Femoral impaction grafting in revision total hip arthroplasty

Lamberton, Tony D., Kenny, Paddy J., Whitehouse, Sarah L., Timperley, A. John, & Gie, Graham A. (2011) Femoral impaction grafting in revision total hip arthroplasty. Journal of Arthroplasty, 26(8), pp. 1154-1160.

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Between 1987 and 1999, 540 revision total hip replacements in 487 patients were performed at our institution with the femoral impaction grafting technique with a cemented femoral stem. All patients were prospectively followed for 2-15years post-operatively with no loss to follow-up. 494 hips remained successfully in situ at an average 6.7years.

The ten year survival rate was 98.0% (95% CI 96.2 to 99.8) with aseptic loosening as the endpoint and 84.2% (95% CI 78.5 to 89.9) for re-operation for any reason. Indication for surgery and the use of any kind of reinforcement significantly influenced outcome (p<0.001).

This is the largest known series of revision THR with femoral impaction grafting and the results support continued use of this technique.

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28 citations in Scopus
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23 citations in Web of Science®

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ID Code: 46493
Item Type: Journal Article
Refereed: Yes
Keywords: impaction grafting, revision hip surgery, bone grafting, femoral revision, Exeter stem
DOI: 10.1016/j.arth.2011.03.028
ISSN: 0883-5403
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 2011 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Journal of Arthroplasty. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Arthroplasty, [26(8) (2011)] DOI:10.1016/j.arth.2011.03.028
Deposited On: 16 Oct 2011 22:35
Last Modified: 18 Nov 2011 02:58

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