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CIRCUMFERENTIAL PROXIMAL FEMORAL ALLOGRAFTS IN TOTAL HIP ARTHROPLASTY REVISION SURGERY.
Roos, Bruno Dutra; Roos, Milton Valdomiro; Júnior, Antero Camisa; Lampert, Henrique Bonotto; da Silva, Matheus Luis.
Afiliación
  • Roos BD; Preceptor of the Medical Residency Program in Orthopedics and Traumatology, Hospital Ortopédico de Passo Fundo (HOPF); Member, HOPF Hip Surgery and Reconstruction Group, Passo Fundo, RS, Brazil.
  • Roos MV; Head, HOPF Medical Residency Program in Orthopedics and Traumatology; Member, HOPF Hip Surgery and Reconstruction Group, Passo Fundo, RS, Brazil.
  • Júnior AC; Preceptor of the Medical Residency Program in Orthopedics and Traumatology, Hospital Ortopédico de Passo Fundo (HOPF); Member, HOPF Hip Surgery and Reconstruction Group, Passo Fundo, RS, Brazil.
  • Lampert HB; Third-Year Resident, HOPF Orthopedics and Traumatology Training Program, Passo Fundo, RS, Brazil.
  • da Silva ML; Third-Year Resident, HOPF Orthopedics and Traumatology Training Program, Passo Fundo, RS, Brazil.
Rev Bras Ortop ; 47(6): 754-9, 2012.
Article en En | MEDLINE | ID: mdl-27047896
OBJECTIVE: To evaluate the clinical and radiographic results from patients who underwent femoral reconstruction secondary to loosening of total hip arthroplasty, using circumferential proximal femoral allografts and cemented implants. METHODS: A retrospective study was conducted on 32 patients (33 hips) who underwent femoral reconstruction secondary to loosening of total hip arthroplasty, using circumferential proximal femoral allografts and cemented implants. Among these patients, 28 (29 hips) fulfilled all the requirements for this study. The mean follow-up was five years and two months. The clinical evaluation was done in accordance with the Harris Hip Score. Radiographically, the patients were assessed regarding reabsorption and consolidation of the allograft, migration of the greater trochanter, stability of the femoral component and heterotypic calcification. RESULTS: The average preoperative Harris Hip Score was 32 points. At the last postoperative follow-up, the average score was 82 points. Allograft resorption of some degree was seen in nine hips (31%). Regarding consolidation, 24 cases (82.8%) showed full consolidation, three (10.3%) showed partial consolidation and two (6.9%) showed pseudarthrosis. All femoral components were stable. According to the criteria established, 27 cases (93.1%) were considered to be successful reconstructions after a mean follow-up of five years and two months. CONCLUSION: From the results obtained, it was concluded that use of circumferential proximal femoral allografts in selected cases of femoral reconstruction secondary to loosening of arthroplasty presented a high survival rate from the reconstruction over an average follow-up of five years and two months.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Rev Bras Ortop Año: 2012 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Rev Bras Ortop Año: 2012 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil