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Type: Journal article
Title: Revision total hip arthroplasty using cemented collarless double-taper femoral components at a mean follow-up of 13 years (8 to 20): an update
Author: Solomon, L.
Costi, K.
Kosuge, D.
Cordier, T.
McGee, M.
Howie, D.
Citation: Bone and Joint Journal, 2015; 97-B(8):1038-1045
Publisher: The British Editorial Society of Bone & Joint Surgery
Issue Date: 2015
ISSN: 2049-4394
2049-4408
Statement of
Responsibility: 
L. B. Solomon, K. Costi, D. Kosuge, T. Cordier, M. A. McGee, D. W. Howie
Abstract: The outcome of 219 revision total hip arthroplasties (THAs) in 98 male and 121 female patients, using 137 long length and 82 standard length cemented collarless double-taper femoral stems in 211 patients, with a mean age of 72 years (30 to 90) and mean follow-up of six years (two to 18) have been described previously. We have extended the follow-up to a mean of 13 years (8 to 20) in this cohort of patients in which the pre-operative bone deficiency Paprosky grading was IIIA or worse in 79% and 73% of femurs with long and standard stems, respectively. For the long stem revision group, survival to re-revision for aseptic loosening at 14 years was 97% (95% confidence interval (CI) 91 to 100) and in patients aged > 70 years, survival was 100%. Two patients (two revisions) were lost to follow-up and 86 patients with 88 revisions had died. Worst-case analysis for survival to re-revision for aseptic loosening at 14 years was 95% (95% CI 89 to 100) and 99% (95% CI 96 to 100) for patients aged > 70 years. One additional long stem was classified as loose radiographically but not revised. For the standard stem revision group, survival to re-revision for aseptic loosening at 14 years was 91% (95% CI 83 to 99). No patients were lost to follow-up and 49 patients with 51 hips had died. No additional stems were classified as loose radiographically. Femoral revision using a cemented collarless double-taper stem, particularly with a long length stem, and in patients aged > 70 years, continues to yield excellent results up to 20 years post-operatively, including in hips with considerable femoral metaphyseal bone loss.
Keywords: Prosthesis Failure; Bone Cements; Arthroplasty, Replacement, Hip
Rights: ©2015 The British Editorial Society of Bone & Joint Surgery
RMID: 0030032281
DOI: 10.1302/0301-620X.97B8.34632
Appears in Collections:Medicine publications

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