Thursday, 22 June 2017

Cementless Long Stem Total Hip Replacement for Revision of Failed Hemiarthroplasty

The total hip replacement after failure of hemiarthroplasty (unipolar or bipolar) has been associated with very high rates complications (intra- and postoperative).
Hemiarthroplasty

Forty patients 24 males and 16 females with a mean age of 58 years (range: 48-68) had total hip arthroplasty (THA) revision of aseptic loosening of hip hemiarthroplasty.

The mean duration of the follow-up was 42 months (range: 30-72), and the cases lost in follow up were excluded from the study. Failure was defined as revision arthroplasty or radiographic evidence of stem loosening, indicated by an Engh fixation score ≤ 10. Vertical femoral migration of >5 mm was defined as subsidence.

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