AI Article Synopsis

  • The study analyzed 263 patients who underwent revision surgery due to failed acetabular components after total hip arthroplasty, using porous tantalum materials, with an average follow-up of 73.6 months.
  • Statistically significant improvements were observed in patients' hip scores and activity levels, with 87.3% reporting improvement and 85.9% expressing satisfaction with the surgical outcomes.
  • The acetabular revisions were successful in 87% of cases, with all components remaining stable over a minimum of 5 years, indicating the reliability of the porous tantalum components used.

Article Abstract

We reviewed 263 consecutive patients with failed acetabular components after total hip arthroplasty that were revised using porous tantalum acetabular components and augments when necessary. The mean follow-up was 73.6 months (range, 60-84 months). The improvement of mean Harris hip score, Western Ontario and McMaster Osteoarthritis Index, and University of California Los Angeles activity scales were statistically significant (P < .001). Subjective assessments showed that 87.3% of patients reported "improvement" and 85.9% were "very or fairly pleased" with the results. At the most recent follow-up, all acetabular components were radiographically stable and none required rerevision for loosening. The acetabular revision was considered successful in 87% of cases. From this study, we conclude that the acetabular component used was reliable in creating a durable composite without failure for a minimum of 5 years.

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http://dx.doi.org/10.1016/j.arth.2009.07.027DOI Listing

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