Hip revision using the Exeter stem, impacted morselized allograft bone and cementA consecutive 5-year radiostereometric and radiographic study in 15 hips
Open Access
- 1 January 2004
- journal article
- research article
- Published by Medical Journals Sweden AB in Acta Orthopaedica
- Vol. 75 (5), 533-543
- https://doi.org/10.1080/00016470410001385
Abstract
Background Impaction grafting in hip revision surgery is widely used but studies with mid- and long-term follow-up are scarce.Patients, methods and results A 5-year radiostereometric (RSA) follow-up of 15 hip revisions with the Exeter stem, morselized impacted allograft bone and cement revealed that 3 stems had not migrated between 2 and 5 years after revision, 11 stems had migrated to a minor degree in at least 1 direction, and 1 stem was loose according to RSA but without any radiographic signs of loosening or pain. The pain score was comparable to primary arthroplasties.Interpretation From a 5-year perspective, first-time hip revisions for aseptic loosening with impacted morselized allograft bone and cement appear to yield good clinical results, although stem migration continues to a minor degree 2 years after revision.Keywords
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