[Selection of the type in revision total hip replacement for failed hip arthroplasty]. 2004

Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
Department of Orthopaedics, Second Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, P. R. China 710004.

OBJECTIVE To evaluate the selection of the type of prosthesis in revision hip arthroplasty. METHODS There were 33 hips in our study, male in 7 hips and female in 26 hips. The average age of the patients were 59 years. The reasons of the revision included aseptic loosing in 22 hips, infection in 8 hips (2 infection hips with discharging sinuses), and acetabular erosion in 3 hips. The operations for revision were 13 cemented and 12 cementless acetabular prosthesis with autograft in morselized form; the femoral revision were all selected in cemented prosthesis. The revision for infection hip were all cemented prosthesis of extensively porouse-coated. RESULTS The average follow-up duartion was 3.9 years and 11 months. There was a radiolucency but no clinical instability accompanied in 2 hips and remaining moderate pain in 4 hips. No dislocation and fracture were seen in the series. Harris score were improved to 82.4 (68-88). CONCLUSIONS The commonest reason of revision hip arthroplasty was aseptic loosing. The acetabular prosthesis in revision could select cemented or cementless components and femoral prosthesis could select extensively coated stem. The cemented components could yield good results in infection hips revision.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011475 Prosthesis Failure Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking. Prosthesis Loosening,Prosthesis Durability,Prosthesis Migration,Prosthesis Survival,Durabilities, Prosthesis,Durability, Prosthesis,Failure, Prosthesis,Failures, Prosthesis,Loosening, Prosthesis,Loosenings, Prosthesis,Migration, Prosthesis,Migrations, Prosthesis,Prosthesis Durabilities,Prosthesis Failures,Prosthesis Loosenings,Prosthesis Migrations,Prosthesis Survivals,Survival, Prosthesis,Survivals, Prosthesis
D012086 Reoperation A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery. Revision, Joint,Revision, Surgical,Surgery, Repeat,Surgical Revision,Repeat Surgery,Revision Surgery,Joint Revision,Revision Surgeries,Surgery, Revision
D001843 Bone Cements Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste. Bone Cement,Bone Glues,Bone Pastes,Bone Glue,Bone Paste,Cement, Bone,Cements, Bone,Glue, Bone,Glues, Bone,Paste, Bone,Pastes, Bone
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006622 Hip Prosthesis Replacement for a hip joint. Femoral Head Prosthesis,Femoral Head Prostheses,Hip Prostheses,Prostheses, Femoral Head,Prostheses, Hip,Prosthesis, Femoral Head,Prosthesis, Hip
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077 Acetabulum The part of the pelvis that comprises the pelvic socket where the head of FEMUR joins to form HIP JOINT (acetabulofemoral joint). Acetabula,Cotyloid Cavity,Acetabulas,Acetabulums,Cavities, Cotyloid,Cavity, Cotyloid,Cotyloid Cavities

Related Publications

Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
January 1987, The Journal of bone and joint surgery. British volume,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
October 2006, Zhonghua wai ke za zhi [Chinese journal of surgery],
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
January 1996, British journal of hospital medicine,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
February 1991, The Journal of bone and joint surgery. American volume,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
October 1979, The Journal of bone and joint surgery. American volume,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
February 1984, Acta orthopaedica Scandinavica,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
April 1985, Acta orthopaedica Scandinavica,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
September 2014, Acta orthopaedica Belgica,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
December 2022, The Journal of arthroplasty,
Xiao-bin Zhang, and Jin-hui Song, and Kun-zheng Wang
April 2024, Journal of clinical medicine,
Copied contents to your clipboard!