title: Femoral Revision Using the Wagner SL Revision Stem: A Single-Surgeon Experience Featuring 11-19 Years of Follow-Up.
abstract: Seventy-four revisions of the femoral component featuring placement of a Wagner stem in 74 patients operated upon between 1995 and 2003 were reviewed. Clinical evaluation, radiological assessment, and survival analysis of revision stems were conducted. The mean follow-up duration was 14.4 years (range, 11 to 19 years). When failure was defined as stem removal for any reason, 4 of 64 stems had to be further revised during the follow-up period, yielding a cumulative stem survival rate of 93.8% (95% CI: 87.7% to 98.2%) at 18 years. The Wagner revision stem is an effective implant for revision hip surgery when bone stock is lacking. Use of the stem affords mechanical stability even when bone loss is massive.
authors: Department of Orthopaedics and Traumatology, Modern Dünya Hospital, Kayseri, Turkey.
authors: Ali
authors: A
authors: Baktır
authors: Department of Orthopaedics and Traumatology, Bozok University Faculty of Medicine, Yozgat, Turkey.
authors: Fatih
authors: F
authors: Karaaslan
authors: Department of Orthopaedics and Traumatology, Kayseri Training Hospital, Kayseri, Turkey.
authors: Kürşat
authors: K
authors: Gencer
authors: Department of Orthopaedics and Traumatology, Memorial Kayseri Hospital, Kayseri, Turkey.
authors: Sinan
authors: S
authors: Karaoğlu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D001862:Bone Resorption / Q000601:surgery; D005260:Female; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D012189:Retrospective Studies
keywords: Wagner SL Stem; clinical outcome; extended trochanteric osteotomy; femoral revision; hip arthroplasty