AI Article Synopsis
- There is a lack of long-term data on the cement-in-cement revision technique for failed hip femoral stems.
- The study followed 63 patients who underwent recementing procedures on 65 hips over a period of 22 to 40 years, examining outcomes after failed hemiarthroplasties and total hip arthroplasties.
- The 23-year survival probability for the recemented femoral components was 73.6% overall, and 82.2% when considering re-revision for aseptic loosening, suggesting the recementing technique is effective in selected cases.
Article Abstract
Background: There is a lack of long-term data on cement-in-cement technique in revision of failed hip femoral stem.
Methods: We present the outcome of 69 consecutive recemented femoral prostheses, performed by one surgeon (GH) 22-40 years ago. Four patients (4 hips) were lost to follow-up. Sixty-three patients (65 hips) were followed for their lifetime or until the time of the preparation of the study. The study population consisted of 18 failed hemiarthroplasties and 47 failed total hip arthroplasties.
Results: The 23-year probability of survival for the recemented femoral components, with re-revision for any reason and resection arthroplasty as the end point, was 73.6% (61.8%-85.4%) and, with re-revision for aseptic loosening as the end point, was 82.2% (71.4%-93%).
Conclusion: Our follow-up study at 22-40 years, after recemented hip femoral prostheses, shows that recementing works well in selected cases.
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| http://dx.doi.org/10.1016/j.arth.2016.03.062 | DOI Listing |
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