Results of cemented femoral revision total hip arthroplasty using improved cementing techniques.
Seventy-nine consecutive femoral component revision total hip arthroplasties done in 73 patients from 1977 to 1983 using a distal intramedullary cement plug and a cement gun delivery system were evaluated to determine if improved results were obtained with newer cementing techniques. At a minimum 10-year followup interval, only 1 patient was not available for followup and 47 hips had minimum 10-year followup radiographs. The incidence of femoral rerevision for aseptic loosening was 9.5% for those hips with minimum 10-year followup and 5.4% for the entire group. The incidence of radiographic femoral failure (defined as a revision or definite or probable loosening) was 26.1% for those hips followed for a minimum of 10 years and 16.3% for the entire group. Compared with historical controls, these results represent an improvement over those reported with the use of earlier cementing techniques.
Katz
R P
RP
Department of Orthopaedic, University of Iowa College of Medicine, Iowa City 52242, USA.
Callaghan
J J
JJ
Sullivan
P M
PM
Johnston
R C
RC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use*; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000379:methods
D001843:Bone Cements