: Use of an 'internal proximal femoral replacement' with distal fixation in revision arthroplasty of the hip.
  • Johnsson R et al: Revision of total hip replacement with solid cortico-spongious bone graft for medial acetabular disruption.
  • Suominen S et al: Revision total hip replacement using the bias proximal porous-coated femoral component.

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  • [Copyright] Copyright 2014 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 706871925.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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9. Ito H, Tanino H, Yamanaka Y, Nakamura T, Minami A, Matsuno T: Cemented calcar replacement femoral component in revision hybrid total hip arthroplasty. J Arthroplasty; 2011 Feb;26(2):236-43
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Cemented calcar replacement femoral component in revision hybrid total hip arthroplasty.
  • We evaluated intermediate-term to long-term survival of cemented calcar replacement femoral components in hybrid revision total hip arthroplasty.
  • Six (12%) femoral components had been revised: 2 for aseptic loosening, 2 for periprosthetic fracture, and 2 for deep infection.
  • One additional femoral component was definitely loose.
  • The number of previous revision operations (P = .004), preoperatively poorer femoral bone stock (P = .005), and postoperative poor cement mantle grading (P = .003) were significant factors for failure.
  • This technique remains a reasonable option for the first-time revision, especially for older and less active patients.
  • [MeSH-major] Arthroplasty, Replacement, Hip / methods. Hip Prosthesis

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  • [Copyright] Copyright © 2011 Elsevier Inc. All rights reserved.
  • (PMID = 20381995.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Bone Cements
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10. Yang J, Kang PD, Shen B, Zhou ZK, Pei FX: [Impaction morselized allografting combined with cementless long stem for femoral defects in femoral component revision]. Zhonghua Wai Ke Za Zhi; 2010 Jul 15;48(14):1055-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Impaction morselized allografting combined with cementless long stem for femoral defects in femoral component revision].
  • OBJECTIVE: To retrospectively analyze the clinical and radiological results of the impaction morselized allografting combined with cementless long stem for femoral component revision in patients with significant bone loss.
  • METHODS: From July 2003 to June 2009, 27 patients (27 hips) underwent revision hip arthroplasty in femurs with bone defect using impaction allografting and cementless components.
  • Harris score improved from 43 points pre-revision to 83 points at the final follow-up.
  • No femoral stem loosening and failure occurred.
  • One case had an acute infection after revision and treated successfully by debridement and drainage, antibiotics.
  • No stem need further revision.
  • CONCLUSION: The results of this study demonstrates that femoral support and vigorous impaction grafting combined with cementless long stem results in an good intermediated-term clinical effects.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Bone Transplantation / methods. Femur / surgery. Prosthesis Design

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  • (PMID = 21055107.001).
  • [ISSN] 0529-5815
  • [Journal-full-title] Zhonghua wai ke za zhi [Chinese journal of surgery]
  • [ISO-abbreviation] Zhonghua Wai Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Evaluation Studies; Journal Article
  • [Publication-country] China
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11. Sangüesa-Nebot MJ, Soriano FC, Gabarda RF, Mordt CV: Revision hip arthroplasty with a short femoral component in fractured hydroxyapatite fully coated femoral stem. J Arthroplasty; 2010 Oct;25(7):1168.e13-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Revision hip arthroplasty with a short femoral component in fractured hydroxyapatite fully coated femoral stem.
  • We describe a case of a fractured femoral component in a hydroxyapatite-coated cementless total hip arthroplasty that was revised using a prosthesis with circumferential proximal metaphyseal support and a lateral flare, with a short femoral stem.
  • This type of prosthesis allows for revision, thus, avoiding the removal of the distal part of the previous prosthesis well bonded to the bone.
  • This makes the revision arthroplasty easier and the patient's recovery quicker.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Durapatite. Femur / surgery. Hip Prosthesis. Periprosthetic Fractures / surgery
  • [MeSH-minor] Aged. Hip Joint / radiography. Hip Joint / surgery. Humans. Male. Osteoarthritis, Hip / surgery. Reoperation / instrumentation. Reoperation / methods. Treatment Outcome

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  • [Copyright] Copyright © 2010 Elsevier Inc. All rights reserved.
  • [CommentIn] J Arthroplasty. 2011 Apr;26(3):509; author reply 509-10 [21277157.001]
  • (PMID = 19729273.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 91D9GV0Z28 / Durapatite
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12. Masterson S, Lidder S, Scott G: Impaction femoral allografting at revision hip arthroplasty: uncemented versus cemented technique using a Freeman femoral component. J Bone Joint Surg Br; 2012 Jan;94(1):51-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Impaction femoral allografting at revision hip arthroplasty: uncemented versus cemented technique using a Freeman femoral component.
  • We report the long-term results of revision total hip replacement using femoral impaction allografting with both uncemented and cemented Freeman femoral components.
  • A standard design of component was used in both groups, with additional proximal hydroxyapatite coating in the uncemented group.
  • A total of 33 hips in 30 patients received an uncemented component and 31 hips in 30 patients a cemented component.
  • Revision procedures (for all causes) were required in four patients (four hips) in the uncemented group and in five patients (five hips) in the cemented group.
  • Harris hip scores improved significantly in both groups and were maintained independently of the extent of any migration of the femoral component within the graft or graft-cement mantle.
  • [MeSH-major] Arthroplasty, Replacement, Hip / methods. Bone Transplantation / methods. Femur / surgery

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  • (PMID = 22219247.001).
  • [ISSN] 0301-620X
  • [Journal-full-title] The Journal of bone and joint surgery. British volume
  • [ISO-abbreviation] J Bone Joint Surg Br
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 91D9GV0Z28 / Durapatite
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13. Garrett SJ, Bolland BJ, Yates PJ, Gardner EM, Latham JM: Femoral revision in hip resurfacing compared with large-bearing metal-on-metal hip arthroplasty. J Arthroplasty; 2011 Dec;26(8):1214-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Femoral revision in hip resurfacing compared with large-bearing metal-on-metal hip arthroplasty.
  • It has been suggested that revision of the femoral component of hip resurfacing after femoral failure would be straightforward and have an outcome comparable to primary total hip arthroplasty (THA).
  • We have compared the outcome of femoral side-only revision resurfacings to the results of primary modular large-bearing metal-on-metal THA.
  • Fourteen consecutive patients underwent revision surgery of the failed femoral component, to a cemented tapered stem (CPT, Zimmer, Warsaw, Indiana) with a large modular metal head (Smith and Nephew Orthopaedics Ltd, Memphis, Tennessee, or Adept, Finsbury Orthopaedics, Surrey, England).
  • The acetabular component was found to be well fixed, well orientated, and was left in situ.
  • At a mean follow-up of 49 months (range, 30-60 months), clinical outcome measured using the Oxford and Harris Hip Scores showed no significant difference (P = .11, P = .45, respectively).
  • We conclude that revision of the failed femoral resurfacing component gives excellent results.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Arthroplasty, Replacement, Hip / methods. Hip Prosthesis. Metals. Osteoarthritis, Hip / surgery
  • [MeSH-minor] Aged. Blood Loss, Surgical. Female. Follow-Up Studies. Hip Joint / radiography. Hip Joint / surgery. Humans. Male. Middle Aged. Outcome Assessment (Health Care). Reoperation. Time Factors. Treatment Outcome

