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Transfemoral approach for revision total hip arthroplasty
Archives of Orthopaedic and Trauma Surgery, 2002We performed revision total hip arthroplasty on 12 patients via the transfemoral approach because difficulty with surgery was anticipated preoperatively. The total hip score improved in all of the patients. Radiographically, there were no radiolucent lines around the acetabular and femoral components, but one hip still showed sinking of the stem by 2 ...
Masahiko Nozawa +5 more
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Fat embolism in revision total hip arthroplasty
The Journal of Arthroplasty, 2002Two patients developed fat embolism syndrome after revision of loose total hip arthroplasties (THAs). During both procedures, the prosthesis became rigidly fixed 1 to 1.5 cm before the expected level of fixation. After uncomplicated operative courses, Patient A remained obtunded and febrile for 2.5 days, and Patient B died 1 day postoperatively.
Leesa D Harty, Merrill A. Ritter
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Total hip arthroplasty revision in elderly patients
Aging Clinical and Experimental Research, 2013In the last years, the number of total hip arthroplasty is increased both in young patients and elderly with a poor bone quality due to extension of surgical indications. According to this trend, also revision surgery showed a growth of its number, especially in elderly patients, because of implant loosening, failed osseointegration of prosthetic ...
Cecilia Rao +6 more
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PREOPERATIVE PLANNING FOR REVISION TOTAL HIP ARTHROPLASTY
The Journal of Bone and Joint Surgery-American Volume, 2005Revision total hip arthroplasty is associated with more perioperative complications and unexpected findings than are encountered during primary total hip arthroplasty. Special instruments, implants, bone grafts, and other accessories may be required to treat complex problems that arise during revision surgery.
Robert L. Barrack, R. Stephen J. Burnett
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Component Removal in Revision Total Hip Arthroplasty
Clinical Orthopaedics and Related Research, 2001One of the primary steps in revision hip arthroplasty is the extraction of retained components before surgical reconstruction. In revision arthroplasty, the removal of well-fixed components and cement can be extremely demanding, time consuming, and damaging to the remaining host bone. The aims of the current study were to examine the numerous operative
Steven H. Weeden +2 more
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Block allografts in revision total hip arthroplasty
The Journal of Arthroplasty, 2002We report on 61 consecutive cemented acetabular revisions in which block allografts were used to reconstruct large defects. After a mean follow-up of 6.5 years, we observed satisfactory results when grafts had been rigidly fixed. Additional buttress-plates can improve the outcome. Paprosky type 3B defects had a double risk of failure. Cup migration had
G.A. Gie +4 more
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Component Removal in Revision Total Hip Arthroplasty
Clinical Orthopaedics and Related Research, 2004Component removal is a time-consuming yet necessary step during revision hip surgeries. Because of the diversity of the components and the methods used to secure them, an equal diversity of approaches and tools are necessary for component removal. Careful and detailed preoperative planning is mandatory, the mode of failure must be understood, and ...
Gideon Burstein +2 more
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Femoral Windows in Revision Total Hip Arthroplasty
Clinical Orthopaedics and Related Research, 1993In 21 revision total hip arthroplasties (THA), a 2-5-cm window was cut into the anterolateral cortex of the femur, and the cement distal to the window was removed under direct vision. In each case, a cemented THA was revised to a noncemented implant that bypassed the window by at least two femur diameters.
Harry E. Rubash, Alan H. Klein
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Current trends in revision of total hip arthroplasty
International Orthopaedics, 1984Total hip arthroplasty has brought pain relief and mobility to many patients, but load bearing implants may fail and the resulting problems must be tackled early and with vigour. The primary operation offers the best chance of success, and revision may only ever be considered a salvage procedure.
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Modular Revision Stems in Total Hip Arthroplasty
Clinical Orthopaedics and Related Research, 2004Many different clinical circumstances are seen in revision total hip arthroplasty. Modular stems provide significant flexibility in choices to ensure distal and/or proximal unitary construct of implant and host bone. There are two basic types of modular stems.
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