Revision total hip arthroplasty: the femoral side using cemented implants
Open Access
- 17 December 2010
- journal article
- review article
- Published by Springer Nature in International Orthopaedics
- Vol. 35 (2), 267-273
- https://doi.org/10.1007/s00264-010-1167-5
Abstract
Advances in surgical technique and implant technology have improved the ten-year survival after primary total hip arthroplasty (THA). Despite this, the number of revision procedures has been increasing in recent years, a trend which is predicted to continue into the future. Revision THA is a technically demanding procedure often complicated by a loss of host bone stock which may be compounded by the need to remove primary implants. Both cemented and uncemented implant designs are commonly used in the United Kingdom for primary and revision THA and much controversy still exists as to the ideal method of stem fixation. In this article we discuss revision of the femur using cemented components during revision THA. We focus on three clinical scenarios including femoral cement-in-cement revision where the primary femoral cement-bone interface remains well fixed, femoral cement-in-cement revision for peri-prosthetic femoral fractures, and femoral impaction grafting. We discuss the clinical indications, surgical techniques and clinical outcomes for each of these procedures.Keywords
This publication has 21 references indexed in Scilit:
- Cement-in-cement stem revision for Vancouver type B periprosthetic femoral fractures after total hip arthroplastyActa Orthopaedica, 2009
- Revision of the cemented femoral stem using a cement-in-cement techniqueThe Journal of Bone and Joint Surgery. British volume, 2009
- Femoral impaction bone grafting with the Exeter stem - the Swedish experienceThe Journal of Bone and Joint Surgery. British volume, 2009
- Femoral impaction bone allografting with an Exeter cemented collarless, polished, tapered stem in revision hip replacementThe Journal of Bone and Joint Surgery. British volume, 2008
- Femoral cement within cement technique in carefully selected aseptic revision arthroplastiesInternational Orthopaedics, 2008
- Cement-Within-Cement Stem Exchange Using the Collarless Polished Double-Taper StemThe Journal of Arthroplasty, 2007
- Femoral Component Revision with Use of Impaction Bone-Grafting and a Cemented Polished StemThe Journal of Bone and Joint Surgery (American), 2005
- Prevalence of Primary and Revision Total Hip and Knee Arthroplasty in the United States From 1990 Through 2002The Journal of Bone and Joint Surgery (American), 2005
- Impaction grafting of the femur in two-stage revision for infected total hip replacementThe Journal of Bone and Joint Surgery, 2002
- Revision of Cemented Fixation and Cement—Bone Interface StrengthProceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 1992