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  • [Copyright] Copyright © 2011 Elsevier Inc. All rights reserved.
  • (PMID = 21414749.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Metals
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14. So K, Kuroda Y, Matsuda S, Akiyama H: Revision total hip replacement with a cemented long femoral component: minimum 9-year follow-up results. Arch Orthop Trauma Surg; 2013 Jun;133(6):869-74
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Revision total hip replacement with a cemented long femoral component: minimum 9-year follow-up results.
  • BACKGROUND: Surgical revision after failed total hip replacement is a technically challenging procedure.
  • The aim of this study was to analyze the long-term results of revision total hip replacement using a cemented long femoral component and identify factors that influence the results.
  • METHODS: We retrospectively reviewed 34 hips in 33 patients who had undergone revision total hip replacement using a cemented long femoral component between 1994 and 2001.
  • Hip function was evaluated according to the scoring system of the Japanese Orthopaedic Association.
  • Perioperative complications included intraoperative femoral cortex perforation (six hips, 18 %), dislocation (five hips, 15 %), deep venous thrombosis (one hip, 3 %) and postoperative periprosthetic fracture (one hip, 3 %).
  • The mean preoperative Japanese Orthopaedic Association hip score was 50.3 ± 14.9 vs 78.2 ± 11.5 at the latest follow-up.
  • The Kaplan-Meier survival rate at 15 years, calculated using radiological failure or re-revision of the femoral component for any reason as the end point, was 87 or 100 %, respectively.
  • Revision total hip replacement using a cemented long femoral component yielded satisfactory long-term results in this series.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Cementation. Hip Prosthesis. Prosthesis Design. Prosthesis Failure
  • [MeSH-minor] Aged. Female. Follow-Up Studies. Hip Joint / radiography. Humans. Male. Middle Aged. Reoperation

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  • (PMID = 23584837.001).
  • [ISSN] 1434-3916
  • [Journal-full-title] Archives of orthopaedic and trauma surgery
  • [ISO-abbreviation] Arch Orthop Trauma Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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15. Sibiński M, Dorman T, Drobniewski M, Synder M: [Use of bulky, femoral head allografts in revision hip arthroplasty for acetabular component aseptic loosening]. Chir Narzadow Ruchu Ortop Pol; 2010 Nov-Dec;75(6):353-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Use of bulky, femoral head allografts in revision hip arthroplasty for acetabular component aseptic loosening].
  • The aim of the study was to analyze results in patients treated with frozen, bulky femoral head allografts without reinforcement ring for significant bone lost after acetabular component aseptic loosening.
  • For revision 10 cemented and 9 uncemented cups were used.
  • Mean coverage of acetabular component by graft on antero-posterior radiographs was 52% (from 30% to 100%).
  • Seven of our patients required another revision for aseptic loosening of the cup.
  • Bulky, femoral head allografts are passive scaffold and may lose the mechanical strength.
  • [MeSH-major] Acetabulum / surgery. Arthroplasty, Replacement, Hip / methods. Bone Transplantation / methods. Cementation. Postoperative Complications / surgery. Prosthesis Failure
  • [MeSH-minor] Adult. Aged. Female. Follow-Up Studies. Hip Prosthesis. Humans. Male. Middle Aged. Retrospective Studies. Treatment Outcome

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  • (PMID = 21648153.001).
  • [Journal-full-title] Chirurgia narzadów ruchu i ortopedia polska
  • [ISO-abbreviation] Chir Narzadow Ruchu Ortop Pol
  • [Language] pol
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Poland
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16. Gilbert RE, Cheung G, Carrothers AD, Meyer C, Richardson JB: Functional results of isolated femoral revision of hip resurfacing arthroplasty. J Bone Joint Surg Am; 2010 Jul 7;92(7):1600-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Functional results of isolated femoral revision of hip resurfacing arthroplasty.
  • BACKGROUND: Conversion of a failed femoral resurfacing component is reportedly a straightforward procedure; however, little has been published regarding the functional results following revision.
  • Our primary aim was to compare the functional results for a group of patients who had had isolated femoral component revision after a failed hip resurfacing with those for a group of patients with a surviving hip resurfacing.
  • METHODS: Between 1997 and 2002, data were prospectively collected on 5000 Birmingham Hip Resurfacing procedures.
  • One hundred and seventy-seven hips were revised, and, of those, seventy-six had an isolated femoral component revision.
  • We reviewed the modes of failure and the post-revision clinical outcomes for this subgroup (the revised implant group) and compared the results with those for the patients who had a surviving hip resurfacing implant (the surviving implant group).
  • RESULTS: The median Harris and Merle d'Aubigné hip scores were significantly better in the surviving implant group than in the revised implant group (median Harris score, 96 compared with 82 [p < 0.001]; median Merle d'Aubigné score, 17 compared with 14 [p < 0.001]).
  • When we analyzed outcomes following revision, we found that the mode of failure affected outcome.
  • Patient satisfaction and clinical outcomes were worse following revision because of femoral component loosening in comparison with revision because of femoral neck fracture or revision because of femoral head collapse or osteonecrosis.
  • In these three subgroups, the median Harris hip scores were 66, 87, and 92, respectively, and the median Merle d'Aubigné scores were 10, 14, and 15, respectively.
  • Six of fifteen patients in the femoral loosening group believed that they were worse or much worse after the revision than they had been before the primary procedure, compared with four of twenty-five patients in the femoral neck fracture group and two of twenty-two patients in the femoral head collapse or osteonecrosis group.
  • Four patients (four hips) experienced complications as a consequence of revision surgery (three deep infections and one case of loosening of an uncemented femoral stem).
  • CONCLUSIONS: The functional results for patients who had revision of the femoral component of a current-generation metal-on-metal resurfacing arthroplasty were worse than those for patients with a surviving hip resurfacing.
  • Patients who had revision because of femoral component loosening had worse outcomes than those who had revision because of femoral neck fracture or femoral head collapse or osteonecrosis.
  • [MeSH-major] Arthroplasty, Replacement, Hip
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Equipment Failure Analysis. Female. Femoral Neck Fractures / surgery. Hip Prosthesis. Humans. Male. Middle Aged. Osteonecrosis / surgery. Patient Satisfaction. Postoperative Complications. Prospective Studies. Reoperation. Treatment Outcome

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  • (PMID = 20595565.001).
  • [ISSN] 1535-1386
  • [Journal-full-title] The Journal of bone and joint surgery. American volume
  • [ISO-abbreviation] J Bone Joint Surg Am
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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17. Cross MB, Paprosky WG: Managing femoral bone loss in revision total hip replacement: fluted tapered modular stems. Bone Joint J; 2013 Nov;95-B(11 Suppl A):95-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Managing femoral bone loss in revision total hip replacement: fluted tapered modular stems.
  • If a surgeon is faced with altered lesser trochanter anatomy when revising the femoral component in revision total hip replacement, a peri-prosthetic fracture, or Paprosky type IIIb or type IV femoral bone loss, a modular tapered stem offers the advantages of accurately controlling femoral version and length.
  • The splines of the taper allow rotational control, and improve the fit in femoral canals with diaphyseal bone loss.
  • However, modular stems should not be used for all femoral revisions, as implant fracture and corrosion at modular junctions can still occur.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Femur / pathology. Femur / surgery. Hip Prosthesis. Prosthesis Design
  • [MeSH-minor] Female. Hip Dislocation / prevention & control. Humans. Joint Instability / prevention & control. Male. Periprosthetic Fractures / prevention & control. Postoperative Complications / prevention & control. Prosthesis Failure. Reoperation. Treatment Outcome

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  • (PMID = 24187363.001).
  • [ISSN] 2049-4408
  • [Journal-full-title] The bone & joint journal
  • [ISO-abbreviation] Bone Joint J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Modular / femoral / fluted / revision / tapered
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18. Brogan K, Charity J, Sheeraz A, Whitehouse SL, Timperley AJ, Howell JR, Hubble MJ: Revision total hip replacement using the cement-in-cement technique for the acetabular component: technique and results for 60 hips. J Bone Joint Surg Br; 2012 Nov;94(11):1482-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Revision total hip replacement using the cement-in-cement technique for the acetabular component: technique and results for 60 hips.
  • The technique of femoral cement-in-cement revision is well established, but there are no previous series reporting its use on the acetabular side at the time of revision total hip replacement.
  • All had a radiologically and clinically well-fixed acetabular cement mantle at the time of revision.
  • The two most common indications for acetabular revision were recurrent dislocation (46, 77%) and to complement femoral revision (12, 20%).
  • Of the 60 hips, there were two cases of aseptic loosening of the acetabular component (3.3%) requiring re-revision.
  • No other hip was clinically or radiologically loose (96.7%) at the latest follow-up.
  • One hip was re-revised for infection, four for recurrent dislocation and one for disarticulation of a constrained component.
  • At five years the Kaplan-Meier survival rate was 100% for aseptic loosening and 92.2% (95% CI 84.8 to 99.6), with revision for any cause as the endpoint.
  • These results support the use of cement-in-cement revision on the acetabular side in appropriate cases.
  • [MeSH-major] Acetabulum / surgery. Arthroplasty, Replacement, Hip / methods. Bone Cements / therapeutic use. Hip Joint / surgery

