[Our clinical experience with non-cemented total hip revision arthroplasty].
OBJECTIVE
We evaluated the results of non-cemented revision arthroplasty in patients who had undergone cemented total hip arthroplasty.


METHODS
Twenty patients (12 women, 8 men; mean age 72 years; range 61 to 84 years) underwent non-cemented revision arthroplasty after a mean of 9.4 years (range 3 to 16 years) following primary surgery. The mean follow-up period was 4.5 years (range 3 months to 6.3 years).


RESULTS
During revision arthroplasty, femur fractures were observed in three patients (15%). Three patients (15%) had femoral cortex perforations. Trochanteric osteotomy was performed in five patients (25%). The mean Harris hip score after the operation was 76.7 (range 50 to 90). The results were excellent in three patients (15%), good in seven (35%), fair in seven (35%), and poor in three patients (15%).


CONCLUSIONS
Despite a high intraoperative complication rate during non-cemented revision total hip arthroplasty, we believe that non-cemented revision should be the preferred method because of low infection and low aseptic loosening rates.
Yanmiş
Ibrahim
I
Gülhane Askeri Tip Akademisi Ortopedi ve Travmatoloji Anabilim Dali, Ankara. iyanmis@yahoo.com
Tunay
Servet
S
Yildiz
Cemil
C
Solakoğlu
Can
C
Gür
Ethem
E
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D001843:Bone Cements; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D012086:Reoperation; D016896:Treatment Outcome
D001843:Bone Cements