The Journal of Arthroplasty
Volume 25, Issue 3 , Pages 348-354, April 2010

Revision Total Hip Arthroplasty Using a Modular Tapered Stem With Distal Fixation:

Good Short-Term Results in 125 Revisions

  • Ole Ovesen, MD

      Affiliations

    • Department of Orthopaedic Surgery, Odense University Hospital, University of Southern Denmark, Odense C, Denmark
    • Clinical Institute, University of Southern Denmark, Odense C, Denmark
    • Corresponding Author InformationReprint requests: Ole Ovesen, MD, Department of Orthopaedic Surgery, Odense University Hospital, Sdr Boulevard 29, 5000 Odense C, Denmark.
    • ,
  • Claus Emmeluth, MD, PhD

      Affiliations

    • Department of Orthopaedic Surgery, Odense University Hospital, University of Southern Denmark, Odense C, Denmark
    • ,
  • Christian Hofbauer, MD

      Affiliations

    • Department of Orthopaedic Surgery, Odense University Hospital, University of Southern Denmark, Odense C, Denmark
    • ,
  • Søren Overgaard, MD, PhD

      Affiliations

    • Department of Orthopaedic Surgery, Odense University Hospital, University of Southern Denmark, Odense C, Denmark
    • Clinical Institute, University of Southern Denmark, Odense C, Denmark

Received 12 May 2008; accepted 26 November 2008. published online 23 February 2009.

Abstract 

After 2 to 7 years we reviewed 125 prosthetic hip arthroplasty stem revisions using a modular tapered stem with distal fixation. Median age of these patients was 68 (33-92) years. Baseline and follow-up data were registered prospectively according to the Danish Hip Arthroplasty Registry. Survival, free of any rerevision, was 94%. Harris Hip Score improved from average 44 to 85. Bony regeneration was an early and significant finding in most cases. Complications included 4 (3%) fractures intraoperatively and 8 (6%) dislocations, 4 (3%) deep infections, and 1 (1%) stem fracture. This modular taper system is very versatile, can be used in most femoral revision cases, and allows rapid bone remodeling. We did not find an increased number of complications compared to the literature. Further long-term follow-up, however, is essential.

Keywords: total hip arthroplasty, revision, modular taper stem

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 No benefits or funds were received in support of the study.

PII: S0883-5403(09)00034-5

doi:10.1016/j.arth.2008.11.106

The Journal of Arthroplasty
Volume 25, Issue 3 , Pages 348-354, April 2010

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