Outcomes of revision total hip arthroplasty using a vascularised anterior femoral window.

Sahemey, Rajpreet, Garala, Kanai, Chahal, Gurdip and Lawrence, Trevor (2021) Outcomes of revision total hip arthroplasty using a vascularised anterior femoral window. European journal of orthopaedic surgery & traumatology : orthopedie traumatologie. ISSN 1633-8065. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: http://link.springer.com/journal/590

Abstract

PURPOSE

Extraction of the distal femoral cement mantle and restrictor during revision total hip arthroplasty (rTHA) is challenging and can compromise host bone stock. The aim of this study is to report outcomes of our femoral windowing technique for cement removal.

METHODS

We report on a cohort of 36 patients with an average age of 68.7 years who underwent 40 cemented rTHA between 2011 and 2017 using a vascularised anterior femoral window. Clinical and radiological outcomes were retrospectively reviewed with a mean follow-up of 6.6 years (range, 3.8-10).

RESULTS

Latest mean WOMAC score was 25.4 and all windows achieved radiographic union by a mean of 7.9 weeks. Femoral component survivorship was 100% and 38 out of 40 rTHAs showed no evidence of radiological loosening.

CONCLUSION

The vascularised anterior window to remove the distal femoral cement mantle under direct vision is safe and reproducible with excellent clinical and radiographic results.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WE Musculoskeletal. Orthopaedics
Divisions: Planned IP Care > Trauma and Orthopaedics
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Depositing User: Jamie Edgar
Date Deposited: 13 Sep 2021 09:30
Last Modified: 13 Sep 2021 09:30
URI: http://www.repository.uhblibrary.co.uk/id/eprint/4635

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