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  • (PMID = 23109626.001).
  • [ISSN] 0301-620X
  • [Journal-full-title] The Journal of bone and joint surgery. British volume
  • [ISO-abbreviation] J Bone Joint Surg Br
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Bone Cements
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19. Martin JR, Trousdale RT: Unique failure mechanism of a femoral component after revision total hip arthroplasty. Orthopedics; 2013 Oct 1;36(10):e1327-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Unique failure mechanism of a femoral component after revision total hip arthroplasty.
  • As the prevalence of revision total hip arthroplasty increases, the mechanisms of failure of these revisions have become better delineated.
  • Several studies have indicated infection, instability, and aseptic loosening to be the more common mechanisms of failure in revision surgery.
  • However, with increasing numbers of revisions performed, unique mechanisms of failure are being seen, likely related to the implants that are used in the revision setting.
  • Revision implants offer certain advantages over primary implants with the use of modular components.
  • The revision implants allow the surgeon to increase offset and leg length with modular femoral bodies and necks.
  • They report a 57-year-old man with dissociation of the proximal body from the diaphyseal component of a Wright Medical Link (Memphis, Tennessee) stem prosthesis.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Hip Prosthesis / adverse effects. Prosthesis Failure / etiology

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  • [Copyright] Copyright 2013, SLACK Incorporated.
  • (PMID = 24093712.001).
  • [ISSN] 1938-2367
  • [Journal-full-title] Orthopedics
  • [ISO-abbreviation] Orthopedics
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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20. Di Giorgio L, Attala D, Gurzì MD, Touloupakis G, Sodano L, Villani C: [Prosthetic hip revision: relationship between bone stock and quality of life in aseptic loosening of the femoral component]. Clin Ter; 2013;164(1):e11-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Prosthetic hip revision: relationship between bone stock and quality of life in aseptic loosening of the femoral component].
  • OBJECTIVES: We evaluated the clinical and radiographic results in the medium and long term in patients undergoing revision surgery for aseptic loosening with different bone quality at the time of the operation.
  • MATERIALS AND METHODS: A total of 33 patients who underwent revision surgery of the hip (for aseptic loosening of the stem) evaluated radiographically and clinically at 1,6,12 and 18 months.
  • The evaluation of clinical status preoperatively and at the end of follow-up was be made as questionnaires SF-36, Harris Hip Score and WOMAC; radiographic assessment was made using the scale of Paprosky.
  • The data thus obtained have been related to complications arising and the status of femoral bone-loss before the surgery time.
  • All patients with good bone quality at the time of the revision surgery (groups PI and PII) showed a distinct advantage from surgical treatment.
  • Revision surgery had not much effect in patients with high bone loss.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Femur / radiography. Hip Joint / radiography. Hip Prosthesis. Quality of Life. Reoperation


21. Stathopoulos IP, Lampropoulou-Adamidou KI, Vlamis JA, Georgiades GP, Hartofilakidis GC: One-component revision in total hip arthroplasty: the fate of the retained component. J Arthroplasty; 2014 Oct;29(10):2007-12
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] One-component revision in total hip arthroplasty: the fate of the retained component.
  • The purpose of the present study was to evaluate the long-term outcome of the unrevised part in one-component total hip arthroplasty revision (index operation).
  • At the final follow-up, 4 of the 19 (21%) unrevised acetabular components and 6 of the 27 (22%) unrevised femoral components were subsequently revised at a mean time of 14 and 11years from the index operation, and 22 and 24years from the primary operation, respectively.
  • We concluded that revision of a stable component is not justifiable on the basis of its long duration in use or non-ideal position or possible loosening on radiographs.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Arthroplasty, Replacement, Hip / methods. Hip Joint / surgery. Hip Prosthesis. Joint Diseases / surgery. Prosthesis Failure

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 24939637.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Keywords] NOTNLM ; isolated acetabular revision / isolated femoral revision / one-component revision / retained component / revision total hip replacement
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22. Roos BD, Roos MV, Camisa A Jr: Circumferential proximal femoral allografts in revision hip arthroplasty: four to 20 years follow-up. Hip Int; 2013 Jan-Feb;23(1):66-71
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Circumferential proximal femoral allografts in revision hip arthroplasty: four to 20 years follow-up.
  • PURPOSE: The purpose of this study was to analyze the clinical and radiographic results of revision of loose total hip replacements, using proximal femoral allografts and a cemented implant.
  • Each patient was scored using a modified Harris Hip Score.
  • Radiographs were examined for endosteal and periosteal reabsorption, allograft-host union, trochanteric migration, component loosening and heterotrophic calcification.
  • RESULTS: The mean pre-operative Harris hip Score was 34 points.
  • Nineteen cases (95%) had combined femoral defects and one patient (5%) had a segmental defect, according to the AAOS classification.
  • All femoral components were radiographically stable.
  • CONCLUSION: The use of proximal femoral allografts in femoral revision of loose total hip replacements has high survival and satisfactory clinical results at an average period of eight years postoperatively.
  • [MeSH-major] Arthroplasty, Replacement, Hip / methods
  • [MeSH-minor] Adult. Aged. Allografts. Female. Femur / pathology. Femur / transplantation. Follow-Up Studies. Hip Prosthesis. Humans. Male. Middle Aged. Ossification, Heterotopic. Prosthesis Failure. Retrospective Studies. Treatment Outcome

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  • (PMID = 23423656.001).
  • [ISSN] 1724-6067
  • [Journal-full-title] Hip international : the journal of clinical and experimental research on hip pathology and therapy
  • [ISO-abbreviation] Hip Int
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
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23. Pritchett JW: One-component revision of failed hip resurfacing from adverse reaction to metal wear debris. J Arthroplasty; 2014 Jan;29(1):219-24
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] One-component revision of failed hip resurfacing from adverse reaction to metal wear debris.
  • This study assessed the results of 90 one-component revisions for failed hip resurfacing due to adverse reaction to metal wear debris (76 acetabular, 14 femoral).
  • Patients with a femoral head size 40-45 mm (n=33) received a two-piece titanium meshed shell with a cross-linked polyethylene liner and patients with femoral head size 46-54 mm (n=43) received metal-on-metal components.
  • Patients with femoral head size>45 mm who wished a metal-polyethylene bearing received a dual mobility femoral prosthesis.
  • Three failures required re-revision; there was one deep infection.
  • One-component revision is a reasonable alternative to revision to total hip arthroplasty.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Hip Prosthesis / adverse effects. Prosthesis Failure

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 23680501.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biocompatible Materials; 0 / Metals
  • [Keywords] NOTNLM ; hip resurfacing / revision / total hip arthroplasty / wear debris
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24. Cho HJ, Han SB, Park JH, Park SW: An analysis of stably fixed femoral components retained during revision total hip arthroplasty. J Arthroplasty; 2011 Dec;26(8):1239-44
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] An analysis of stably fixed femoral components retained during revision total hip arthroplasty.
  • This study was conducted to analyze the clinical and radiographic results of isolated acetabular revisions during which intact femoral stems were retained.
  • The average time from primary operation to revision surgery was 9.2 years, and the average follow-up time after revision was 5 years.
  • The average Harris hip scores improved from 56.4 to 89.8 points after revision surgery, and in all cases, the acetabular components and femoral stems were assessed as stable at the final follow-up.
  • The average length of service of the femoral components was 14.2 years.
  • In conclusion, we recommend that isolated acetabular revision be considered in cases with an acetabular component failure and a stable femoral component.
  • [MeSH-major] Acetabulum / surgery. Arthroplasty, Replacement, Hip / instrumentation. Arthroplasty, Replacement, Hip / methods. Equipment Failure Analysis. Femur. Hip Prosthesis. Prosthesis Design
  • [MeSH-minor] Adult. Aged. Female. Femur Head Necrosis / surgery. Follow-Up Studies. Hip Joint / radiography. Hip Joint / surgery. Humans. Male. Middle Aged. Osteoarthritis, Hip / surgery. Osteolysis / surgery. Prosthesis Failure. Reoperation. Retrospective Studies. Treatment Outcome

