title: Cementless revision of aggressive granulomatous lesions in hip replacements.
abstract: In 16 patients we used uncemented Lord prostheses at revision operations for aggressive granulomatosis after cemented hip arthroplasties; in 12 bone grafts also were used. In 13 hips the granulomatous lesions were multifocal, and in one the acetabular component was involved. There was no evidence of infection in any case: all the patients had normal ESR and CRP levels. The revision operation was performed on average 9.4 years after the primary replacement; the mean age at revision was 64 years. On radiographs, the bone around the prosthesis had consolidated by an average of 16 months. At follow-up, two to six years later (mean 3.5 years) there had been no recurrences, nine patients had an excellent Mayo hip score, five were good and two fair.
authors.affiliation: Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
authors.forename: A
authors.initials: A
authors.lastname: Eskola
authors.forename: S
authors.initials: S
authors.lastname: Santavirta
authors.forename: Y T
authors.initials: YT
authors.lastname: Konttinen
authors.forename: V
authors.initials: V
authors.lastname: Hoikka
authors.forename: K
authors.initials: K
authors.lastname: Tallroth
authors.forename: T S
authors.initials: TS
authors.lastname: Lindholm
mesh_terms: D000328:Adult; D000368:Aged; D001843:Bone Cements / Q000009:adverse effects*; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D006099:Granuloma / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation
chemical_list: D001843:Bone Cements