title: Age-dependent fracture risk in hip revisions with radial impaction grafting technique: a 5-10 year medium-term follow-up study.
abstract: Radial impaction grafting (RIG) potentially improves the durability and reliability of cementing the femoral components in revision total hip arthroplasty (THA). In this multicenter, prospective study, 88 revision THAs (87 patients) with RIG technique were performed. The average follow-up time was 7.0 years (range, 5.0-10.2). There were 14 femur fractures: 2 intraoperative, 5 within 3 months after surgery, and 7 later in the postoperative stage (range, 5-84 months). Sixteen patients were lost to follow-up and 20 died without stem re-revision. None of the patients have been re-revised for any reason during follow-up. Age was observed to be a significant factor for determining fracture risk. In conclusion, RIG can be considered a reliable surgical technique, especially for younger patients.
authors.affiliation: Department of Orthopaedics, Annatommie, Rijswijk, Netherlands.
authors.forename: Laila
authors.initials: L
authors.lastname: Chomrikh
authors.affiliation: Department of Orthopaedics, Hvidovre Hospital, Hvidovre, Denmark.
authors.forename: Peter
authors.initials: P
authors.lastname: Gebuhr
authors.affiliation: Department of Orthopaedics, Haukeland University Hospital, Kysthospitalet i Hagevik, Hagevik, Norway.
authors.forename: Roelf
authors.initials: R
authors.lastname: Bierling
authors.affiliation: Department of Orthopaedics, Södersjukhuset, Stockholm, Sweden.
authors.forename: Ulla
authors.initials: U
authors.lastname: Lind
authors.affiliation: Department of Orthopaedics, Annatommie, Rijswijk, Netherlands.
authors.forename: Hendrik J J
authors.initials: HJ
authors.lastname: Zwart
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D016025:Bone Transplantation / Q000379:methods*; D002484:Cementation; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000209:etiology / Q000601:surgery*; D011446:Prospective Studies; D012086:Reoperation; D012307:Risk Factors
keywords: fracture risk; hip revision; implant survival; patient age; radial impaction grafting technique