Modular Fluted Tapered Stems in Aseptic Revision Total Hip Arthroplasty

The Journal of Bone and Joint Surgery. American Volume
Matthew P AbdelD J Berry

Abstract

Modular fluted tapered stems have become the most commonly employed category of femoral component in revision hip arthroplasty in North America as a result of favorable early results and simplicity of use. Despite wide adoption, the majority of published data are limited to relatively small series with modest follow-up. The goal of the current study was to determine the success rate and factors associated with success, failure, and complications of the use of modular fluted tapered stems in aseptic revision total hip arthroplasties (THAs) in a large patient cohort. We identified 519 aseptic femoral revisions during which a modular fluted tapered stem was utilized. Clinical outcomes, Kaplan-Meier survivorship, radiographic outcomes, and complications were assessed. The mean age at revision arthroplasty was 70 years, the mean body mass index (BMI) was 29 kg/m, and the mean duration of follow-up was 4.5 years (range, 2 to 14 years). The mean Harris hip score (HHS) improved significantly from 51 points preoperatively to 76 points at 2 years (p < 0.001). This improvement was maintained at the last follow-up evaluation (mean HHS = 75 points). At the time of the most recent follow-up, 16 femoral revisions had been performed: 6 because...Continue Reading

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Citations

Jan 3, 2019·The Journal of Bone and Joint Surgery. American Volume·Stephen M PetisDaniel J Berry
Dec 14, 2019·Journal of Orthopaedic Surgery·Celso Hermínio Ferraz PicadoFlávio Luís Garcia
Apr 18, 2019·The Journal of Bone and Joint Surgery. American Volume·Michael J DeRogatisPaul S Issack
May 1, 2020·The Bone & Joint Journal·D R KruegerC Perka
Aug 3, 2020·The Journal of Bone and Joint Surgery. American Volume·Michael M KheirAntonia F Chen
Feb 23, 2019·Clinical Orthopaedics and Related Research·Timothy S BrownRafael J Sierra
Aug 14, 2018·Archives of Orthopaedic and Trauma Surgery·Armin PallaverMartin Clauss
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Jun 2, 2020·The Bone & Joint Journal·Karam R AbdelsamieR M Dominic Meek
Dec 31, 2019·Arthroplasty Today·Michael-Alexander MalahiasPeter K Sculco
Oct 19, 2019·Orthopaedics & Traumatology, Surgery & Research : OTSR·Patrice Mertl, Massinissa Dehl
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Apr 27, 2021·Arthroplasty Today·Gihan JayasingheRichard Slack
Oct 13, 2021·International Orthopaedics·Abd-Allah El AshmawyJonathan Keenan

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