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Long-term results of the Wagner cone prosthesis.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Schuh, Alexander Schraml, Annemarie Hohenberger, Gerd
Description	Country affiliation: Germany Author Affiliation: Schuh A ( Research Unit Orthopaedics and Surgery, Neumarkt Hospital, Teaching Hospital of the University of Erlangen-Nuremberg, Nürnbergerstrasse 12, 92318, Neumarkt i.d. OPf, Germany. Alexander.Schuh@klinikum.neumarkt.de)
Abstract	The Wagner cone prosthesis is indicated in uncemented total hip replacement of cases with cylinder-shaped femurs, deformed femurs, femurs with increased antetorsion, and in conditions of intramedullary bony scar tissue after previous osteotomies. The objective of this study is to present long-term results. From January 1, 1993 to December 31, 1995, 132 implantations were made with the Wagner cone prosthesis. We report the clinical and radiographic results of 94 cone prostheses with a mean observation period of 11.5 years. The Merle d'Aubigné score improved from a preoperative mean value of 8.8 to a postoperative mean of 16.3. The radiographic evaluation revealed 32 cases with cortical hypertrophy, 73 cases with atrophy of the proximal femur, and 18 cases with complete pedestal formation. Radiolucencies over Gruen zones 1 and 7 occurred in 42 cases; only zone 1 was affected in 24 cases. Complications included three deep infections, three acetabular revisions, five total joint revisions, one recurrent luxation, and three heterotopic ossifications. In spite of the fact that the examined cohort often included patients who had undergone multiple previous operations (a maximum of six) of the proximal femur or the acetabulum, the long-term results of the Wagner cone prostheses were very promising.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
Journal	International Orthopaedics
Issue Number	1
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-02-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Hip Joint Surgery Hip Prosthesis Osteoarthritis, Hip Adolescent Instrumentation Longitudinal Studies Radiography Reoperation Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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