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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | March, Gerard M. J. Dehghan, Niloofar Gala, Luca Spangehl, Mark J. Kim, Paul R. |
| Description | Country affiliation: Canada Author Affiliation: March GM ( Bluewater health, Sarnia, Ontario, Canada.); Dehghan N ( Department of surgery, Division of Orthopaedic Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.); Gala L ( Division of Orthopaedic Surgery, Adult Reconstructive Service, University of Ottawa, Ottawa, Ontario, Canada.); Spangehl MJ ( Department of Orthopaedic Surgery, Adult Reconstruction Service, Mayo Clinic Arizona, Phoenix, AZ.); Kim PR ( Division of Orthopaedic Surgery, Adult Reconstructive Service, University of Ottawa, Ottawa, Ontario, Canada.) |
| Abstract | Bone loss represents one of the greatest challenges in revision joint surgery. A retrospective review was conducted of both radiographic and clinical outcomes of eleven patients who underwent revision arthroplasty using a long extensively porous coated cylindrical femoral component. All patients' femurs presented with severe proximal femoral bone loss (Paprosky class IIIB and IV). With a mean follow-up of 8 years (2 to 14) we report no femoral revisions and one acetabular revision to a constrained cup secondary to instability. All patients were clinically and radiographically stable. We did not observe any issue with proximal stress shielding or component loosening. The article reports that in patients with severe proximal femoral bone loss, extensively porous-coated non-modular stems are a viable option offering stable and predictable outcomes. |
| File Format | HTM / HTML |
| ISSN | 08835403 |
| Issue Number | 11 |
| Volume Number | 29 |
| e-ISSN | 15328406 |
| Journal | The Journal of Arthroplasty |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2014-11-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedics Arthroplasty, Replacement, Hip Adverse Effects Bone Resorption Surgery Femur Hip Prosthesis Acetabulum Aged Aged, 80 And Over Female Follow-up Studies Humans Male Middle Aged Prosthesis Design Prosthesis Failure Reoperation Retrospective Studies Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine |
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