+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Intraoperative complications of revision hip arthroplasty using a fully porous-coated straight cobalt-chrome femoral stem



Intraoperative complications of revision hip arthroplasty using a fully porous-coated straight cobalt-chrome femoral stem



Journal of Arthroplasty 10(Suppl.): S45-S51



The operative complications of a consecutive series of 135 cementless revision total hip arthroplasties using a fully porous-coated straight cobalt-chrome femoral stem were reviewed. Intraoperative complications occurred in 59 cases (44%), 22 of which (37%) involved more than one complication. Three categories of intraoperative complications were recorded: eccentric reaming, femoral perforation, and femoral fracture. Complications were noted to decrease throughout the period of the study. Surgical approach did not affect the complication rate. Stem length, stem diameter, and host-bone quality all affected the complication rate. Femoral perforations and fractures were more numerous with femoral stems longer than 200 mm. Larger-diameter femoral stems (> or = 18 mm) were associated with a higher complication rate (55%). Complications were also more numerous with poorer-quality host-bone. In cases of multiple complications, eccentric reaming often predisposed bone to perforation and subsequently to fracture. There was also greater blood loss in patients with intraoperative complications. Intraoperative complications may be avoided with the use of implants, as well as reaming no longer than absolutely necessary, and the use of intraoperative radiographs or flexible reamers early in femoral canal preparation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 046454309

Download citation: RISBibTeXText

PMID: 8776055

DOI: 10.1016/s0883-5403(05)80230-x


Related references

Intraoperative complications of revision hip arthroplasty using a porous-coated, distally slotted, fluted femoral stem. Clinical Orthopaedics and Related Research 2004(425): 173-176, 2004

Host-bone response to porous-coated cobalt-chrome and hydroxyapatite-coated titanium femoral components in hip arthroplasty. Dual-energy x-ray absorptiometry analysis of paired bilateral cases at 5 to 7 years. Journal of Arthroplasty 11(4): 429-437, 1996

Hip arthroplasty with a collared straight cobalt-chrome femoral stem using second-generation cementing technique: a 10-year-average follow-up study. Journal of Arthroplasty 15(2): 187-193, 2000

Revision hip arthroplasty with a short femoral component in fractured hydroxyapatite fully coated femoral stem. Journal of Arthroplasty 25(7): 1168.E13-6, 2011

Fracture of cobalt chrome, fully-coat beaded femoral revision long stem, a clinical outcomes study. Biomedical Journal 41(1): 46-51, 2018

Midterm results of the cylindrical fully porous-coated uncemented femoral stem in revision patients with Paprosky I-IIIA femoral defects. Journal of Orthopaedic Surgery 26(2): 2309499018783906, 2018

Midterm results following uncemented, modular, fully porous coated stem used in revision total hip arthroplasty: Comparison of two stem systems. Journal of Orthopaedics 13(4): 298-300, 2016

Revision total hip arthroplasty using an extensively porous coated femoral stem. Clinics in Orthopedic Surgery 1(2): 105-109, 2011

Changes in femoral cortical dimensions after uncemented revision hip arthroplasty. Radiological results with the porous-coated bi-metric femoral stem prosthesis in 15 asymptomatic cases. Journal of Arthroplasty 11(5): 572-581, 1996

Fracture of Extensively Porous-Coated Cylindrical Femoral Stem Following Revision Total Hip Arthroplasty. Chinese Medical Journal 129(11): 1374-1376, 2017

Fifteen- to 20-year results of uncemented tapered fully porous-coated cobalt-chrome stems. International Orthopaedics 32(3): 317-323, 2007

Revision hip arthroplasty with an extensively 
porous-coated stem - excellent long-term 
results also in severe femoral bone stock loss. Hip International 23(4): 352-358, 2014

Extensively porous-coated stems for femoral revision: reliable choice for stem revision in Paprosky femoral type III defects. Orthopedics 35(7): E1017-E1021, 2012

What is the survivorship of fully coated femoral components in revision hip arthroplasty?. Clinical Orthopaedics and Related Research 473(2): 549-554, 2015

Revision hip arthroplasty using strut allografts and fully porous-coated stems. Journal of Arthroplasty 20(4): 454-459, 2005