title: Impaction grafting for femoral component revision using a non-polished bead-blasted chrome cobalt stem-average 8 1/2-year follow-up.
abstract: Impaction grafting for femoral component revision in patients with significant bone loss has been reported using a tapered polished femoral component that is meant to subside. This study reports our results of femoral component revision using impaction grafting with a bead-blasted chrome cobalt stem designed not to subside. Forty-eight femoral component revisions using impaction grafting were retrospectively reviewed with a minimum 6 1/2-year follow-up. There were 2 failures due to aseptic loosening of the femoral component (4%). There were 22 total complications, and the overall failure rate was 21%. Impaction grafting for femoral component revision using a bead-blasted chrome cobalt stem in patients with a large femoral canal diameter has shown good results with respect to aseptic loosening with minimal subsidence.
authors.affiliation: Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA.
authors.forename: Ryan J
authors.initials: RJ
authors.lastname: Krupp
authors.forename: Arthur L
authors.initials: AL
authors.lastname: Malkani
authors.forename: Charles H
authors.initials: CH
authors.lastname: Crawford
authors.forename: William N
authors.initials: WN
authors.lastname: Capello
authors.forename: Judy R
authors.initials: JR
authors.lastname: Feinberg
authors.forename: Dale
authors.initials: D
authors.lastname: Baker
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D005260:Female; D005269:Femur; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012086:Reoperation