Long-term Results of Cementless Femoral Reconstruction Following Intertrochanteric Osteotomy

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2012 Jan 13

PMID 22237919

Citations 5

Authors

Christian Merle

Marcus R Streit

Moritz Innmann

Tobias Gotterbarm

Peter R Aldinger

Affiliations

Soon will be listed here.

Abstract

Purpose: The objective of this retrospective cohort study was to assess the long-term outcome of cementless femoral reconstruction in patients with previous intertrochanteric osteotomy (ITO).

Methods: We evaluated the clinical and radiographic results of a consecutive series of 45 patients (48 hips, mean age 50 years) who had undergone conversion hip replacement following ITO with a cementless, grit-blasted, double-tapered femoral component. Clinical outcome was determined using the Harris hip score. Stem survival for different end points was assessed using Kaplan-Meier survivorship analysis.

Results: At a mean follow-up of 20 (range, 16-24) years, 11 patients (12 hips) had died, and no patient was lost to follow-up. Six patients (six hips) underwent femoral revision, two for infection, three for aseptic loosening and one for periprosthetic fracture. Mean Harris hip score at final follow-up was 78 points (range, 23-100 points). Stem survival for all revisions was 89% (95%CI, 75-95) at 20 years, and survival for aseptic loosening was 93% (95%CI, 80-98).

Conclusions: The long-term results with this type of cementless femoral component in patients with previous intertrochanteric osteotomy are encouraging and compare well to those achieved in patients with normal femoral anatomy.

Citing Articles

Short-term results of total hip arthroplasty using a tapered cone stem for patients with previous femoral osteotomy.

Sakamoto K, Motomura G, Hamai S, Ikemura S, Fujii M, Kawahara S J Orthop. 2022; 30:83-87.

PMID: 35241894 PMC: 8881525. DOI: 10.1016/j.jor.2022.02.021.

[What are the benefits of patient-specific reconstruction in total hip replacement?].

Merle C, Innmann M, Westhauser F, Sadoghi P, Renkawitz T Orthopade. 2021; 50(4):287-295.

PMID: 33751196 DOI: 10.1007/s00132-021-04087-8.

Mid-term results of total hip arthroplasty for relapsed osteoarthritis after joint-preserving operations for coxarthritis compared to primary total hip arthroplasty.

Ohsawa S, Koide S, Shibuya T Eur J Orthop Surg Traumatol. 2020; 31(2):299-308.

PMID: 32840688 DOI: 10.1007/s00590-020-02768-2.

What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review.

Gallazzi E, Morelli I, Peretti G, Zagra L Clin Orthop Relat Res. 2019; 477(5):1176-1187.

PMID: 30998636 PMC: 6494317. DOI: 10.1097/CORR.0000000000000659.

Conversion to total hip arthroplasty after failed proximal femoral nail antirotations or dynamic hip screw fixations for stable intertrochanteric femur fractures: a retrospective study with a minimum follow-up of 3 years.

Zeng X, Zhan K, Zhang L, Zeng D, Yu W, Zhang X BMC Musculoskelet Disord. 2017; 18(1):38.

PMID: 28122548 PMC: 5264307. DOI: 10.1186/s12891-017-1415-6.

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