title: The outcome of rerevision of an extensively porous-coated stem with another extensively porous-coated stem.
abstract: Despite excellent results, failure of osseointegration does occur in femoral revisions performed with extensively porous-coated stems. This study examined the outcome of rerevision of a failed extensively porous-coated femoral stem with yet another extensively porous-coated stem. Between 1980 and 2000, we performed 711 femoral revisions using an extensively porous-coated device. Fifteen patients (16 hips) were known to have undergone a rerevision of this femoral component using another porous-coated stem. At latest follow-up, 2 patients (3 hips) were deceased, leaving 13 patients. At a mean follow-up of 9.8 years, none of the cementless stems had required another revision (100% survivorship), and 12 (92%) of the 13 stems were bone ingrown based on radiographic examination.
authors.affiliation: Anderson Orthopaedic Research Institute, Alexandria, Virginia 22306, USA.
authors.forename: William G
authors.initials: WG
authors.lastname: Hamilton
authors.forename: James P
authors.initials: JP
authors.lastname: McAuley
authors.forename: Ehsan
authors.initials: E
authors.lastname: Tabaraee
authors.forename: Charles A
authors.initials: CA
authors.lastname: Engh
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016062:Porosity; D011474:Prosthesis Design; D011859:Radiography; D012086:Reoperation; D016896:Treatment Outcome