Fixation of a modular curved revision stem with a taper of 2° in the femur

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Fixation of a modular curved revision stem with a taper of 2° in the femur. / Fink, Bernd; Buntenbroich, Uli; Oremek, Damian.

in: ARCH ORTHOP TRAUM SU, Jahrgang 139, Nr. 1, 01.2019, S. 127-133.

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@article{914c263c51eb475ebc8ab62199ecc921,
title = "Fixation of a modular curved revision stem with a taper of 2° in the femur",
abstract = "INTRODUCTION: Modular revision stems with a short distal component can prevent the bypassing of the femoral isthmus and hereby theoretically have advantages concerning risk of periprosthetic fractures, breakage of the junction and a technically easier revision procedure.MATERIALS AND METHODS: Radiological evaluation of 202 stem revision operations with the modular curved revision stem {"}Revitan Curved{"} with a 2° taper was carried out after a mean follow-up period of 7.44 ± 2.09 years (3-13 years) to investigate whether short-stem combinations are effective in Paprosky 2 and 3A defects with respect to rate of subsidence and loosening.RESULTS: Sixty of 62 endofemoral (96.8%) and 137 of 140 transfemoral implantations (97.9%) involved the short, 140 mm distal component. Significant subsidence was seen in 3.3% of cases following endofemoral implantation and in 2.1% of cases following transfemoral implantation. Neither aseptic loosening nor periprosthetic fracture were observed.CONCLUSION: The use of combinations of short modular components leads to reproducibly good outcomes in femoral revision with respect to subsidence and loosening.",
keywords = "Arthroplasty, Replacement, Hip/adverse effects, Femur/surgery, Hip Prosthesis/adverse effects, Humans, Prosthesis Design, Prosthesis Failure, Reoperation/adverse effects",
author = "Bernd Fink and Uli Buntenbroich and Damian Oremek",
year = "2019",
month = jan,
doi = "10.1007/s00402-018-3067-x",
language = "English",
volume = "139",
pages = "127--133",
journal = "ARCH ORTHOP TRAUM SU",
issn = "0936-8051",
publisher = "Springer",
number = "1",

}

RIS

TY - JOUR

T1 - Fixation of a modular curved revision stem with a taper of 2° in the femur

AU - Fink, Bernd

AU - Buntenbroich, Uli

AU - Oremek, Damian

PY - 2019/1

Y1 - 2019/1

N2 - INTRODUCTION: Modular revision stems with a short distal component can prevent the bypassing of the femoral isthmus and hereby theoretically have advantages concerning risk of periprosthetic fractures, breakage of the junction and a technically easier revision procedure.MATERIALS AND METHODS: Radiological evaluation of 202 stem revision operations with the modular curved revision stem "Revitan Curved" with a 2° taper was carried out after a mean follow-up period of 7.44 ± 2.09 years (3-13 years) to investigate whether short-stem combinations are effective in Paprosky 2 and 3A defects with respect to rate of subsidence and loosening.RESULTS: Sixty of 62 endofemoral (96.8%) and 137 of 140 transfemoral implantations (97.9%) involved the short, 140 mm distal component. Significant subsidence was seen in 3.3% of cases following endofemoral implantation and in 2.1% of cases following transfemoral implantation. Neither aseptic loosening nor periprosthetic fracture were observed.CONCLUSION: The use of combinations of short modular components leads to reproducibly good outcomes in femoral revision with respect to subsidence and loosening.

AB - INTRODUCTION: Modular revision stems with a short distal component can prevent the bypassing of the femoral isthmus and hereby theoretically have advantages concerning risk of periprosthetic fractures, breakage of the junction and a technically easier revision procedure.MATERIALS AND METHODS: Radiological evaluation of 202 stem revision operations with the modular curved revision stem "Revitan Curved" with a 2° taper was carried out after a mean follow-up period of 7.44 ± 2.09 years (3-13 years) to investigate whether short-stem combinations are effective in Paprosky 2 and 3A defects with respect to rate of subsidence and loosening.RESULTS: Sixty of 62 endofemoral (96.8%) and 137 of 140 transfemoral implantations (97.9%) involved the short, 140 mm distal component. Significant subsidence was seen in 3.3% of cases following endofemoral implantation and in 2.1% of cases following transfemoral implantation. Neither aseptic loosening nor periprosthetic fracture were observed.CONCLUSION: The use of combinations of short modular components leads to reproducibly good outcomes in femoral revision with respect to subsidence and loosening.

KW - Arthroplasty, Replacement, Hip/adverse effects

KW - Femur/surgery

KW - Hip Prosthesis/adverse effects

KW - Humans

KW - Prosthesis Design

KW - Prosthesis Failure

KW - Reoperation/adverse effects

U2 - 10.1007/s00402-018-3067-x

DO - 10.1007/s00402-018-3067-x

M3 - SCORING: Journal article

C2 - 30415413

VL - 139

SP - 127

EP - 133

JO - ARCH ORTHOP TRAUM SU

JF - ARCH ORTHOP TRAUM SU

SN - 0936-8051

IS - 1

ER -