Revision of the cemented femoral stem using a cement-in-cement technique

Duncan, Will W., Hubble, Matthew J., Howell, Jonathan R., Whitehouse, Sarah L., Timperley, A. John, & Gie, Graham A. (2009) Revision of the cemented femoral stem using a cement-in-cement technique. Journal of Bone and Joint Surgery, 91-B(5), pp. 577-582.

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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.

Impact and interest:

47 citations in Scopus
37 citations in Web of Science®
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ID Code: 17759
Item Type: Journal Article
Refereed: Yes
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.
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Keywords: revision hip replacement, cement in cement, total hip replacement
DOI: 10.1302/0301-620X.91B5.21621
ISSN: 0301-620X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Past > Schools > School of Engineering Systems
Copyright Owner: Copyright 2009 British Editorial Society of Bone and Joint Surgery.
Deposited On: 13 Feb 2009 02:20
Last Modified: 27 May 2014 01:53

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