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  • [Copyright] Copyright © 2011 Elsevier Inc. All rights reserved.
  • (PMID = 21435820.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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25. Chung LH, Wu PK, Chen CF, Chen WM, Chen TH, Liu CL: Extensively porous-coated stems for femoral revision: reliable choice for stem revision in Paprosky femoral type III defects. Orthopedics; 2012 Jul 1;35(7):e1017-21
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Extensively porous-coated stems for femoral revision: reliable choice for stem revision in Paprosky femoral type III defects.
  • Between January 1999 and August 2008, ninety-six femoral revisions were performed with extensively porous-coated stems in Paprosky type III femoral defects (89 type IIIA and 7 type IIIB defects).
  • Average postoperative Harris Hip Score was 92.3±8 (range, 77-100), and all scores improved postoperatively.
  • The most frequent diagnosis for revision of the femoral component was loosening of the cementless stem (53 patients; 55.2%), followed by status after a Girdlestone procedure (21 patients; 21.8%), after total hip arthroplasty with acetabular wear (10 patients; 10.4%), loosening of the cemented stem (7 patients; 7.3%), and periprosthetic fracture (5 patients; 5.2%).
  • The authors performed 65 total hip arthroplasty revisions, 23 femoral component revisions, and 8 revisions of femoral components with cemented liners in patients with well-fixed acetabular shells.
  • Extensively porous-coated stems in femoral revision for Paprosky type III femoral defects provided good mid-term durability.
  • [MeSH-major] Arthroplasty, Replacement, Hip / statistics & numerical data. Hip Prosthesis / statistics & numerical data. Prosthesis-Related Infections / epidemiology

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  • [Copyright] Copyright 2012, SLACK Incorporated.
  • (PMID = 22784893.001).
  • [ISSN] 1938-2367
  • [Journal-full-title] Orthopedics
  • [ISO-abbreviation] Orthopedics
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Coated Materials, Biocompatible
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26. Chen AF, Hozack WJ: Component selection in revision total hip arthroplasty. Orthop Clin North Am; 2014 Jul;45(3):275-86
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Component selection in revision total hip arthroplasty.
  • Component selection for revision total hip arthroplasty is important for creating a stable hip, providing offset to maximize joint mechanics, and restoring appropriate leg lengths.
  • On the femoral side, fully porous coated stems, modular tapered stems, and proximal femoral replacements can be used depending on the level of bone loss.
  • In addition, acetabular liners can improve stability through altered cup version, dual mobility, or constraint of the femoral head.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Hip Prosthesis. Prosthesis Design

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 24975757.001).
  • [ISSN] 1558-1373
  • [Journal-full-title] The Orthopedic clinics of North America
  • [ISO-abbreviation] Orthop. Clin. North Am.
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Coated Materials, Biocompatible
  • [Keywords] NOTNLM ; Acetabular augments / Cages / Fully porous coated stems / Modular components / Revision total hip arthroplasty / Trabecular metal
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27. Foran JR, Brown NM, Della Valle CJ, Levine BR, Sporer SM, Paprosky WG: Prevalence, risk factors, and management of proximal femoral remodeling in revision hip arthroplasty. J Arthroplasty; 2013 May;28(5):877-81
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Prevalence, risk factors, and management of proximal femoral remodeling in revision hip arthroplasty.
  • The prevalence of, risk factors, and management of proximal femoral remodeling in revision total hip arthroplasty is unknown.
  • Therefore, we reviewed the files of 200 consecutive femoral revision arthroplasties to study this phenomenon.
  • Remodeling was considered present if a properly sized diaphyseal-engaging acrylic template had appropriate distal canal fill but lied within 2mm of the proximal lateral endosteal cortex (definition 1) or completely outside the femoral canal (definition 2) on anteroposterior femoral radiographs.
  • The strongest risk factors were loose femoral components and more severe femoral bone loss.
  • Orthopedic surgeons performing revision arthroplasty should be prepared to encounter remodeling as its presence can complicate femoral component revision.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Bone Remodeling. Femur

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  • [Copyright] Copyright © 2013 Elsevier Inc. All rights reserved.
  • (PMID = 23489721.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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28. Te Stroet MA, Bronsema E, Rijnen WH, Gardeniers JW, Schreurs BW: The use of a long stem cemented femoral component in revision total hip replacement: a follow-up study of five to 16 years. Bone Joint J; 2014 Sep;96-B(9):1207-13
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The use of a long stem cemented femoral component in revision total hip replacement: a follow-up study of five to 16 years.
  • In this retrospective study, we investigated the results of revision total hip replacement (THR) using a cemented long-stemmed Exeter femoral component, with a minimum length of 205 mm in patients with extensive femoral bone defects.
  • One reconstruction failed after five years and five months owing to recurrent dislocation: the hip was converted to an excision arthroplasty.
  • At nine years, survival with the endpoint of all-cause re-revision was 96.3% (95% CI 76.4 to 99.5); including re-operations for any reason, it was 80.7% (95% CI 56.3 to 92.3%).
  • The survival of long stem cemented femoral components following revision THR is satisfactory in a fragile population with extensive femoral defects.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Hip Dislocation / surgery. Hip Prosthesis / adverse effects. Prosthesis Failure. Prosthesis-Related Infections / surgery

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  • [Copyright] ©2014 The British Editorial Society of Bone & Joint Surgery.
  • (PMID = 25183592.001).
  • [ISSN] 2049-4408
  • [Journal-full-title] The bone & joint journal
  • [ISO-abbreviation] Bone Joint J
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Bone Cements
  • [Keywords] NOTNLM ; Hip revision surgery / Impaction bone grafting / Long femoral component / Long-term outcome / Peri-prosthetic fracture / Survival analysis
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29. Butt AJ, Shaikh AH, Cameron HU: Coupling failure between stem and femoral component in a constrained revision total knee arthroplasty. J Coll Physicians Surg Pak; 2013 Feb;23(2):162-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Coupling failure between stem and femoral component in a constrained revision total knee arthroplasty.
  • Knee revision using constrained implants is associated with greater stresses on the implant and interface surfaces.
  • The present report describes a case of failure of the screw coupling between the stem and the femoral component.
  • The cause of the failure is surmised with outline of the treatment in this case with extensive femoral bone loss.
  • Revision implant stability was augmented with the use of a cemented femoral stem, screw fixation and the metaphyseal sleeve of an S-ROM modular hip system (DePuy international Ltd).
  • [MeSH-major] Arthroplasty, Replacement, Knee / adverse effects. Femoral Fractures / surgery. Periprosthetic Fractures / surgery. Prosthesis Failure

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  • (PMID = 23374527.001).
  • [ISSN] 1681-7168
  • [Journal-full-title] Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
  • [ISO-abbreviation] J Coll Physicians Surg Pak
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Pakistan
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30. Su EP, Su SL: Surface replacement conversion: results depend upon reason for revision. Bone Joint J; 2013 Nov;95-B(11 Suppl A):88-91
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Surface replacement conversion: results depend upon reason for revision.
  • Surface hip replacement (SHR) is generally used in younger, active patients as an alternative conventional total hip replacement in part because of the ability to preserve femoral bone.
  • This major benefit of surface replacement will only hold true if revision procedures of SHRs are found to provide good clinical results.
  • A retrospective review of SHR revisions between 2007 and 2012 was presented, and the type of revision and aetiologies were recorded.
  • At a mean follow-up of 2.3 years (0.72 to 6.4), the mean post-operative Harris hip score (HHS) was 94.8 (66 to 100).
  • Of the type of revision surgery performed, 14 were femoral-only revisions; four were acetabular-only revisions, and 37 were complete revisions.
  • Based on the overall clinical results, we believe that revision of SHR can have good or excellent results and warrants a continued use of the procedure in selected patients.
  • There should be a low threshold to revise a surface replacement if there is component malposition, rising metal ion levels, or evidence of soft-tissue abnormalities.
  • [MeSH-major] Arthroplasty, Replacement, Hip / methods. Hip Prosthesis. Prosthesis-Related Infections / surgery. Reoperation / statistics & numerical data

