Publication: Cementless acetabular revision for aseptic failure of cemented hip arthroplasty
Issued Date
1999-01-01
Resource Type
ISSN
0009921X
Other identifier(s)
2-s2.0-0032901202
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Clinical Orthopaedics and Related Research. No.361 (1999), 140-149
Suggested Citation
Keerati Chareancholvanich, Antonio Tanchuling, Takahiro Seki, Ramon B. Gustilo Cementless acetabular revision for aseptic failure of cemented hip arthroplasty. Clinical Orthopaedics and Related Research. No.361 (1999), 140-149. doi:10.1097/00003086-199904000-00019 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/25761
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Title
Cementless acetabular revision for aseptic failure of cemented hip arthroplasty
Abstract
This study is a 5- to 11-year retrospective followup of 40 hips in 33 patients with cementless acetabular revision for aseptic failure of a cemented total hip arthroplasty. A porous coated, Harris-Galante acetabular component was used in all revisions. Thirty-eight of the 40 hips received acetabular bone grafting at revision. The mean Harris Hip Score improved from 51 points just before the index cementless revision to 87 points at the most recent followup. Twenty-nine of 40 (73%) hips were classified as having a good or excellent result. Radiolucencies were observed in seven of the 40 (18%) hips at the most recent followup, but none of these radiolucencies were complete or progressive. Five of the 40 (13%) hips were rated as failures and required repeat revision. Two (5%) of these failures were caused by aseptic loosening, with both hips having severe acetabular bone damage at the time of the index revision. This failure rate for aseptic loosening was less than that reported for cemented acetabular revision, thereby confirming the efficacy of cementless acetabular components in revision hip surgery in the intermediate term.