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Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures

BACKGROUND: To clarify contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty (THA) for addressing potential issues with cementless THA. METHODS: Data for 101 consecutive hips in 94 patients who underwent primary cementless THA at our institution and...

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Autores principales: Motomura, Goro, Hamai, Satoshi, Ikemura, Satoshi, Fujii, Masanori, Kawahara, Shinya, Yoshino, Soichiro, Nakashima, Yasuharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7887811/
https://www.ncbi.nlm.nih.gov/pubmed/33596927
http://dx.doi.org/10.1186/s13018-021-02298-5
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author Motomura, Goro
Hamai, Satoshi
Ikemura, Satoshi
Fujii, Masanori
Kawahara, Shinya
Yoshino, Soichiro
Nakashima, Yasuharu
author_facet Motomura, Goro
Hamai, Satoshi
Ikemura, Satoshi
Fujii, Masanori
Kawahara, Shinya
Yoshino, Soichiro
Nakashima, Yasuharu
author_sort Motomura, Goro
collection PubMed
description BACKGROUND: To clarify contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty (THA) for addressing potential issues with cementless THA. METHODS: Data for 101 consecutive hips in 94 patients who underwent primary cementless THA at our institution and subsequently underwent first-time revision surgery were retrospectively reviewed. Baseline characteristics, indications for first-time revision surgery, and time from the primary THA to first-time revision surgery were evaluated. RESULTS: The overall mean time to first-time revision surgery was 10.3 years (range, 0–33 years). The indications for first-time revision surgery were polyethylene wear and osteolysis in 33 hips, aseptic loosening in 25 hips, infection in 17 hips, periprosthetic fracture in 13 hips, instability in 8 hips, and component failure (liner dissociation or stem fracture) in 5 hips. Thirty-seven hips (37%) had undergone first-time revision surgery within 5 years of primary THA, of which the most common indications were infection and periprosthetic fracture. CONCLUSION: The current results suggested that reducing the number of early failures seems to be essential form improving THA outcomes.
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spelling pubmed-78878112021-02-22 Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures Motomura, Goro Hamai, Satoshi Ikemura, Satoshi Fujii, Masanori Kawahara, Shinya Yoshino, Soichiro Nakashima, Yasuharu J Orthop Surg Res Research Article BACKGROUND: To clarify contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty (THA) for addressing potential issues with cementless THA. METHODS: Data for 101 consecutive hips in 94 patients who underwent primary cementless THA at our institution and subsequently underwent first-time revision surgery were retrospectively reviewed. Baseline characteristics, indications for first-time revision surgery, and time from the primary THA to first-time revision surgery were evaluated. RESULTS: The overall mean time to first-time revision surgery was 10.3 years (range, 0–33 years). The indications for first-time revision surgery were polyethylene wear and osteolysis in 33 hips, aseptic loosening in 25 hips, infection in 17 hips, periprosthetic fracture in 13 hips, instability in 8 hips, and component failure (liner dissociation or stem fracture) in 5 hips. Thirty-seven hips (37%) had undergone first-time revision surgery within 5 years of primary THA, of which the most common indications were infection and periprosthetic fracture. CONCLUSION: The current results suggested that reducing the number of early failures seems to be essential form improving THA outcomes. BioMed Central 2021-02-17 /pmc/articles/PMC7887811/ /pubmed/33596927 http://dx.doi.org/10.1186/s13018-021-02298-5 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Motomura, Goro
Hamai, Satoshi
Ikemura, Satoshi
Fujii, Masanori
Kawahara, Shinya
Yoshino, Soichiro
Nakashima, Yasuharu
Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures
title Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures
title_full Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures
title_fullStr Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures
title_full_unstemmed Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures
title_short Contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures
title_sort contemporary indications for first-time revision surgery after primary cementless total hip arthroplasty with emphasis on early failures
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7887811/
https://www.ncbi.nlm.nih.gov/pubmed/33596927
http://dx.doi.org/10.1186/s13018-021-02298-5
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