Femoral cement in cement revision hip arthroplasty : a five to fifteen year review

Duncan, Will W. and Hubble, Matthew J. and Howell, Jonathan R. and Whitehouse, Sarah L. and Timperley, A. John and Gie, Graham A. (2009) Femoral cement in cement revision hip arthroplasty : a five to fifteen year review. Journal of Bone and Joint Surgery (Britain volume), 91(5). pp. 577-582.

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DOI: 10.1302/0301-620X.91B5.21621

Official URL: http://www.jbjs.org.uk/content/vol91-B/issue5/inde...

Abstract

Retention of well-fixed bone cement at the time of revision THA is appealing, as its removal can be difficult and risks bone stock loss or fracture. The technique of cement in cement revision however is not in widespread use. Femoral cement in cement revisions has been performed at our institution since 1989. Existing stems were removed to aid exposure for acetabular revision, alter version or leg length, or for component incompatibility. Minimum follow up of 5 years was available for 136 cases (in 134 patients) with a mean of 8 years (maximum 15). 35 cases underwent further revision surgery (26 acetabular loosening, 4 sepsis, 3 instability, 1 femoral fracture and 1 stem fracture). No femoral stem has been re-revised for aseptic loosening. These results support the technique of femoral cement in cement revision. Advantages include speed, less blood or bone stock loss and less risk of femoral perforation or fracture.

ID Code:	17759
Item Type:	Journal Article
Additional Information:	Self-archiving of the author-version is not yet supported by this publisher. For more information, please refer to the journal’s website (see hypertext link) or contact the author.
Additional URLs:	Publisher
Keywords:	revision hip replacement, cement in cement, total hip replacement
ISSN:	0301-620X
Subjects:	Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions:	Schools > School of Engineering Systems QUT Faculties and Divisions > Faculty of Built Environment and Engineering Institutes > Institute of Health and Biomedical Innovation
Copyright Owner:	Copyright 2009 British Editorial Society of Bone and Joint Surgery.
Deposited On:	13 Feb 2009 12:20
Last Modified:	02 May 2009 01:40

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