Primary cementless stems in septic hip revision: Indications and results.

Abstract:

PURPOSE:The aim of our work is to evaluate results obtained from a cohort of patients affected by periprosthetic joint infection and treated with a primary cementless stem in a two-stage technique framework. METHODS:Eighty-four patients were evaluated at a mean follow-up of 37.4 months. The main demographic, surgical, clinical, and radiographic data were recorded. A femoral window for stem removal was performed in 33 patients. RESULTS:Statistically significant improvement was noted for both the Harris Hip score and the Oxford Hip score. Postsurgical complications included thigh pain in three patients, subsidence (>2 mm) in one patient, implant dislocation in two patients, cup revision in one patient, implant revision for septic failure in two patients, and stem revision for varus position in one patient. The stem survivorship rate was 96.3%. There were no significant differences between the groups in which a cortical window was created or not. CONCLUSION:Femoral stem revision with primary cementless stems is a viable option in selected patients undergoing two-stage hip revision surgery. Correct indication is a cornerstone of good outcome. The use of a cortical window does not affect the final outcome or implant survivorship rate.

authors

Cavagnaro L,Chiarlone F,Divano S,Capello AG,Felli L,Burastero G

doi

10.1177/2309499019853999

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

2309499019853999

issue

2

eissn

1022-5536

issn

2309-4990

journal_volume

27

pub_type

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