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  • (PMID = 24187361.001).
  • [ISSN] 2049-4408
  • [Journal-full-title] The bone & joint journal
  • [ISO-abbreviation] Bone Joint J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Hip resurfacing / Outcomes / Revision hip / Surface replacement conversion
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31. Muirhead-Allwood S, Sandiford NA, Skinner JA, Hua J, Muirhead W, Kabir C, Walker PS: Uncemented computer-assisted design-computer-assisted manufacture femoral components in revision total hip replacement: a minimum follow-up of ten years. J Bone Joint Surg Br; 2010 Oct;92(10):1370-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Uncemented computer-assisted design-computer-assisted manufacture femoral components in revision total hip replacement: a minimum follow-up of ten years.
  • We prospectively evaluated the long-term outcome of 158 consecutive patients who underwent revision total hip replacement using uncemented computer-assisted design-computer-assisted manufacture femoral components.
  • The mean Oxford, Harris and Western Ontario and McMaster hip scores improved from 41.1, 44.2 and 52.4 pre-operatively to 18.2, 89.3 and 12.3, respectively (p < 0.0001, for each).
  • The overall survival of the femoral component was 97% (95% confidence interval 94.5 to 99.7).
  • These results are comparable to those of previously published reports for revision total hip replacement using either cemented or uncemented components.
  • [MeSH-major] Arthroplasty, Replacement, Hip / methods. Computer-Aided Design. Hip Prosthesis. Prosthesis Design / methods
  • [MeSH-minor] Adult. Age Distribution. Aged. Aged, 80 and over. Cementation. Female. Follow-Up Studies. Hip Joint / radiography. Humans. Male. Middle Aged. Prosthesis Failure. Survival Analysis. Treatment Outcome

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  • (PMID = 20884973.001).
  • [ISSN] 0301-620X
  • [Journal-full-title] The Journal of bone and joint surgery. British volume
  • [ISO-abbreviation] J Bone Joint Surg Br
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] England
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32. Bos PK, van Biezen FC, Weinans H: Femoral component neck fracture after failed hip resurfacing arthroplasty. J Arthroplasty; 2011 Dec;26(8):1570.e1-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Femoral component neck fracture after failed hip resurfacing arthroplasty.
  • Failure on the femoral side after third-generation metal-on-metal hip resurfacing arthroplasty is suggested to be easily treated with conversion to conventional total hip arthroplasty.
  • Clinical results of conversion for failed hip resurfacing arthroplasty with the use of primary femoral implants confirmed this for a short-term follow-up.
  • We present a case of the occurrence of a stemmed femoral implant neck fracture in a patient who was earlier treated for a failed hip resurfacing.
  • We advise to consider acetabular revision in case of (suspected) acetabular metal damage and to use a stem component with a relative large neck diameter.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Arthroplasty, Replacement, Hip / methods. Femoral Neck Fractures / radiography. Hip Prosthesis / adverse effects. Osteoarthritis, Hip / surgery
  • [MeSH-minor] Hip Joint / radiography. Hip Joint / surgery. Humans. Male. Metals. Middle Aged. Prosthesis Design. Prosthesis Failure. Reoperation. Treatment Failure

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  • [Copyright] Copyright © 2011 Elsevier Inc. All rights reserved.
  • (PMID = 21397452.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Metals
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33. Matharu GS, McBryde CW, Revell MP, Pynsent PB: Femoral neck fracture after Birmingham Hip Resurfacing Arthroplasty: prevalence, time to fracture, and outcome after revision. J Arthroplasty; 2013 Jan;28(1):147-53
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Femoral neck fracture after Birmingham Hip Resurfacing Arthroplasty: prevalence, time to fracture, and outcome after revision.
  • A consecutive cohort of 3076 Birmingham Hip Resurfacings from a single institution was analyzed.
  • The prevalence of femoral neck fracture, the time to fracture, and the outcome after revision were investigated.
  • Mean operation time for revision was 59 minutes, and 71% underwent isolated femoral component revision.
  • At a mean follow-up of 5.5 years since revision, 3 patients required re-revision (2 aseptic loosening, 1 for sepsis) giving a survival of 95.7% (confidence interval, 86.9%-100%) at 5 years for the revision.
  • Median Oxford Hip Score was 12.5% (interquartile range, 3.2%-32.3%).
  • Most fractures occur early after hip resurfacing and were straightforward to revise.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Femoral Neck Fractures / surgery. Hip Prosthesis / adverse effects. Periprosthetic Fractures / surgery

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  • [Copyright] Copyright © 2013 Elsevier Inc. All rights reserved.
  • (PMID = 22819379.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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34. Srinivasan A, Jung E, Levine BR: Modularity of the femoral component in total hip arthroplasty. J Am Acad Orthop Surg; 2012 Apr;20(4):214-22
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Modularity of the femoral component in total hip arthroplasty.
  • Modular femoral components have been developed to aid in recreating native femoral version, limb length, and offset in total hip arthroplasty.
  • With modular implants, the femoral prosthesis can be built in situ, which is helpful in minimizing incision length and surgical dissection.
  • However, additional modular junctions are associated with increased concern for component failure through taper fretting, fatigue fracture, and local corrosion, which may contribute to elevated serum metal ion levels.
  • The recent trend toward using larger diameter femoral heads may impart higher loads and stress than were seen previously.
  • Although modular components offer a plethora of intraoperative options in primary and revision total hip arthroplasty, the long-term effects of these additional junctions remains unknown.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Hip Prosthesis. Prosthesis Design

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  • (PMID = 22474091.001).
  • [ISSN] 1067-151X
  • [Journal-full-title] The Journal of the American Academy of Orthopaedic Surgeons
  • [ISO-abbreviation] J Am Acad Orthop Surg
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Alloys; 0 / Chromium Alloys; 12597-68-1 / Stainless Steel; D1JT611TNE / Titanium
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35. Krushell RJ, Fingeroth RJ, Lehman AP: Femoral revision with a high offset long stem femoral component. Am J Orthop (Belle Mead NJ); 2012 Oct;41(10):E130-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Femoral revision with a high offset long stem femoral component.
  • In this retrospective study, we evaluated the aspetic loosening rate and initial result of an extensively hypoxyapatite-coated high offset (127°) titanium femoral component in 27 consecutive femoral revisions.
  • Preoperative, 3 month, 6 month, and yearly follow-ups included Harris Hip Scores and radiographic analysis.
  • In this study group, the femoral stem length was 155 to 205 mm and the distal stem diameter was 12 to 20 mm.
  • At a mean 53 months follow-up, there were no loose femoral components (ie, bone ingrown in all cases) and no subsequent femoral stem revisions.

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  • (PMID = 23376993.001).
  • [ISSN] 1934-3418
  • [Journal-full-title] American journal of orthopedics (Belle Mead, N.J.)
  • [ISO-abbreviation] Am J. Orthop.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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36. Giori NJ: Unexpected finding of a fractured metal prosthetic femoral head in a nonmodular implant during revision total hip arthroplasty. J Arthroplasty; 2010 Jun;25(4):659.e13-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Unexpected finding of a fractured metal prosthetic femoral head in a nonmodular implant during revision total hip arthroplasty.
  • Though there are many reports of fractured femoral components after total hip arthroplasty; there are no reports of a fractured metal femoral head.
  • This is a report of a fractured metal femoral head in a nonmodular total hip replacement discovered unexpectedly during revision total hip arthroplasty for acetabular failure.
  • This surprise finding, which was not appreciated on preoperative x-rays, required unplanned extraction of a well-ingrown, fully porous coated cylindrical femoral stem.
  • Though rare, fracture of the metal femoral head in a DePuy (Warsaw, Ind.) monoblock Anatomic Medullary Locking (AML) component is possible, and one cannot expect the fracture to be apparent on preoperative radiographs as the 2 pieces may not necessarily dissociate.
  • As usual, the surgeon performing revision arthroplasty should be prepared to revise all components.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Hip Prosthesis / adverse effects. Prosthesis Failure

