Journal: Journal of Clinical Orthopaedics and Trauma
Article Title: Cement-in-cement revision with the Exeter Short Revision Stem: A review of 50 consecutive hips
doi: 10.1016/j.jcot.2019.04.002
Figure Lengend Snippet: Summary of cement-in-cement studies.
Article Snippet: Aseptic Loosening Femur None Outcome Scores Median HHS: Pain 40.0, Function 28.0, Median OHS 33.5 Median Charnley: Pain 6.0, Function 3.0, Range Of Movement 5.0 Other Complications 2 (1.5%) Femoral perforation 1 (0.7%) Stem fracture (Charnley stem) 4 (2.9%) Deep infections (2 two stage revisions, 1 girdlestone) 3 (2.2%) Dislocations 1 (0.7%) Periprosthetic femoral fracture te Stroet et al. 2014 8 24 72 (60–84) Aseptic loosening (45.8%) Early proximal loosening observed during acetabular revision (20.8%) Recurrent dislocation (12.5%) Femoral stem fracture (8.3%) Version/offset alteration (8.3%) Monobloc with damaged head exchange (4.2%) Exeter Short Revision Stem, (Stryker-Howmedica, Newbury, United Kingdom) Survivorship 82% Revisions 4 (17%) for septic loosening Aseptic Loosening Femur None Outcome Scores Mean HHS 85 Mean OHS 19 Mean VAS pain at rest 8 Mean VAS pain during physical activity 10 Mean VAS satisfaction 87 Other Complications 1 (4.2%) intra-operative femoral perforation Mounsey et al. 2015 23 28 70 (25–124) All Hemis Acetabular erosion (57%) Recurrent dislocation (29%) Periprosthetic fracture (7%) De-bonding of cement stem interface proximally (3.5%) Infection (3.5%) Standard length 155 mm Exeter stem [3] Shorter 125 mm 35.5 mm offset stem in [9] Short125 mm 44 mm off-set revision stem [6] (Stryker Ltd, Newbury, United Kingdom) Survivorship rate Not reported Revisions 2 (7.1%) periprosthetic fracture 1 (3.6%) deep infection 1 (3.6%) recurrent dislocation (acetabular component only) Aseptic Loosening Femur None Outcome Scores Mean OHS 32.0 Mean HHS pain 33.1; HHS function 20.4 Other Complications 1 (3.6%) perforation proximal to the lesser trochanter.
Techniques: Infection, Activity Assay, Migration, Isolation
