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Five-year follow-up of socket movements and loosening after revision with impacted morselized allograft bone and cement - A radiostereometric and radiographic analysis

Ornstein, Ewald ; Franzen, Herbert ; Johnsson, Ragnar LU ; Stefansdottir, Anna ; Sundberg, Martin LU and Tägil, Magnus LU (2006) In Journal of Arthroplasty 21(7). p.975-984
Abstract
In 1999, we reported on the 2-year results of a series of 21 first-time socket revisions using impacted morselized allograft bone. Seven still migrated between 1.5 and 2 years. Seventeen remained for the current 5-year follow-up. No socket had been rerevised. Five sockets showed signs of radiographic loosening. These 5 cases also exhibited radiographic signs of allograft resorption as well as high rates of socket migration and rotation as measured by radiostereometric analysis. Of the 6 remaining sockets that had migrated between 1.5 and 2 years, 3 stabilized and 3 were among those with signs of radiographic loosening. Fifteen patients (15 hips) revealed pain reduction at the 5-year follow-up. Three had slight pain on walking that... (More)
In 1999, we reported on the 2-year results of a series of 21 first-time socket revisions using impacted morselized allograft bone. Seven still migrated between 1.5 and 2 years. Seventeen remained for the current 5-year follow-up. No socket had been rerevised. Five sockets showed signs of radiographic loosening. These 5 cases also exhibited radiographic signs of allograft resorption as well as high rates of socket migration and rotation as measured by radiostereometric analysis. Of the 6 remaining sockets that had migrated between 1.5 and 2 years, 3 stabilized and 3 were among those with signs of radiographic loosening. Fifteen patients (15 hips) revealed pain reduction at the 5-year follow-up. Three had slight pain on walking that disappeared immediately at rest (pain score 4). All the others revealed either no pain (pain score 6) or slight pain that disappeared with activity (pain score 5). No pattern of early socket migration according to radiostereometric analysis could be identified, predicting later socket migration or loosening. The rate of cases with signs of radiographic loosening (29%, 5/17) was comparable to that reported by the Nijmegen group but the follow-up was shorter in the current study. The rate of cases with signs of radiographic loosening was comparable to both conventionally cemented socket revisions and cementless revisions. The future will show if further sockets loosen and if the loose sockets up to date will end up in rerevisions. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
impaction grafting, cement, revision, hip, socket
in
Journal of Arthroplasty
volume
21
issue
7
pages
975 - 984
publisher
Elsevier
external identifiers
  • wos:000241718100007
  • scopus:33749266151
ISSN
0883-5403
DOI
10.1016/j.arth.2005.11.009
language
English
LU publication?
yes
id
4fea59f0-0ed8-45f9-b06d-4a2d5630bbe8 (old id 378376)
date added to LUP
2016-04-01 11:45:20
date last changed
2019-11-05 01:50:39
@article{4fea59f0-0ed8-45f9-b06d-4a2d5630bbe8,
  abstract     = {In 1999, we reported on the 2-year results of a series of 21 first-time socket revisions using impacted morselized allograft bone. Seven still migrated between 1.5 and 2 years. Seventeen remained for the current 5-year follow-up. No socket had been rerevised. Five sockets showed signs of radiographic loosening. These 5 cases also exhibited radiographic signs of allograft resorption as well as high rates of socket migration and rotation as measured by radiostereometric analysis. Of the 6 remaining sockets that had migrated between 1.5 and 2 years, 3 stabilized and 3 were among those with signs of radiographic loosening. Fifteen patients (15 hips) revealed pain reduction at the 5-year follow-up. Three had slight pain on walking that disappeared immediately at rest (pain score 4). All the others revealed either no pain (pain score 6) or slight pain that disappeared with activity (pain score 5). No pattern of early socket migration according to radiostereometric analysis could be identified, predicting later socket migration or loosening. The rate of cases with signs of radiographic loosening (29%, 5/17) was comparable to that reported by the Nijmegen group but the follow-up was shorter in the current study. The rate of cases with signs of radiographic loosening was comparable to both conventionally cemented socket revisions and cementless revisions. The future will show if further sockets loosen and if the loose sockets up to date will end up in rerevisions.},
  author       = {Ornstein, Ewald and Franzen, Herbert and Johnsson, Ragnar and Stefansdottir, Anna and Sundberg, Martin and Tägil, Magnus},
  issn         = {0883-5403},
  language     = {eng},
  number       = {7},
  pages        = {975--984},
  publisher    = {Elsevier},
  series       = {Journal of Arthroplasty},
  title        = {Five-year follow-up of socket movements and loosening after revision with impacted morselized allograft bone and cement - A radiostereometric and radiographic analysis},
  url          = {http://dx.doi.org/10.1016/j.arth.2005.11.009},
  doi          = {10.1016/j.arth.2005.11.009},
  volume       = {21},
  year         = {2006},
}