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  • [Copyright] Published by Elsevier Inc.
  • (PMID = 20022458.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biocompatible Materials; 0 / Metals
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37. Jack CM, Molloy DO, Walter WL, Zicat BA, Walter WK: The use of ceramic-on-ceramic bearings in isolated revision of the acetabular component. Bone Joint J; 2013 Mar;95-B(3):333-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The use of ceramic-on-ceramic bearings in isolated revision of the acetabular component.
  • The practice of removing a well-fixed cementless femoral component is associated with high morbidity.
  • Ceramic bearing couples are low wearing and their use minimises the risk of subsequent further revision due to the production of wear debris.
  • A total of 165 revision hip replacements were performed, in which a polyethylene-lined acetabular component was revised to a new acetabular component with a ceramic liner, while retaining the well-fixed femoral component.
  • A titanium sleeve was placed over the used femoral trunnion, to which a ceramic head was added.
  • The mean Harris hip score improved significantly from 71.3 (9.0 to 100.0) pre-operatively to 91.0 (41.0 to 100.0) at a mean follow up of 4.8 years (2.1 to 12.5) (p < 0.001).
  • No patients reported squeaking of the hip.
  • At 8.3 years post-operatively the survival with any cause of failure as the endpoint was 96.6% (95% confidence interval (CI) 85.7 to 99.3) for the acetabular component and 94.0% (95% CI 82.1 to 98.4) for the femoral component.
  • The technique of revising the acetabular component in the presence of a well-fixed femoral component with a ceramic head placed on a titanium sleeve over the used trunnion is a useful adjunct in revision hip practice.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Ceramics. Hemiarthroplasty / instrumentation. Hip Prosthesis. Prosthesis Failure
  • [MeSH-minor] Acetabulum. Adult. Aged. Aged, 80 and over. Arthritis / surgery. Female. Follow-Up Studies. Hip Dislocation / surgery. Humans. Kaplan-Meier Estimate. Male. Middle Aged. Reoperation / instrumentation. Retrospective Studies. Treatment Outcome

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  • (PMID = 23450016.001).
  • [ISSN] 2049-4408
  • [Journal-full-title] The bone & joint journal
  • [ISO-abbreviation] Bone Joint J
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Ceramics
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38. Fukui K, Kaneuji A, Sugimori T, Ichiseki T, Kitamura K, Matsumoto T: Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision? Arch Orthop Trauma Surg; 2011 Apr;131(4):481-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Should the well-fixed, uncemented femoral components be revised during isolated acetabular revision?
  • INTRODUCTION: The results of isolated acetabular revision performed in 35 patients (36 hips) were monitored from 3 to 10 years.
  • All femoral components were well fixed and not removed or revised during index surgery.
  • METHOD: All revision acetabular implants were cementless, using a porous-coated hemispheric cup with or without bone graft.
  • There were no cases of femoral component radiographic or clinical failure.
  • The mean pre- and postoperative Harris Hip Scores were 49 and 80, respectively.
  • The findings suggest that isolated acetabular revision using a cementless porous-coated hemispheric cup can be performed without removing or revising a stable, well-fixed, uncemented femoral component if there is no concern about dislocation.
  • CONCLUSION: We demonstrated that isolated acetabular revision is feasible and that grafting to the osteolytic femoral defects is a worthwhile procedure to restore bone stock.
  • [MeSH-major] Arthroplasty, Replacement, Hip / methods
  • [MeSH-minor] Acetabulum / radiography. Acetabulum / surgery. Adult. Aged. Bone Transplantation. Female. Hip Prosthesis. Humans. Male. Middle Aged. Prosthesis Failure. Reoperation

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  • (PMID = 20665041.001).
  • [ISSN] 1434-3916
  • [Journal-full-title] Archives of orthopaedic and trauma surgery
  • [ISO-abbreviation] Arch Orthop Trauma Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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39. Jameson SS, Baker PN, Mason J, Gregg PJ, Brewster N, Deehan DJ, Reed MR: The design of the acetabular component and size of the femoral head influence the risk of revision following 34 721 single-brand cemented hip replacements: a retrospective cohort study of medium-term data from a National Joint Registry. J Bone Joint Surg Br; 2012 Dec;94(12):1611-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The design of the acetabular component and size of the femoral head influence the risk of revision following 34 721 single-brand cemented hip replacements: a retrospective cohort study of medium-term data from a National Joint Registry.
  • Despite excellent results, the use of cemented total hip replacement (THR) is declining.
  • This retrospective cohort study records survival time to revision following primary cemented THR using the most common combination of components that accounted for almost a quarter of all cemented THRs, exploring risk factors independently associated with failure.
  • Cox's proportional hazard models were used to analyse the extent to which risk of revision was related to patient, surgeon and implant covariates, with a significance threshold of p < 0.01.
  • The overall seven-year rate of revision for any reason was 1.70% (99% confidence interval (CI) 1.28 to 2.12).
  • In the final adjusted model the risk of revision was significantly higher in THRs with the Contemporary hooded component (hazard ratio (HR) 1.88, p < 0.001) than with the flanged version, and in smaller head sizes (< 28 mm) compared with 28 mm diameter heads (HR 1.50, p = 0.005).
  • The seven-year revision rate was 1.16% (99% CI 0.69 to 1.63) with a 28 mm diameter head and flanged component.
  • The overall risk of revision was independent of age, gender, American Society of Anesthesiologists grade, body mass index, surgeon volume, surgical approach, brand of cement/presence of antibiotic, femoral head material (stainless steel/alumina) and stem taper size/offset.
  • However, the risk of revision for dislocation was significantly higher with a 'plus' offset head (HR 2.05, p = 0.003) and a hooded acetabular component (HR 2.34, p < 0.001).
  • In summary, we found that there were significant differences in failure between different designs of acetabular component and sizes of femoral head after adjustment for a range of covariates.
  • [MeSH-major] Acetabulum / surgery. Arthroplasty, Replacement, Hip / methods. Bone Cements / therapeutic use. Femur Head / surgery. Osteoarthritis, Hip / surgery
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. England. Female. Hip Prosthesis. Humans. Male. Middle Aged. Prosthesis Design. Prosthesis Failure. Registries. Reoperation. Retrospective Studies. Risk Factors. Treatment Outcome. Wales

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  • (PMID = 23188900.001).
  • [ISSN] 0301-620X
  • [Journal-full-title] The Journal of bone and joint surgery. British volume
  • [ISO-abbreviation] J Bone Joint Surg Br
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Bone Cements
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40. Chen CF, Chen WM, Yang CT, Huang CK, Chen TH: Hybrid assembly of metal head and femoral stem from different manufacturers during isolated acetabular revision. Artif Organs; 2010 Aug;34(8):E242-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Hybrid assembly of metal head and femoral stem from different manufacturers during isolated acetabular revision.
  • During revision of a failed acetabular component with well-fixed antiquated femoral stem, the same variant of metal head is usually not available in the inventory production.
  • We gathered the stems retrieved from revision surgeries and tried to reassemble with the commercially available femoral heads.
  • This study reports the results of suitable hybrid assembly of metal heads with the most common antiquated femoral stems from different manufacturers.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Hip Prosthesis

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  • (PMID = 20626740.001).
  • [ISSN] 1525-1594
  • [Journal-full-title] Artificial organs
  • [ISO-abbreviation] Artif Organs
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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41. Uchiyama K, Takahira N, Fukushima K, Yamamoto T, Moriya M, Itoman M: Radiological evaluation of allograft reconstruction in acetabulum with Ganz reinforcement ring in revision total hip replacement. J Orthop Sci; 2010 Nov;15(6):764-71
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Radiological evaluation of allograft reconstruction in acetabulum with Ganz reinforcement ring in revision total hip replacement.
  • BACKGROUND: In revision total hip replacement (THR), cages and rings are commonly used for the reconstruction of bone defects that are due to mechanical loosening of the acetabular cup and migration of the femoral head prosthesis.
  • The purpose of this study was to evaluate the radiological results of the use of Ganz reinforcement rings with bone allografts in acetabular revision THR.
  • METHODS: We reviewed 30 hips of 28 patients who underwent allograft reconstruction of the acetabulum with a Ganz reinforcement ring in revision THR.
  • Loosening of the acetabular component was defined as a change in the cranial or central direction of the cup or a change in the cup inclination angle at the time of last follow-up.
  • The end point was revision surgery done because of defined loosening of the acetabular component at the time of the last follow-up.
  • RESULTS: All five acetabular components (16.7%) defined as showing aseptic loosening were type D defects (cranio-central defects), but no patient needed revision surgery during the follow-up period.
  • Nine revision surgeries with strut screws for type D acetabular bone defects were performed.
  • The calculated Kaplan-Meier survival rate at 5 years was 96.0%, and the rate at 10 years was 80.2%, using defined loosening of the acetabular component as the end point.
  • CONCLUSIONS: Allograft reconstruction of the acetabulum with a Ganz reinforcement ring is a useful technique for revision THR.
  • [MeSH-major] Acetabulum / surgery. Arthroplasty, Replacement, Hip / instrumentation. Bone Transplantation. Hip Prosthesis. Internal Fixators. Prosthesis Failure

