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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Total hip replacement of failed surface arthroplasty
Acta Orthopaedica Scandinavica
|April 1, 1985
Summary
Total hip replacements following failed surface replacements show excellent outcomes. Previous hip surface replacement surgery does not negatively impact the success of subsequent total hip replacement procedures.
Area of Science:
- Orthopedic surgery
- Arthroplasty
- Biomedical engineering
Background:
- Surface replacement of the hip is a surgical procedure for hip joint disease.
- Failures of hip surface replacements can necessitate revision surgery.
- The impact of prior surface replacement on total hip replacement outcomes is not well-established.
Purpose of the Study:
- To evaluate the outcomes of total hip replacement (THR) after failure of hip surface replacement (SR).
- To determine if a prior SR procedure affects the success of a subsequent THR.
Main Methods:
- A retrospective review of 12 patients who underwent 13 THR revisions after SR failure.
- Follow-up duration averaged 3 years.
- Complications and functional outcomes were assessed.
Main Results:
- No complications were reported in any of the revision THR cases.
- All patients achieved results with THR that were equal to or better than their prior SR.
- Functional outcomes were satisfactory following revision surgery.
Conclusions:
- Total hip replacement is a viable and successful option after hip surface replacement failure.
- Previous hip surface replacement does not appear to compromise the results of subsequent total hip replacement.
- This study suggests that SR failure should not deter surgeons from proceeding with THR.
