Long Stem Cemented Revision Arthroplasty for Aseptic Loosening in Elderly Patients Produces Good Results, despite Significant Bone Loss. Issue 1 (January 2013)

• Record Type: Journal Article
• Authors: Harrison, Timothy; Jones, Henry Wynn; Darrah, Clare; Warriner, Gary; Tucker, J. Keith
• Is Part Of: Hip international. Volume 23:Issue 1(2013)
• Page Start: 54
• Page End: 59
• Publication Date: 2013-01
• Subjects: Revision arthroplasty -- Femoral -- Long stem -- Aseptic loosening -- Elderly; Hip joint -- Pathophysiology -- Periodicals; Hip joint -- Diseases -- Periodicals; Hip joint -- Surgery -- Periodicals; 617.581005
• DOI: 10.5301/HIP.2013.10615
• Languages: English
• ISSNs: 1120-7000

Abstract

We assessed the results of long cemented stems in patients over 65 undergoing a first time revision hip arthroplasty for aseptic loosening. 103 patients were followed up for a minimum of five years after revision surgery; 45% had EndoKlinik C grade preoperative bone loss. At final follow-up 31 patients had died, all but one with the prosthesis in situ. There were 71 revisions alive, one had been revised for a peri-prosthetic fracture. Of the 45 that had radiographs at a minimum of five years, three stems were probably or definitely loose according to the Harris classification. There was 92% patient satisfaction and a mean Oxford Hip Score (OHS) of 25/60 in the 59 patients that had not been revised and had full clinical follow-up. Long-stem cemented revisions for aseptic loosening in elderly patients allow immediate postoperative weight bearing and have good radiological and clinical outcomes.