Aims. The
Aims. We present the results, in terms of survival, clinical outcome, and radiological appearance at 20 years, in a cohort of 225 cemented
Aims. We carried out a further study of the long-term results of the
cemented
Aims. To compare long-term survival of all-cemented and hybrid total hip arthroplasty (THA) using the
Aims. The aim of this study was to determine whether fixation, as opposed to revision arthroplasty, can be safely used to treat reducible Vancouver B type fractures in association with a cemented collarless polished tapered femoral stem (the Exeter). Methods. This retrospective cohort study assessed 152 operatively managed consecutive unilateral Vancouver B fractures involving
Recent guidance recommends the use of a well-proven
cemented femoral stem for hemiarthroplasty in the management of
fractures of the femoral neck, and the
Aims. We report on the outcome of the
We reviewed 142 consecutive primary total hip replacements implanted into 123 patients between 1988 and 1993 using the
Aims. The aim of this study was to report the initial results of the
Exeter V40 stem, which became available in 2000. Patients and Methods. A total of 540 total hip arthroplasties (THAs) were performed
in our unit using this stem between December 2000 and May 2002.
Our routine protocol is to review patients postoperatively and at
one, five, and ten years following surgery. Results. A total of 145 patients (26.9%) died before ten years and of
the remaining 395 stems, 374 (94.7%) remain in situ.
A total of 21 well-fixed stems (5.3%) were revised. Ten were exchanged
using a cement-in-cement technique to facilitate acetabular revision.
Three were revised for infection, one for instability, one for fracture
of the stem, and six following a periprosthetic fracture. An additional
16 acetabular components (4.1%) were revised; five for aseptic loosening
and 11 for instability. There were no revisions for aseptic loosening of the stem, and
no evidence of aseptic loosening in any hip. The fate of every stem
is known and all patients remain under review. Survivorship, with
revision of the stem for aseptic loosening as the endpoint, was
100%. At 13.5 years, the Kaplan–Meier survival rate for all-cause
revision of the stem was 96.8% (95% confidence interval (CI) 94.8
to 98.8) and all-cause revision (including acetabular revision,
infection, and instability) was 91.2% (95% CI 88.3 to 94.1). Conclusion. No stem was revised for aseptic loosening in this series. The
contemporary
We describe the survivorship of the
We report the outcome of the flangeless, cemented all-polyethylene
Previously, radiostereometric analysis following hip revision performed using impacted morsellised allograft bone and a cemented
We evaluated an operative technique, described
by the
We identified 1305 femoral impaction bone grafting revisions using the
Aims. We present a minimum 20-year follow-up study of 382 cemented
Exeter Universal total hip arthroplasties (350 patients) operated
on at a mean age of 66.3 years (17 to 94). Patients and Methods. All patients received the same design of femoral component, regardless
of the original diagnosis. Previous surgery had been undertaken
for 33 hips (8.6%). During the study period 218 patients with 236
hips (62%) died, 42 hips (11%) were revised and 110 hips (29%) in
96 patients were available for review. The acetabular components
were varied and some designs are now obsolete, however they were
all cemented. Results. With an endpoint of revision for aseptic loosening or lysis,
survivorship of the stem at 22.8 years was 99.0% (95% confidence
interval (CI) 97.0 to 100). One stem was revised 21 years post-operatively
in a patient with Gaucher’s disease and proximal femoral osteolysis.
Survivorship with aseptic loosening or lysis of the acetabular component or
stem as the endpoint at 22.8 years was 89.3% (95% CI 84.8 to 93.8).
With an endpoint of revision for any reason, overall survivorship
was 82.9% (95% CI 77.4 to 88.4) at 22.8 years. Radiological review showed excellent preservation of bone stock
at 20 to 25 years, and no impending failures of the stem. Conclusion. The
We evaluated the outcome of 104 consecutive primary cemented
Femoral impaction bone allografting has been developed as a means of restoring bone stock in revision total hip replacement. We report the results of 75 consecutive patients (75 hips) with a mean age of 68 years (35 to 87) who underwent impaction grafting using the
We evaluated all cases involving the combined use of a subtrochanteric derotational femoral shortening osteotomy with a cemented
The first 325
The aim of this study is to report the long-term outcomes of instrumented femoral revisions with impaction allograft bone grafting (IBG) using the X-change femoral revision system at 30 years after introduction of the technique. We updated the outcomes of our previous study, based on 208 consecutive revisions using IBG and the X-change femoral revision system in combination with a cemented polished stem, performed in our tertiary care institute between 1991 and 2007. Kaplan-Meier survival analyses were used to determine the survival rate of the revisions with endpoint revision for any reason and aseptic loosening. Secondary outcomes were radiological loosening and patient-reported outcome measures.Aims
Methods