Outcomes of dual modular cementless femoral stems in revision hip arthroplasty
With an increasing number of primary hip replacements being performed every year, the burden of revision hip arthroplasty, for septic and aseptic loosening, recurrent dislocation or periprosthetic fracture, is also increasing. In recent years, different approaches to revising the femoral prosthesis...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Open Medical Publishing
2014-03-01
|
| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/or/article/view/5247 |
| _version_ | 1818728090460749824 |
|---|---|
| author | Ali Ghoz Matthew L. Broadhead John Morley Shawn Tavares David McDonald |
| author_facet | Ali Ghoz Matthew L. Broadhead John Morley Shawn Tavares David McDonald |
| author_sort | Ali Ghoz |
| collection | DOAJ |
| description | With an increasing number of primary hip replacements being performed every year, the burden of revision hip arthroplasty, for septic and aseptic loosening, recurrent dislocation or periprosthetic fracture, is also increasing. In recent years, different approaches to revising the femoral prosthesis have emerged; including both cemented and cementless techniques. With a stable cement mantle and good bone quality, or through the use of impaction bone grafting when bone stock is lacking, it is possible to re-cement a femoral prosthesis. Alternatively, a cementless modular femoral prosthesis may be used, providing the surgeon with further options for restoring leg length, hip offset, anteversion and stability. Studies evaluating the use of modular cementless prostheses have so far been limited to mid-term studies, with results comparable to primary hip arthroplasty. There are some concerns, however, regarding tribological complications such as stem fracture, corrosion, and failure, and long-term studies are required to further evaluate these concerns. This review outlines the current evidence for the use of both cemented and cementless modular femoral prostheses in the setting of revision hip arthroplasty. Results of prospective and retrospective studies will be outlined, along with results obtained from national joint registries. |
| first_indexed | 2024-12-17T22:24:28Z |
| format | Article |
| id | doaj.art-63072878956446b588a3ee52ea3937b7 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-17T22:24:28Z |
| publishDate | 2014-03-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-63072878956446b588a3ee52ea3937b72022-12-21T21:30:23ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642014-03-016110.4081/or.2014.52472774Outcomes of dual modular cementless femoral stems in revision hip arthroplastyAli Ghoz0Matthew L. Broadhead1John Morley2Shawn Tavares3David McDonald4Royal Berkshire NHS Trust, ReadingUniversity of New South Wales, Kensington NSW; Australian Orthopaedic Research Group, MelbourneRoyal Berkshire NHS Trust, ReadingRoyal Berkshire NHS Trust, ReadingThe Leeds Teaching Hospitals NHS Trust, LeedsWith an increasing number of primary hip replacements being performed every year, the burden of revision hip arthroplasty, for septic and aseptic loosening, recurrent dislocation or periprosthetic fracture, is also increasing. In recent years, different approaches to revising the femoral prosthesis have emerged; including both cemented and cementless techniques. With a stable cement mantle and good bone quality, or through the use of impaction bone grafting when bone stock is lacking, it is possible to re-cement a femoral prosthesis. Alternatively, a cementless modular femoral prosthesis may be used, providing the surgeon with further options for restoring leg length, hip offset, anteversion and stability. Studies evaluating the use of modular cementless prostheses have so far been limited to mid-term studies, with results comparable to primary hip arthroplasty. There are some concerns, however, regarding tribological complications such as stem fracture, corrosion, and failure, and long-term studies are required to further evaluate these concerns. This review outlines the current evidence for the use of both cemented and cementless modular femoral prostheses in the setting of revision hip arthroplasty. Results of prospective and retrospective studies will be outlined, along with results obtained from national joint registries.http://www.pagepress.org/journals/index.php/or/article/view/5247revision hip arthroplasty, cementless modular femoral stem |
| spellingShingle | Ali Ghoz Matthew L. Broadhead John Morley Shawn Tavares David McDonald Outcomes of dual modular cementless femoral stems in revision hip arthroplasty Orthopedic Reviews revision hip arthroplasty, cementless modular femoral stem |
| title | Outcomes of dual modular cementless femoral stems in revision hip arthroplasty |
| title_full | Outcomes of dual modular cementless femoral stems in revision hip arthroplasty |
| title_fullStr | Outcomes of dual modular cementless femoral stems in revision hip arthroplasty |
| title_full_unstemmed | Outcomes of dual modular cementless femoral stems in revision hip arthroplasty |
| title_short | Outcomes of dual modular cementless femoral stems in revision hip arthroplasty |
| title_sort | outcomes of dual modular cementless femoral stems in revision hip arthroplasty |
| topic | revision hip arthroplasty, cementless modular femoral stem |
| url | http://www.pagepress.org/journals/index.php/or/article/view/5247 |
| work_keys_str_mv | AT alighoz outcomesofdualmodularcementlessfemoralstemsinrevisionhiparthroplasty AT matthewlbroadhead outcomesofdualmodularcementlessfemoralstemsinrevisionhiparthroplasty AT johnmorley outcomesofdualmodularcementlessfemoralstemsinrevisionhiparthroplasty AT shawntavares outcomesofdualmodularcementlessfemoralstemsinrevisionhiparthroplasty AT davidmcdonald outcomesofdualmodularcementlessfemoralstemsinrevisionhiparthroplasty |