title: [Clinical-radiological evaluation of the impaction allografting and cemented rod technique in revision knee surgery].
abstract: OBJECTIVE
  Long term clinical and radiological evaluation of results, survival, and peri- operative and post-operative complications of the patients who have been operated on for revision total hip arthroplasty using the impaction allografting and cemented rod technique.
  
  
  METHODS
  An observational, analytical, prospective and non-random study was conducted on 26 patients who underwent revision total hip arthroplasty in our Hospital (1997-98). They were clinically and radiologically assessed, and a survival analysis of the implant was performed.
  
  
  RESULTS
  Statistically significant differences were identified in the pre- and post-operative values, according to Harris and Merle D́Aubigne scores. The femoral components survival was considered as an endpoint of the revision replacement, which was 84% at a mean of 13 years. There were 9 intraoperative complications (6 were fractures) and they significantly affected the length of hospital stay. No post-operative complications were observed in 70% of the patients. None of the analysed variables had any influence on the radiological subsidence of the femoral component.
  
  
  CONCLUSIONS
  Several techniques aim to solve the bone stock deficiency in revision total hip arthroplasty, but only impaction grafting attempts to recover it.
  
  
  CONCLUSIONS
  The Ling's technique shows an improvement over the Merle D́Aubigne and Harris scores, in the medium-long term. The intraoperative complications are mainly an increase in the length of hospital stay and the number of days needed to be able to sit down. Ling's technique is a good option to consider in young patients where it is foreseeable that there is a new revision surgery in the future.
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital de Cabueñes, Gijón, Asturias, España. Electronic address: negreira84@hotmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Mateo-Negreira
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital de Cabueñes, Gijón, Asturias, España.
authors.forename: P
authors.initials: P
authors.lastname: López-Cuello
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital de Cabueñes, Gijón, Asturias, España.
authors.forename: I
authors.initials: I
authors.lastname: Pipa-Muñiz
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital de Cabueñes, Gijón, Asturias, España.
authors.forename: N
authors.initials: N
authors.lastname: Rodríguez García
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital de Cabueñes, Gijón, Asturias, España; Facultad de Medicina y Ciencia de la Salud, Universidad de Oviedo.
authors.forename: A
authors.initials: A
authors.lastname: Murcia-Mazón
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Hospital de Cabueñes, Gijón, Asturias, España; Facultad de Medicina y Ciencia de la Salud, Universidad de Oviedo.
authors.forename: M A
authors.initials: MA
authors.lastname: Suárez-Suárez
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods*; D001843:Bone Cements; D016025:Bone Transplantation / Q000379:methods*; D019544:Equipment Failure Analysis; D005260:Female; D005269:Femur / Q000637:transplantation*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D014184:Transplantation, Homologous
chemical_list: D001843:Bone Cements
keywords: Cadera; Cirugía de revisión; Hip; Impaction bone grafting; Impaction grafting; Total hip arthroplasty