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Hip revision using the Exeter stem, impacted morselized allograft bone and cement: A consecutive 5-year radiostereometric and radiographic study in 15 hips

Ornstein, Ewald; Franzén, Herbert; Johnsson, Ragnar LU ; Karlsson, Magnus LU ; Linder, Lars and Sundberg, Martin (2004) In Acta Orthopaedica Scandinavica 75(5). p.533-543
Abstract
Background: Impaction grafting in hip revision surgery is widely used but studies with mid- and long-term follow-up are scarce.



Patients, methods and results A 5-year radiostereometric (RSA) follow-up of 15 hip revisions with the Exeter stem, morselized impacted allograft bone and cement revealed that 3 stems had not migrated between 2 and 5 years after revision, 11 stems had migrated to a minor degree in at least 1 direction, and 1 stem was loose according to RSA but without any radiographic signs of loosening or pain. The pain score was comparable to primary arthroplasties.



Interpretation From a 5-year perspective, first-time hip revisions for aseptic loosening with impacted morselized allograft bone... (More)
Background: Impaction grafting in hip revision surgery is widely used but studies with mid- and long-term follow-up are scarce.



Patients, methods and results A 5-year radiostereometric (RSA) follow-up of 15 hip revisions with the Exeter stem, morselized impacted allograft bone and cement revealed that 3 stems had not migrated between 2 and 5 years after revision, 11 stems had migrated to a minor degree in at least 1 direction, and 1 stem was loose according to RSA but without any radiographic signs of loosening or pain. The pain score was comparable to primary arthroplasties.



Interpretation From a 5-year perspective, first-time hip revisions for aseptic loosening with impacted morselized allograft bone and cement appear to yield good clinical results, although stem migration continues to a minor degree 2 years after revision. (Less)
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type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica Scandinavica
volume
75
issue
5
pages
533 - 543
publisher
Taylor & Francis
external identifiers
  • wos:000224805200004
  • pmid:15513483
  • scopus:7044249643
ISSN
0001-6470
DOI
10.1080/00016470410001385
language
English
LU publication?
yes
id
bb689484-fe7d-4531-99c8-b8825874d821 (old id 129573)
alternative location
http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=15513483&ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
date added to LUP
2007-07-03 16:54:20
date last changed
2017-11-27 12:52:47
@article{bb689484-fe7d-4531-99c8-b8825874d821,
  abstract     = {Background: Impaction grafting in hip revision surgery is widely used but studies with mid- and long-term follow-up are scarce.<br/><br>
<br/><br>
Patients, methods and results A 5-year radiostereometric (RSA) follow-up of 15 hip revisions with the Exeter stem, morselized impacted allograft bone and cement revealed that 3 stems had not migrated between 2 and 5 years after revision, 11 stems had migrated to a minor degree in at least 1 direction, and 1 stem was loose according to RSA but without any radiographic signs of loosening or pain. The pain score was comparable to primary arthroplasties.<br/><br>
<br/><br>
Interpretation From a 5-year perspective, first-time hip revisions for aseptic loosening with impacted morselized allograft bone and cement appear to yield good clinical results, although stem migration continues to a minor degree 2 years after revision.},
  author       = {Ornstein, Ewald and Franzén, Herbert and Johnsson, Ragnar and Karlsson, Magnus and Linder, Lars and Sundberg, Martin},
  issn         = {0001-6470},
  language     = {eng},
  number       = {5},
  pages        = {533--543},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica Scandinavica},
  title        = {Hip revision using the Exeter stem, impacted morselized allograft bone and cement: A consecutive 5-year radiostereometric and radiographic study in 15 hips},
  url          = {http://dx.doi.org/10.1080/00016470410001385},
  volume       = {75},
  year         = {2004},
}