Projects per year
Abstract
BACKGROUND: The reconstructive challenge of achieving a stable acetabulum in revision total hip arthroplasties in the presence of major osteolytic lesions has led to debate about the most appropriate surgical strategy to minimize implant-related failures. Trabecular metal (TM) implants have become popular but ongoing surveillance of their performance is required.
METHODS: We reviewed the clinical and radiological outcome of a consecutive series of 52 patients (55 hips) who had undergone revision total hip arthroplasty for Paprosky type 2 or 3 acetabular defects with TM revision acetabular shells between 2002 and 2008.
RESULTS: Four implant failures occurred (2 infections and 2 dislocations). Eleven patients from this cohort died (representing 12 hips) before the 5-year follow-up period giving us a follow-up of 78.2%. Implant survival at 5 years was 92% (95% confidence interval: 80.2%-96.9%). There were no cases of radiological loosening. The mean Oxford hip score was 34 (range, 5-48) at a mean follow-up of 63 months (range, 34-105 months).
CONCLUSIONS: We conclude that the use of TM revision shells for complex acetabular reconstruction yields satisfactory results.
Original language | English |
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Pages (from-to) | 863-867 |
Journal | Journal of Arthroplasty |
Volume | 31 |
Issue number | 4 |
Early online date | 10 Nov 2015 |
DOIs | |
Publication status | Published - Apr 2016 |
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Dive into the research topics of 'Trabecular Metal Use in Paprosky Type 2 and 3 Acetabular Defects: 5-Year Follow-Up'. Together they form a unique fingerprint.Projects
- 2 Finished
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reSTARt - Edinburgh Royal Infirmary Arthroplasty Outcomes Database
Non-EU industry, commerce and public corporations
1/01/15 → 31/03/20
Project: Research
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EORD: Edinburgh Orthopaedic Research Database Ethics Reference 16/SS/0026
MacDonald, D., Howie, C. & Simpson, H.
1/08/02 → 31/12/24
Project: Research