title: Long stem cemented revision arthroplasty for aseptic loosening in elderly patients produces good results, despite significant bone loss.
abstract: We assessed the results of long cemented stems in patients over 65 undergoing a first time revision hip arthroplasty for aseptic loosening. 103 patients were followed up for a minimum of five years after revision surgery; 45% had EndoKlinik C grade preoperative bone loss. At final follow-up 31 patients had died, all but one with the prosthesis in situ. There were 71 revisions alive, one had been revised for a peri-prosthetic fracture. Of the 45 that had radiographs at a minimum of five years, three stems were probably or definitely loose according to the Harris classification. There was 92% patient satisfaction and a mean Oxford Hip Score (OHS) of 25/60 in the 59 patients that had not been revised and had full clinical follow-up. Long-stem cemented revisions for aseptic loosening in elderly patients allow immediate postoperative weight bearing and have good radiological and clinical outcomes.
authors: Department of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, UK. timharrison001@hotmail.com
authors: Timothy
authors: T
authors: Harrison
authors: Henry
authors: H
authors: Wynn Jones
authors: Clare
authors: C
authors: Darrah
authors: Gary
authors: G
authors: Warriner
authors: J Keith
authors: JK
authors: Tucker
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D016896:Treatment Outcome; D016474:Weight-Bearing