Loosened hip joint prosthesis-decision options

For the period 2013-2015, 36 patients underwent revision surgery because of secondary developed complications after primary hip joint replacement surgery. 14 of them were male and 23 – female, with average age 73 years.  We examined 4 groups of patients depends on the complications type: - As...

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Main Authors: Byser Bonchev, Tsvetoslav Yordanov, Luben Stokov, Teodor Ivanov, Georgi Georgiev, Luben Lubenov Stokov, Kristian Nastev
Format: Article
Language:English
Published: Bulgarian Orthopaedics and Trauma Association 2024-03-01
Series:Journal of the Bulgarian Orthopaedics and Trauma Association
Online Access:https://jbota.org/index.php/jbota/article/view/112
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author Byser Bonchev
Tsvetoslav Yordanov
Luben Stokov
Teodor Ivanov
Georgi Georgiev
Luben Lubenov Stokov
Kristian Nastev
author_facet Byser Bonchev
Tsvetoslav Yordanov
Luben Stokov
Teodor Ivanov
Georgi Georgiev
Luben Lubenov Stokov
Kristian Nastev
author_sort Byser Bonchev
collection DOAJ
description For the period 2013-2015, 36 patients underwent revision surgery because of secondary developed complications after primary hip joint replacement surgery. 14 of them were male and 23 – female, with average age 73 years.  We examined 4 groups of patients depends on the complications type: - Aseptic loosening in 23 patients, appeared 10 years’ average following primary hip prosthesis surgery. - Septic loosening in 2 patients revealed on second to the tenth month post operatively. In two other patients we observed infected hematoma. - Hip joint prosthesis (luxation) because of trauma or extremely wrong motion we notice in 5 patients. In one of them we revealed acetabular cup malposition. - Periprosthetic fractures with aseptic loosening in 3 patients. All 36 patients had primary cemented hip joint prosthesis. In the first group depends on which prosthesis parts were loosened we did acetabular cup and femoral stem replacement in 15 patients, only acetabular cup replacement in 4 patients and in 3 patients only femoral stem replacement. In 2 patients from second group we replaced the primary prosthesis by total spacer for 8 months followed by revision prosthesis surgery. In 2 haematoma patients we performed debridement, lavage-drainage and long term antibiotic treatment. In 2 patients of third group we replaced the primary head with a longer one and in 3 other patients we replaced the primary acetabular cup by shoulder collar cemented cup. In 2 patients of fourth group we replaced the primary acetabular cup and femoral stem by shoulder collar cemented cup and by revisionary stem delivered by Implant and Zimmer (Revitan). In the third patient we implanted revisionary femoral stem (Implant). 3 years after revisionary hip joint prosthesis surgery we monitor good prosthesis stability and good functional scores
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spelling doaj.art-3abd6b811608480a87a1707340888c2f2024-04-14T23:18:27ZengBulgarian Orthopaedics and Trauma AssociationJournal of the Bulgarian Orthopaedics and Trauma Association0473-43782815-37152024-03-016101Loosened hip joint prosthesis-decision optionsByser Bonchev0Tsvetoslav Yordanov1Luben Stokov2Teodor Ivanov3Georgi Georgiev4https://orcid.org/0000-0001-8343-0337Luben Lubenov Stokov5Kristian Nastev6Department of Orthopedics and Traumatology, UMHAT Sofiamed, Sofia, BulgariaDepartment of Orthopedics and Traumatology, UMHAT Sofiamed, Sofia, BulgariaClinic of Orthopedics and Traumatology, UMHAT “St. Anna”, Sofia, BulgariaDepartment of Orthopedics and Traumatology, UMHAT Sofiamed, Sofia, BulgariaDepartment of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Sofia, BulgariaClinic of Orthopedics and Traumatology, MHAT “St. Sofia”, Sofia, BulgariaMHAT, Skin Systems, Bulgaria For the period 2013-2015, 36 patients underwent revision surgery because of secondary developed complications after primary hip joint replacement surgery. 14 of them were male and 23 – female, with average age 73 years.  We examined 4 groups of patients depends on the complications type: - Aseptic loosening in 23 patients, appeared 10 years’ average following primary hip prosthesis surgery. - Septic loosening in 2 patients revealed on second to the tenth month post operatively. In two other patients we observed infected hematoma. - Hip joint prosthesis (luxation) because of trauma or extremely wrong motion we notice in 5 patients. In one of them we revealed acetabular cup malposition. - Periprosthetic fractures with aseptic loosening in 3 patients. All 36 patients had primary cemented hip joint prosthesis. In the first group depends on which prosthesis parts were loosened we did acetabular cup and femoral stem replacement in 15 patients, only acetabular cup replacement in 4 patients and in 3 patients only femoral stem replacement. In 2 patients from second group we replaced the primary prosthesis by total spacer for 8 months followed by revision prosthesis surgery. In 2 haematoma patients we performed debridement, lavage-drainage and long term antibiotic treatment. In 2 patients of third group we replaced the primary head with a longer one and in 3 other patients we replaced the primary acetabular cup by shoulder collar cemented cup. In 2 patients of fourth group we replaced the primary acetabular cup and femoral stem by shoulder collar cemented cup and by revisionary stem delivered by Implant and Zimmer (Revitan). In the third patient we implanted revisionary femoral stem (Implant). 3 years after revisionary hip joint prosthesis surgery we monitor good prosthesis stability and good functional scores https://jbota.org/index.php/jbota/article/view/112
spellingShingle Byser Bonchev
Tsvetoslav Yordanov
Luben Stokov
Teodor Ivanov
Georgi Georgiev
Luben Lubenov Stokov
Kristian Nastev
Loosened hip joint prosthesis-decision options
Journal of the Bulgarian Orthopaedics and Trauma Association
title Loosened hip joint prosthesis-decision options
title_full Loosened hip joint prosthesis-decision options
title_fullStr Loosened hip joint prosthesis-decision options
title_full_unstemmed Loosened hip joint prosthesis-decision options
title_short Loosened hip joint prosthesis-decision options
title_sort loosened hip joint prosthesis decision options
url https://jbota.org/index.php/jbota/article/view/112
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AT georgigeorgiev loosenedhipjointprosthesisdecisionoptions
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