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Related Experiment Video

Updated: Nov 8, 2025

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
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Medium Term Radiographic and Clinical Outcomes Using a Modular Tapered Hip Revision Implant.

Gihan Jayasinghe1, Chris Buckle1, Lucy Clare Maling1

  • 1Trauma and Orthopaedics Department, Queen Elizabeth the Queen Mother Hospital, Margate, Kent, UK.

Arthroplasty Today
|April 26, 2021
PubMed
Summary

The Stryker Restoration stem shows excellent survival (98%) in hip revision surgery, with outcomes comparable to existing literature. This tapered modular stem offers flexibility for complex anatomical challenges.

Keywords:
OutcomesPROMSRevision hip arthroplastySurvivalTapered modular stems

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Medical Device Engineering

Background:

  • Rising rates of revision hip arthroplasty necessitate implants with proven outcomes.
  • Limited outcome studies exist for commonly used hip revision stems.
  • The Stryker Restoration stem is the most frequently used in the UK.

Purpose of the Study:

  • To evaluate the radiographic and clinical outcomes of the Stryker Restoration hip revision stem.
  • To assess implant survival, subsidence, and patient-reported functional scores.

Main Methods:

  • Retrospective review of 198 cases from a single surgeon.
  • Analysis of immediate postoperative and follow-up radiographs for subsidence, offset, and leg length discrepancy.
  • Kaplan-Meier survival analysis and patient-reported outcome measures (Oxford Hip Score, EQ-5D-5L).

Main Results:

  • Excellent stem survival of 98% over a mean follow-up of 51.8 months.
  • Mean subsidence was 4.18 mm, with no significant difference between revision indications.
  • Mean offset and leg length discrepancies were 4.5 mm and 4.3 mm, respectively. Mean Oxford Hip Score was 27.6.

Conclusions:

  • The Stryker Restoration stem demonstrates excellent implant survival and acceptable radiographic parameters.
  • The tapered modular design offers intraoperative flexibility for challenging anatomy.
  • Clinical outcomes are comparable to existing literature, supporting its use in revision hip arthroplasty.