...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The bone & joint journal. >Thirty years of experience with instrumented femoral impaction bone grafting and a cemented polished Exeter stem: A prospective cohort study of 208 revision arthroplasties performed between 1991 and 2007
【24h】

Thirty years of experience with instrumented femoral impaction bone grafting and a cemented polished Exeter stem: A prospective cohort study of 208 revision arthroplasties performed between 1991 and 2007

机译：Thirty years of experience with instrumented femoral impaction bone grafting and a cemented polished Exeter stem: A prospective cohort study of 208 revision arthroplasties performed between 1991 and 2007

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相关主题

摘要

Aims The aim of this study is to report the long-term outcomes of instrumented femoral revisions with impaction allograft bone grafting (iBG) using the X-change femoral revision system at 30 years after introduction of the technique. Methods We updated the outcomes of our previous study, based on 208 consecutive revisions using iBG and the X-change femoral revision system in combination with a cemented polished stem, performed in our tertiary care institute between 1991 and 2007. Kaplan-Meier survival analyses were used to determine the survival rate of the revisions with endpoint revision for any reason and aseptic loosening. Secondary outcomes were radiological loosening and patient-reported outcome measures. Results Mean age at revision total hip arthroplasty (THA) was 64.9 years (30 to 86). The most prevalent diagnosis for the femoral revision was aseptic loosening. At review in May 2021, 81 patients (85 hips) were still alive and 118 patients (120 hips; 58) had died. Three patients (3 hips; 1) were lost to follow-up at 11, 15, and 16 years after surgery, respectively. Data of all deceased and lost patients were included until final follow-up. The mean follow-up was 13.4 years (0 to 28). During the follow-up, 22 re-revisions were performed. The most common reason for re-revision was infection (n = 12; 54). The survival with endpoint re-revision for any reason was 86 (95 confidence interval (CI) 79 to 91) at 20 years and 74 (95 CI 43 to 89) at 25 years after surgery. The survival for endpoint re-revision for aseptic loosening was 97 (95 CI 91 to 99) after both 20 and 25 years. Conclusion We conclude that femoral iBG is a valuable technique that can reconstitute femoral bone loss in the long term. After 25 years of follow-up, few re-revisions for aseptic loosening were required. Also, the overall revision rate is very acceptable at a long follow-up. This technique is especially attractive for younger patients facing femoral revisions with extensive bone loss. ? 2022 The British Editorial Society of Bone Joint Surgery.

著录项

获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号