NDLI: Clinical and radiological evaluation of revision hip arthroplasty using the cement-in-cement technique.

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Clinical and radiological evaluation of revision hip arthroplasty using the cement-in-cement technique.

Content Provider	Semantic Scholar
Author	Goto, Koji Kawanabe, Keiichi Akiyama, Haruhiko Morimoto, Tadaoaki Nakamura, Toshitaka
Copyright Year	2008
Abstract	We reviewed 44 consecutive revision hip replacements in 38 patients performed using the cement-in-cement technique. All were performed for acetabular loosening in the presence of a well-fixed femoral component. The mean follow-up was 5.1 years (2 to 10.1). Radiological analysis at final follow-up indicated no loosening of the femoral component, except for one case with a continuous radiolucent line in all zones and peri-prosthetic fracture which required further revision. Peri-operative complications included nine proximal femoral fractures (20.4%) and perforation of the proximal femur in one hip. In five hips wiring or fixation with a braided suture was undertaken but no additional augmentation was required. There was an improvement in the mean Japanese Orthopaedic Association score from 55.5 (28 to 81) pre-operatively to 77.8 (40 to 95) at final follow-up (p < 0.001). Revision using a cement-in-cement technique allows increased exposure for acetabular revision and is effective in the medium term. Further follow-up is required to assess the long-term results in the light of in vitro studies which have questioned the quality of the cement-in-cement bond.
Starting Page	9
Ending Page	14
Page Count	6
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.bjj.boneandjoint.org.uk/content/jbjsbr/90-B/8/1013.full.pdf
PubMed reference number	18669955v1
Alternate Webpage(s)	https://doi.org/10.1302/0301-620X.90B8.20388
DOI	10.1302/0301-620x.90b8.20388
Journal	The Journal of bone and joint surgery. British volume
Volume Number	90
Issue Number	8
Language	English
Access Restriction	Open
Subject Keyword	Femoral Fractures Follow-Up Report Fracture Hip Replacement Arthroplasty (procedure) Hip structure Medical Device Material Perforation Patients Renal Tubular Acidosis, Type II Revision procedure Surgical Replantation Surgical revision
Content Type	Text
Resource Type	Article

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