title: Minimum 20-year follow-up results of revision total hip arthroplasty with improved cementing technique.
abstract: A consecutive, non-selective cohort of 83 (77 patients) cemented total hip arthroplasty revisions using contemporary cementing techniques was analyzed at a minimum of 20 years following the index procedure. No patients were lost to follow-up. The average age at revision was 62.4 years (23 to 89). Twenty-two hips (26.5%) had had a reoperation, eighteen (21.7%) for aseptic loosening, 3 (3.6%) for femoral prosthesis fracture and 1 (1.2%) for dislocation. The incidence of re-revision for aseptic femoral loosening was 7.5% and for aseptic acetabular loosening was 21.7%. These results confirm that cemented femoral revision using improved cementing techniques is a durable option in revision hip surgery. In contrast to this, THA revisions using a cemented acetabular component have been less durable at this length of follow-up.
authors.affiliation: University of Iowa Health, Iowa City, Iowa.
authors.forename: Bryan N
authors.initials: BN
authors.lastname: Trumm
authors.forename: John J
authors.initials: JJ
authors.lastname: Callaghan
authors.forename: Christopher A
authors.initials: CA
authors.lastname: George
authors.forename: Steve S
authors.initials: SS
authors.lastname: Liu
authors.forename: Devon D
authors.initials: DD
authors.lastname: Goetz
authors.forename: Richard C
authors.initials: RC
authors.lastname: Johnston
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D002484:Cementation; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation; D016896:Treatment Outcome; D055815:Young Adult
keywords: cement; clinical outcome; radiographic; revision; total hip arthroplasty