Revision of Hip Resurfacing Arthroplasty with a Bone-conserving Short-stem Implant
DOI:
https://doi.org/10.15438/rr.v3i2.35Abstract
The good clinical results in hip arthroplasty have led to an increasing number of joint replacements in younger patients. Regardless, it is well known that this patient group faces an increased risk of early implant failure, [1] which is probably related to their higher activity level. Revision surgeries often go along with loss of bone substance, [2] resulting in more difficult procedures and an impaired functional outcome. [3] To facilitate potential revision surgeries, bone-preserving implants, such as hip resurfacing arthroplasty (HRA) and short-stem arthroplasty (SHA) implants, have been developed and recently have gained increasing popularity.
However, data are lacking on how much bone stock is conserved – and whether revision procedures are actually facilitated by the use of bone-preserving implants. So far, only a few studies have
reported on the revision of failed HRA implants, and all revisions have exclusively been performed by the use of a conventional stem. [4,5]
In this report, we describe a woman with early failure of HRA. Revision was performed with a bone-conserving short-stem hip implant, which minimizes the bone loss on the femoral side in order to facilitate potential revision surgery.
References
Swedish Hip Arthroplasty Register: Annual Report. http://www.shpr.se webcite
Lamberton TD, Kenny PJ, Whitehouse SL, Timperley AJ, Gie GA: Femoral impaction grafting in revision total hip arthroplasty: a follow-up of 540 hips. J Arthroplasty 2011, 26:1154-1160.
Pattyn C, Mulliez A, Verdonk R, Audenaert E: Revision hip arthroplasty using a cementless modular tapered stem. Int Orthop 2012, 36:35-41.
Ball ST, Le Duff MJ, Amstutz HC: Early results of conversion of a failed femoral component in hip resurfacing arthroplasty. J Bone Joint Surg Am 2007, 89:735-741.
Sandiford NA, Muirhead-Allwood SK, Skinner JA: Revision of failed hip resurfacing to total hip arthroplasty rapidly relieves pain and improves function in the early post operative period. J Orthop Surg Res 2010, 5:88.
Springer BD, Connelly SE, Odum SM, Fehring TK, Griffin WL, Mason JB, Masonis JL: Cementless femoral components in young patients: review and meta-analysis of total hip arthroplasty and hip resurfacing. J Arthroplasty 2009, 24:2-8.
Banerjee M, Bouillon B, Banerjee C, Bäthis H, Lefering R, Nardini M, Schmidt J: Sports activity after total hip resurfacing. Am J Sports Med 2010, 38:1229-1236.
Australian Orthopaedic Association: Australian Orthopaedic Association National Joint Replacement Registry - Annual Report. 2010. https://aoanjrr.dmac.adelaide.edu.au/annual-reports-2010 webcite
Garrett SJ, Bolland BJ, Yates PJ, Gardner EM, Latham JM: Femoral revision in hip resurfacing compared with large-bearing metal-on-metal hip arthroplasty. J Arthroplasty 2011, 26:1214-1218.
Briem D, Schneider M, Bogner N, Botha N, Gebauer M, Gehrke T, Schwantes B: Mid-term results of 155 patients treated with a collum femoris preserving (CFP) short stem prosthesis. Int Orthop 2011, 35:655-660.
Schmidutz F, Grote S, Pietschmann M, Weber P, Mazoochian F, Fottner A, Jansson V: Sports activity after short-stem hip arthroplasty. Am J Sports Med 2012, 40:425-432.
Morrey BF, Adams RA, Kessler M: A conservative femoral replacement for total hip arthroplasty. A prospective study. J Bone Joint Surg Br 2000, 82:952-958.
Sanguesa-Nebot MJ, Soriano FC, Gabarda RF, Mordt CV: Revision hip arthroplasty with a short femoral component in fractured hydroxyapatite fully coated femoral stem. J Arthroplasty 2010, 25:1168-1176.
Fottner A, Schmid M, Birkenmaier C, Mazoochian F, Plitz W, Volkmar J: Biomechanical evaluation of two types of short-stemmed hip prostheses compared to the trust plate prosthesis by three-dimensional measurement of micromotions. Clin Biomech (Bristol, Avon ) 2009, 24:429-434.
Tahim AS, Stokes OM, Vedi V: The effect of femoral stem length on duration of hospital stay. Hip Int 2012, 22:56-61.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2014 Florian Schmidutz, Lorenz Wanke-Jellinek, Volkmar Jansson, Andreas Fottner, Farhad Mazoochian
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and License Agreement:
Authors who publish with the Reconstructive Review agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work. Reconstructive Review follows the Creative Commons Attribution-NonCommercial CC BY-NC. This license allows anyone to download works, build upon the material, and share them with others for non-commercial purposes as long as they credit the senior author, Reconstructive Review, and the Joint Implant Surgery & Research Foundation (JISRF). An example credit would be: "Courtesy of (senior author's name), Reconstructive Review, JISRF, Chagrin Falls, Ohio". While works can be downloaded and shared they cannot be used commercially.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
