NDLI: Results of a tapered proximally-coated primary cementless stem for revision hip surgery.

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Results of a tapered proximally-coated primary cementless stem for revision hip surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Khanuja, Harpal S. Issa, Kimona Naziri, Qais Banerjee, Samik Delanois, Ronald E. Mont, Michael A.
Description	Author Affiliation: Khanuja HS ( Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Baltimore, Maryland.)
Abstract	Nineteen patients (nineteen hips) who had undergone revision total hip arthroplasties using a proximally-coated primary cementless stem were evaluated to determine if a subset of revision arthroplasty patients could be identified where the use of this stem would be appropriate. Of these 19 revisions, 15 were performed for the second stage treatment of infection. The femoral bone deficiency was classified as Paprosky Type I in 6 hips and Type II in 13 hips. At a mean follow-up of 49 months, aseptic stem survivorship was 95% with one revision due to aseptic stem failure. The mean Harris hip scores had improved from a mean of 44 points pre-operatively to 89 points post-operatively. Intra-operatively, there was one complication which included a peri-prosthetic fracture distal to the stem which was treated with an allograft strut with cerclage wires. The authors believe that in type I or II femoral defects, the use of this specific cementless stem may be beneficial in the setting of a revision total hip arthroplasty.
File Format	HTM / HTML
ISSN	08835403
Issue Number	1
Volume Number	29
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Femur Surgery Hip Prosthesis Prosthesis Design Adolescent Adult Aged Aged, 80 And Over Cementation Female Humans Male Middle Aged Prosthesis Failure Reoperation Treatment Outcome Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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