The Journal of Arthroplasty
Volume 25, Issue 8 , Pages 1188-1195, December 2010

Results of Isolated Femoral Component Revision With Well-Fixed Acetabular Implant Retention

  • Kyung Soon Park, MD

      Affiliations

    • Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-Ri, Hwasun-Eup, Hwasun-Gun, Jeonnam, Korea
    • ,
  • Taek Rim Yoon, MD

      Affiliations

    • Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-Ri, Hwasun-Eup, Hwasun-Gun, Jeonnam, Korea
    • Corresponding Author InformationReprint requests: Taek Rim Yoon, MD, Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-Ri, Hwasun-Eup, Hwasun-Gun, Jeonnam 519-809, Korea
    • ,
  • Eun Kyoo Song, MD

      Affiliations

    • Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-Ri, Hwasun-Eup, Hwasun-Gun, Jeonnam, Korea
    • ,
  • Keun Bae Lee, MD

      Affiliations

    • Department of Orthopaedics, Chonnam National University Medical School and Hospital, 8 Hakdong, Donggu, Gwangju, Korea

Received 19 June 2008; accepted 31 December 2009. published online 02 March 2010.

Abstract 

The present study was undertaken to evaluate the clinical and radiological results of isolated femoral revisions conducted while retaining well-fixed cementless acetabular sockets. Thirty-nine patients that underwent isolated femoral stem revisions were reviewed. Mean age at time of surgery was 60.5 years, and mean follow-up duration was 4.2 years. Decisions to retain acetabular sockets were based on clinical and radiographic findings and intraoperative stabilities. During revisions, polyethylene liners were exchanged for metal-inlay polyethylene liners to have a metal-on-metal bearing surface in 23 cases. Mean Harris hip score improved from 58 points preoperatively to 85 points at final follow-up (P < .001). With the exception of one patient, no increases in acetabular radiolucent line numbers or thicknesses were observed during follow-up visits. Isolated femoral stem revisions with acetabular socket retention were found to provide excellent clinical and radiographic results.

Keywords: hip, total hip arthroplasty, revision, femoral stem

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

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

PII: S0883-5403(10)00002-1

doi:10.1016/j.arth.2009.12.015

The Journal of Arthroplasty
Volume 25, Issue 8 , Pages 1188-1195, December 2010

Article Tools

* Image Usage & Resolution