title: Durable fixation with a modern fully hydroxylapatite-coated long stem in complex revision total hip arthroplasty.
abstract: We describe the use of a fully hydroxylapatite-coated long-stem femoral implant in a series of 40 complex revision total hip arthroplasties. All reconstructions involved severe bone loss or malalignment and were accomplished entirely without the use of augmentary bone graft. Outcomes were evaluated at 7 minimum years of follow-up (average, 10.2 years). Three stems were rerevised because of infection, trauma, and loosening with nonunion of a fracture. Bone ingrowth was radiographically evident by one postoperative year in all other cases. There were no cases of subsidence. Stress shielding with thigh pain was seen in one patient. The stem provided immediate stability and excellent long-term fixation in these reconstructions of severely diseased femurs.
authors.affiliation: Athens Orthopedic Clinic, PA, Athens, Georgia 30606, USA.
authors.forename: Ormonde M
authors.initials: OM
authors.lastname: Mahoney
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Kinsey
authors.forename: Isao
authors.initials: I
authors.lastname: Asayama
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D017760:Bone Malalignment / Q000601:surgery*; D001862:Bone Resorption / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D006882:Hydroxyapatites; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology / Q000209:etiology; D011859:Radiography; D012086:Reoperation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D006882:Hydroxyapatites; C098170:hydroxyapatite-titanium alloy; D014025:Titanium