Abstract:
INTRODUCTION:Management of bone loss is a challenge in revision total hip arthroplasty (THA). A retrospective review was performed to study the use of uncemented distal locked prosthesis in cases with proximal femoral bone loss. MATERIALS AND METHODS:Uncemented stems with distal interlocking were used in 65 hips during revision THAs with 38 hips having Paprosky IIIB/IV defects between January 1998 and February 2004. There were 48 males and 17 females in the study with an average age of 53 years (range 30-80 years). Radiographic and clinical outcome evaluation using the Harris hip score (HHS) were performed. RESULTS:AN IMPROVEMENT IN HHS (MEAN: 33 points) was observed at final followup (mean: 9 years). Regeneration of proximal bone stock was observed without signs of loosening or subsidence and none of the stems were revised. Three patients developed recurrent dislocation while one had a stem subsidence of 1cm following removal of interlocking bolts. CONCLUSION:Uncemented distal locked prosthesis provide adequate stability in revision THA, aiding the reconstruction of bony deficiencies while avoiding the disadvantages of fully porous or cemented implants.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Agarwala S,Jhunjhunwala HR,Pachore JA,Joglekar SB,Eachempati KKdoi
10.4103/0019-5413.106918subject
Has Abstractpub_date
2013-01-01 00:00:00pages
83-6issue
1eissn
0019-5413issn
1998-3727pii
IJOrtho-47-83journal_volume
47pub_type
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