Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/43462
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Type: Journal article
Title: Revision total hip replacement using cemented collarless double-taper femoral components
Author: Howie, D.
Wimhurst, J.
Mc Gee, M.
Carbone, T.
Badaruddin, B.
Citation: Journal of Bone and Joint Surgery-British Volume, 2007; 89B(7):879-886
Publisher: British Editorial Soc Bone Joint Surgery
Issue Date: 2007
ISSN: 0301-620X
2044-5377
Statement of
Responsibility: 
D. W. Howie, J. A. Wimhurst, M. A. McGee, T. A. Carbone and B. S. Badaruddin
Abstract: We investigated 219 revisions of total hip replacement (THR) in 211 patients using a collarless double-taper cemented femoral component. The mean age of the patients was 72 years (30 to 90). The 137 long and 82 standard length stems were analysed separately. The mean follow-up was six years (2 to 18), and no patient was lost to follow-up. Survival of the long stems to re-revision for aseptic loosening at nine years was 98% (95% confidence interval (CI) 94 to 100), and for the standard stems was 93% (95% CI 85 to 100). At five years, one long stem was definitely loose radiologically and one standard stem was probably loose. Pre-operative femoral bone deficiency did not influence the results for the long stems, and corrective femoral osteotomy was avoided, as were significant subsidence, major stress shielding and persistent thigh pain. Because of these reliable results, cemented long collarless double-taper femoral components are recommended for routine revision THR in older patients.
Keywords: Hip Joint; Humans; Prosthesis Failure; Treatment Outcome; Arthroplasty, Replacement, Hip; Cementation; Follow-Up Studies; Prosthesis Design; Hip Prosthesis; Adult; Aged; Aged, 80 and over; Middle Aged; Australia; Female; Male
Description: Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
RMID: 0020072887
DOI: 10.1302/0301-620X.89B7.18981
Appears in Collections:Orthopaedics and Trauma publications

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