Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary study
Objective: This study aimed to evaluate the results and complications related to revision total hip arthroplasty within a short-to-medium follow up period.Methods: From January 2016 to January 2020, we reviewed 31 prosthetic hip arthroplasty stem revisions using a fluted, tapered modular stem with d...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2023.873584/full |
| _version_ | 1797821981396041728 |
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| author | Shu-Xing Xing Qiang Huang Zheng-Jiang Li Yong-Kui Li Zhao-Nan Ban |
| author_facet | Shu-Xing Xing Qiang Huang Zheng-Jiang Li Yong-Kui Li Zhao-Nan Ban |
| author_sort | Shu-Xing Xing |
| collection | DOAJ |
| description | Objective: This study aimed to evaluate the results and complications related to revision total hip arthroplasty within a short-to-medium follow up period.Methods: From January 2016 to January 2020, we reviewed 31 prosthetic hip arthroplasty stem revisions using a fluted, tapered modular stem with distal fixation. The median age of the patients was 74.55–79 years. The survival rate was 100%, and there were no re-revisions. The Harris hip score improved from an average of 36.5 ± 7.8 before surgery to 81.8 ± 6.2 at the final follow-up.Results: The average final follow-up was 36 (24–60) months. During this time, there was no periprosthetic infection, no prosthesis loosening or breakage, and no sciatic nerve injury. Complications included four (12.9%) intraoperative fractures and eight (25.8%) dislocations that had no stem fractures. The postoperative limb was lengthened by 17.8 ± 9.8 mm. In most cases, bone regeneration was an early and important finding. Three cases underwent extended trochanteric osteotomy, and bone healing was achieved by the final follow-up.Conclusion: The modular tapered stem reviewed in this study was very versatile, could be used in most femoral revision cases, and allowed for rapid bone reconstruction. However, a long-term follow-up study is needed to confirm these results. |
| first_indexed | 2024-03-13T10:01:05Z |
| format | Article |
| id | doaj.art-4c5d46fcd4054376a0ef9245ef27059e |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-03-13T10:01:05Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-4c5d46fcd4054376a0ef9245ef27059e2023-05-23T05:14:31ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-05-011410.3389/fphys.2023.873584873584Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary studyShu-Xing XingQiang HuangZheng-Jiang LiYong-Kui LiZhao-Nan BanObjective: This study aimed to evaluate the results and complications related to revision total hip arthroplasty within a short-to-medium follow up period.Methods: From January 2016 to January 2020, we reviewed 31 prosthetic hip arthroplasty stem revisions using a fluted, tapered modular stem with distal fixation. The median age of the patients was 74.55–79 years. The survival rate was 100%, and there were no re-revisions. The Harris hip score improved from an average of 36.5 ± 7.8 before surgery to 81.8 ± 6.2 at the final follow-up.Results: The average final follow-up was 36 (24–60) months. During this time, there was no periprosthetic infection, no prosthesis loosening or breakage, and no sciatic nerve injury. Complications included four (12.9%) intraoperative fractures and eight (25.8%) dislocations that had no stem fractures. The postoperative limb was lengthened by 17.8 ± 9.8 mm. In most cases, bone regeneration was an early and important finding. Three cases underwent extended trochanteric osteotomy, and bone healing was achieved by the final follow-up.Conclusion: The modular tapered stem reviewed in this study was very versatile, could be used in most femoral revision cases, and allowed for rapid bone reconstruction. However, a long-term follow-up study is needed to confirm these results.https://www.frontiersin.org/articles/10.3389/fphys.2023.873584/fulltotal hip arthroplastyrevisionmodular taper stemorthopedicsurgery |
| spellingShingle | Shu-Xing Xing Qiang Huang Zheng-Jiang Li Yong-Kui Li Zhao-Nan Ban Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary study Frontiers in Physiology total hip arthroplasty revision modular taper stem orthopedic surgery |
| title | Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary study |
| title_full | Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary study |
| title_fullStr | Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary study |
| title_full_unstemmed | Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary study |
| title_short | Revision total hip arthroplasty using a fluted, tapered, modular stem follow-up method for a mean of three years: A preliminary study |
| title_sort | revision total hip arthroplasty using a fluted tapered modular stem follow up method for a mean of three years a preliminary study |
| topic | total hip arthroplasty revision modular taper stem orthopedic surgery |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2023.873584/full |
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