The effect of preoperative planning and impaction grafting surgical technique on intraoperative and postoperative complication rate for femoral revision patients with moderate to severe bone loss mean 4.7-year results.
This study reports the results of 41 revision hips, implanted by a single surgeon using impaction grafting (mean follow-up, 4.7 years). All hips had Paprosky scores of III or IV. Harris hip scores improved from 43 to 82. There was 1 intraoperative and 2 postoperative fractures. A single stem was revised during the study. Radiographic review showed the 40 unrevised stems to be stable, and graft incorporation was seen in at least 1 zone in 100% of the femurs. There was no stem subsidence greater than 2.5 mm. The results of this study demonstrate that preoperative planning and a surgical technique, which emphasizes femoral support and vigorous impaction grafting, resulted in an acceptable incidence of complications.
Leone
William A
WA
Holy Cross Hospital Orthopedic Center, Fort Lauderdale, Florida 33308, USA.
Naughton
Marybeth
M
Gratto-Cox
Gwen
G
Luland
Christine M
CM
Kilgore
John E
JE
Hill
Gordon E
GE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000601:surgery; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D017102:Fracture Healing; D006085:Graft Survival; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications; D011859:Radiography; D012086:Reoperation