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  • (PMID = 21116894.001).
  • [ISSN] 1436-2023
  • [Journal-full-title] Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
  • [ISO-abbreviation] J Orthop Sci
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Japan
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42. Park MS, Lee JH, Park JH, Ham DH, Rhee YK: A distal fluted, proximal modular femoral prosthesis in revision hip arthroplasty. J Arthroplasty; 2010 Sep;25(6):932-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A distal fluted, proximal modular femoral prosthesis in revision hip arthroplasty.
  • Most reports on the use of modular femoral stems during revision surgery have involved short follow-up periods.
  • Average Harris hip score was improved from 47 to 87.6.
  • Re-revision was performed in 5 patients, and 3 of these were for subsidence (of these 3, subsidence was associated with dissociation of the coupling part in 1 and with osteotomy nonunion in other 2 [proximal component only]).
  • Modular distally fixed femoral stems were found to offer intraoperative flexibility, but to suffer from subsidence and intraoperative greater trochanter and metaphyseal femoral fractures.
  • [MeSH-major] Arthroplasty, Replacement, Hip. Hip Prosthesis. Prosthesis Design

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  • [Copyright] Copyright 2010. Published by Elsevier Inc.
  • (PMID = 19762205.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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43. Garcia-Cimbrelo E, Garcia-Rey E, Cruz-Pardos A, Madero R: Stress-shielding of the proximal femur using an extensively porous-coated femoral component without allograft in revision surgery: a 5- to 17-year follow-up study. J Bone Joint Surg Br; 2010 Oct;92(10):1363-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Stress-shielding of the proximal femur using an extensively porous-coated femoral component without allograft in revision surgery: a 5- to 17-year follow-up study.
  • Revision surgery of the hip was performed on 114 hips using an extensively porous-coated femoral component.
  • No cortical struts were used and the cortical index and the femoral cortical width were measured at different levels.
  • The use of the extensively porous-coated femoral component can provide a solution for difficult cases in revision surgery.
  • Although without clinical relevance at the end of follow-up, the thickness of the medial femoral cortex often increased while that of the lateral cortex decreased.
  • In cases in which a shorter component was used and in those undertaken using an extended trochanteric osteotomy, there was a greater increase in thickness of the femoral cortex over time.
  • [MeSH-major] Arthroplasty, Replacement, Hip / methods. Coated Materials, Biocompatible. Hip Prosthesis
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Bone Remodeling. Cementation. Female. Follow-Up Studies. Hip Joint / radiography. Humans. Male. Middle Aged. Porosity. Prosthesis Design. Prosthesis Failure. Reoperation / adverse effects. Reoperation / instrumentation. Reoperation / methods

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  • (PMID = 20884972.001).
  • [ISSN] 0301-620X
  • [Journal-full-title] The Journal of bone and joint surgery. British volume
  • [ISO-abbreviation] J Bone Joint Surg Br
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Coated Materials, Biocompatible
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44. Cip J, von Strempel A, Bach C, Luegmair M, Benesch T, Martin A: Implication of femoral stem on performance of articular surface replacement (ASR) XL total hip arthroplasty. J Arthroplasty; 2014 Nov;29(11):2127-35
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Implication of femoral stem on performance of articular surface replacement (ASR) XL total hip arthroplasty.
  • Taper junctions of large diameter metal-on-metal femoral heads and femoral stems were described as metal ion generator due to accelerated wear and corrosion.
  • However, literature about the Articular Surface Replacement (ASR) total hip arthroplasty (THA) invariably deals with stems manufactured by DePuy Orthopedics (Warsaw, IN, USA).
  • After a mean follow-up of 3.5 years revision rate was 24.5%, mostly due to adverse reaction to metal debris (ARMD).
  • CT scan revealed component loosening in 10.3% and pseudotumoral lesions in 12.6%.

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 25108735.001).
  • [ISSN] 1532-8406
  • [Journal-full-title] The Journal of arthroplasty
  • [ISO-abbreviation] J Arthroplasty
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Keywords] NOTNLM ; ASR / Articular Surface Replacement / failure rate / femoral stem / total hip arthroplasty / total hip replacement
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45. Sangiorgio SN, Ebramzadeh E, Borkowski SL, Oakes DA, Reid JJ, Bengs BC: Effect of proximal femoral bone support on the fixation of a press-fit noncemented total hip replacement femoral component. J Appl Biomater Funct Mater; 2013;11(1):e26-34
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Effect of proximal femoral bone support on the fixation of a press-fit noncemented total hip replacement femoral component.
  • PURPOSE: Proximal femoral bone loss is a common challenge in revision hip arthroplasty.
  • In this study, in-vitro fixation of a non-cemented, rectangular, dual-tapered, press-fit femoral component designed to achieve metadiaphyseal fixation was analyzed using an accelerated proximal femoral bone loss model to assess the potential use in revision cases.
  • METHODS: The press-fit AlloclassicTM femoral stem was implanted in ten cadaveric femurs and tested under cyclic biomechanical loading in an intact state, and then again after sequential proximal femoral bone resections, simulating increasing amounts of bone deficiency.
  • CONCLUSION: The results indicate that when strong initial fixation is achieved, long-term success is possible given substantial proximal femoral bone loss.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Arthroplasty, Replacement, Hip / methods. Femur. Hip Prosthesis

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  • (PMID = 23413131.001).
  • [ISSN] 2280-8000
  • [Journal-full-title] Journal of applied biomaterials & functional materials
  • [ISO-abbreviation] J Appl Biomater Funct Mater
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Italy
  • [Chemical-registry-number] 0 / Bone Cements
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46. Mamczak CN, Gardner MJ, Bolhofner B, Borrelli J Jr, Streubel PN, Ricci WM: Interprosthetic femoral fractures. J Orthop Trauma; 2010 Dec;24(12):740-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Interprosthetic femoral fractures.
  • OBJECTIVE: Interprosthetic femoral fractures, ones occurring between ipsilateral total hip and total knee arthroplasties, are an increasingly common and challenging problem for orthopaedic surgeons.
  • The purpose of this study was to report specific fracture locations and treatment outcomes associated with a protocol of femoral plate fixation that spanned the interprosthetic zone applied with modern soft tissue preserving reduction techniques without adjuvant bone grafts.
  • There were nine fractures of the femoral shaft (Orthopaedic Trauma Association [OTA] 32) about hip arthroplasty prostheses and 17 supracondylar fractures (OTA 33) about total knee prostheses.
  • INTERVENTION: A common surgical treatment protocol included plate fixation that spanned the entire interprosthetic zone (overlapping the stem proximally and knee component distally) and the use of biologic tissue-preserving plating techniques without use of supplemental bone grafts of any kind.
  • There were three malunions (one 10° valgus, one 9° extension, and one 10° flexion), two cases of painful implants (one required removal), and one loose long-stem revision hip prosthesis (required total femur replacement).
  • CONCLUSIONS: Interprosthetic femoral fractures tend to occur more frequently in the supracondylar region about total knee arthroplasty components than in the diaphysis about hip stems.
  • [MeSH-major] Femoral Fractures / surgery. Fracture Fixation, Internal / methods. Hip Prosthesis. Knee Prosthesis
  • [MeSH-minor] Aged. Aged, 80 and over. Arthroplasty, Replacement, Hip. Arthroplasty, Replacement, Knee. Bone Plates. Female. Fracture Healing / physiology. Humans. Male. Middle Aged. Retrospective Studies. Treatment Outcome

