Use of cemented long femoral stems associated with morcelled bone graft for Total Hip Arthrosplasty (THA) in revision surgery

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Published: Nov 16, 2012
DOI: https://doi.org/10.15417/74
Keywords:
RTHA, Impacted bone graft, Bone loss, Cemented long stem, Ling, Uncemented longstem

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German Garabano
Hospital Britanico de Buenos Aires
Fernando Lopreite
Htal Britanico de Bs As.
Diego Mana Pastrian
Htal Britanico de Bs As
Javier dal Lago
Htal Britanico de Bs As.
Hernan del Sel
Htal Britanico de Bs As

Abstract

IntroductionCurrently, there are different treatment options to perform a revision of a failed total hip arthroplasty (RTHA). The use of cemented long femoral stems associated with the use of morcelled bone graft is one of these modalities for the RTC with poor quality and loss of bone capital.MethodsWe analyze retrospectively 33 RTHA, with an average follow-up of 4 years. The causes of the review were in 28 cases mechanical losing, 3 peri-prosthetic fractures and 2 failures of osteosynthesis. Long stems cups and 30 were used in all cases (90%) cases I use ground bone graft.ResultsWith regard to the behaviour of the stems the average sinking was 4 mm. See the graft integration in 27(90%) of the 30 cases, had 3 radiological failures where the stems were sunk in two opportunities 8 mm and the remaining 12 mm. In addition there were 2 false tracks (6%), 2 dislocations (6%) and 2 pseudoarthrosis of major trochanter (6%)ConclusionThe use of cemented long femoral stems associated with impacted bone graft in cases where the distal femur is not suitable to receive a uncemented stem of distal fixation impresses be a proper reconstruction technique for RTHA with bone capital deficit. It must be made in centers of reference by experienced hands that it is not free of complications. 

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How to Cite
Garabano, G., Lopreite, F., Mana Pastrian, D., dal Lago, J., & del Sel, H. (2012). Use of cemented long femoral stems associated with morcelled bone graft for Total Hip Arthrosplasty (THA) in revision surgery. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 77(2), 104-111. https://doi.org/10.15417/74
Issue
Vol 77 No 2 (2012)
Section
Clinical Research
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