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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 LU orcid (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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publishing date
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
2016-04-01 16:19:46
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2022-01-28 18:55:54
@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          = {{https://lup.lub.lu.se/search/files/4639461/624099.pdf}},
  doi          = {{10.1080/00016470410001385}},
  volume       = {{75}},
  year         = {{2004}},
}