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  • (PMID = 21063218.001).
  • [ISSN] 1531-2291
  • [Journal-full-title] Journal of orthopaedic trauma
  • [ISO-abbreviation] J Orthop Trauma
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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47. Jaiswal A, Gilbert RE, Sunil Kumar KH, Carrothers AD, Kuiper JH, Richardson JB: Function and survival after revision of hip resurfacing. Hip Int; 2011 Sep-Oct;21(5):610-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Function and survival after revision of hip resurfacing.
  • The purpose of this study was to compare functional outcome and survival of isolated acetabular, isolated femoral and both component revision after failure of primary Birmingham Hip Resurfacing.
  • The Oswestry Outcome Centre prospectively collected data on 5000 hip resurfacing between 1997 and 2002.
  • Of these, 182 hips were revised: 8% had revision of the acetabular component only, 42% had revision of the femoral component only to conventional stemmed prosthesis, and 50% had revision of both components to conventional total hip arthroplasty (THA).
  • We used a postal questionnaire to assess function by Harris and Merle d'Aubigné and Postel hip scores and determined survival using re-revision as an endpoint.
  • In patients with isolated acetabular revision, the median Harris hip score (HHS) was 74 at a mean of 4.5 years follow up.
  • Isolated femoral revision had a median HHS of 82 at a mean of 3.8 years.
  • Survival was significantly lower for isolated acetabular revision (75%) than isolated femoral (93%) or both component revision (96%).
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Hip Joint / surgery. Prosthesis Failure
  • [MeSH-minor] Acetabulum / surgery. Adolescent. Adult. Equipment Failure Analysis. Female. Femur / surgery. Health Status. Hip Prosthesis. Humans. Joint Diseases / surgery. Male. Middle Aged. Prospective Studies. Questionnaires. Range of Motion, Articular. Recovery of Function. Reoperation. Time Factors. Young Adult

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  • (PMID = 21960447.001).
  • [ISSN] 1724-6067
  • [Journal-full-title] Hip international : the journal of clinical and experimental research on hip pathology and therapy
  • [ISO-abbreviation] Hip Int
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] Italy
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48. Leonidou A, Pagkalos J, Luscombe J: Cement-in-cement acetabular revision with a constrained tripolar component. Orthopedics; 2012 Feb;35(2):e255-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Cement-in-cement acetabular revision with a constrained tripolar component.
  • Dislocation of a total hip replacement (THR) is common following total hip arthroplasty (THA).
  • When nonoperative management fails to maintain reduction, revision surgery is considered.
  • Complete removal of the old cement mantle during revision THA can be challenging and is associated with significant complications.
  • Cement-in-cement revision is an established technique.
  • However, the available clinical and experimental studies focus on femoral stem revision.
  • The purpose of this study was to present a case of cement-in-cement acetabular revision with a constrained component for recurrent dislocations and to investigate the current best evidence for this technique.
  • This article describes the case of a 74-year-old woman who underwent revision of a Charnley THR for recurrent low-energy dislocations.
  • A tripolar constrained acetabular component was cemented over the primary cement mantle following removal of the original liner by reaming, roughening the surface, and thoroughly irrigating and drying the primary cement.
  • Clinical and radiological results were good, with the Oxford Hip Score improving from 11 preoperatively to 24 at 6 months postoperatively.
  • The good short-term results of this case and the current clinical and biomechanical data encourage the use of the cement-in-cement technique for acetabular revision.
  • [MeSH-major] Arthroplasty, Replacement, Hip / adverse effects. Arthroplasty, Replacement, Hip / methods. Cementation / methods. Hip Dislocation / etiology. Hip Dislocation / surgery. Prosthesis Failure

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  • [Copyright] Copyright 2012, SLACK Incorporated.
  • (PMID = 22310415.001).
  • [ISSN] 1938-2367
  • [Journal-full-title] Orthopedics
  • [ISO-abbreviation] Orthopedics
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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49. Artiaco S, Boggio F, Titolo P, Zoccola K, Bianchi P, Bellomo F: Clinical experience in femoral revision with the modular Profemur R stem. Hip Int; 2011 Jan-Mar;21(1):39-42
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Clinical experience in femoral revision with the modular Profemur R stem.
  • The application of modular femoral stems is constantly increasing in revision hip surgery.
  • From March 2001 to March 2006, we employed the Profemur R modular stem in 35 cases of femoral component revision (31 first revisions and 4 re-revisions).
  • The reasons for revision surgery included aseptic loosening in 17 cases, periprosthetic femoral fracture in 8 cases, stem fracture in 3 cases, septic loosening in 2 cases and recurrent dislocation in 1 case.
  • One fracture healed in association with temporary wound discharge, and the other resulted in non-union with a femoral varus deformity.
  • This required revision with internal fixation (LCP plate) at 3 months, with a successful result.
  • In one case of stem subsidence femoral revision with a larger Profemur R implant was required.
  • In our retrospective study the Profemur R modular stem has been an effective prosthetic system for femoral reconstruction in case of loosening with Paprosky grade III bone loss and following periprosthetic femoral fractures.
  • [MeSH-major] Femoral Fractures / surgery. Fracture Fixation, Internal / methods. Hip Prosthesis. Periprosthetic Fractures / surgery. Reoperation / methods
  • [MeSH-minor] Aged. Aged, 80 and over. Arthroplasty, Replacement, Hip / adverse effects. Female. Humans. Male. Middle Aged. Prosthesis Design. Prosthesis Failure. Retrospective Studies. Treatment Outcome

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  • (PMID = 21279965.001).
  • [ISSN] 1724-6067
  • [Journal-full-title] Hip international : the journal of clinical and experimental research on hip pathology and therapy
  • [ISO-abbreviation] Hip Int
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
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50. Regis D, Sandri A, Bonetti I: Long-term results of femoral revision with the Wagner Self-Locking stem. Surg Technol Int; 2013 Sep;23:243-50
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Long-term results of femoral revision with the Wagner Self-Locking stem.
  • Femoral revision total hip arthroplasty may be a complex procedure due to extensive periprosthetic bone loss.
  • From 1992 to 1998, 68 consecutive femoral revisions were performed in 66 patients using the Wagner tapered stem.
  • Clinical evaluation was performed using Harris Hip Score (HHS).
  • Five stems required rerevision because of deep infection (2), progressive subsidence (2) complicated by hip instability and head-neck disassembly, and old dislocation following acetabular component failure (1).
  • A constant or decreased resorption of the femoral bone was detected in 34/36 patients (94.4%).
  • The cumulative survival rates at 15.8 years with femoral revision for any reason and for stem failure as the end points were 92.0% and 96.6%, respectively.
  • The current study documents the efficacy of distal fixation to the diaphysis in revision of bone-deficient femoral components, supporting the use of tapered, fluted stems.
  • [MeSH-major] Arthroplasty, Replacement, Hip / instrumentation. Hip Joint / surgery. Hip Prosthesis. Joint Instability / diagnosis. Joint Instability / surgery. Postoperative Complications / prevention & control

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  • (PMID = 24081844.001).
  • [ISSN] 1090-3941
  • [Journal-full-title] Surgical technology international
  • [ISO-abbreviation] Surg Technol Int
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article
  • [Publication-country] United States
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2. Definitions


3. Related RMF webpages
1. revision of hip replacement femoral component
2. revision of hip replacement femoral component only
3. revision of knee replacement femoral component
4. revision of hip replacement acetabular component
5. revision of knee replacement patellar component
6. revision of knee replacement tibial component
7. revision of total hip replacement procedure
8. revision of hip replacement with exchange of acetabular liner
9. total hip revision
10. pelvis hip revision
11. revision of hip arthroplasty procedure
12. of revision arthroplasty partial of hip
13. revision of knee replacement total all components
14. hip replacement total
15. arthroplasty replacement hip
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17. of of bone total hip to femur graft revision arthroplasty with
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