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[Our clinical experience with non-cemented total hip revision arthroplasty]
Ibrahim Yanmiş1, Servet Tunay, Cemil Yildiz
1Gülhane Askeri Tip Akademisi Ortopedi ve Travmatoloji Anabilim Dali, Ankara. iyanmis@yahoo.com
Objectives:
We evaluated the results of non-cemented revision arthroplasty in patients who had undergone cemented total hip arthroplasty.
Methods:
Twenty patients (12 women, 8 men; mean age 72 years; range 61 to 84 years) underwent non-cemented revision arthroplasty after a mean of 9.4 years (range 3 to 16 years) following primary surgery. The mean follow-up period was 4.5 years (range 3 months to 6.3 years).
Results:
During revision arthroplasty, femur fractures were observed in three patients (15%). Three patients (15%) had femoral cortex perforations. Trochanteric osteotomy was performed in five patients (25%). The mean Harris hip score after the operation was 76.7 (range 50 to 90). The results were excellent in three patients (15%), good in seven (35%), fair in seven (35%), and poor in three patients (15%).
Conclusion:
Despite a high intraoperative complication rate during non-cemented revision total hip arthroplasty, we believe that non-cemented revision should be the preferred method because of low infection and low aseptic loosening rates.