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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 1

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Acta Ortop Mex 2021; 35 (1)

Femoral revision surgery with fully coated stems. Long-term results of 78 cases

Diranzo-García J, Hernández-Ferrando L, Estrems-Díaz V, Castillo-Ruipérez L, Zarzuela-Sánchez V, Bru-Pomer A

Language: Spanish
References: 35
Page: 33-39
PDF size: 228.80 Kb.


ABSTRACT

Introduction: Loss of bone stock and anatomical alteration of the proximal femur make femoral revision surgery a complex procedure in which the choice of implant will be critical. Our goal is to assess the clinical and radiological results of complete coating Monoblock stems. Material and methods: Retrospective study of 78 consecutive cases of femoral review surgery intervened by our unit. Results: The average follow-up was 122 months. The average score on the Harris Hip Score was 81.2 ± 11.4 points. An age of less than 65 years, a minor femoral defect according to Paprosky classification (I, II and IIIA), the existence of a single previous surgery and the non-occurrence of intra or postoperative complications, was associated with better clinical and functional outcomes (p < 0.05).Cumulative survival was 96.7% at age 10 if we consider as failure the removal of the stem by aseptic loosening and 92% if we consider withdrawal for any cause to fail. Conclusion: Despite the current tendency to use modularity in femoral review surgery and given the results presented, we consider that complete coating monoblock stems provide a firm and stable fixation. However, the worst results in patients with major defects have led to other options being considered.


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EVIDENCE LEVEL

IV




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