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The Journal of Bone and Joint Surgery, Vol 72, Issue 3 346-354, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc
Results of revision of hip arthroplasty with cement. A five to fourteen-year follow-up study
RK Marti, HM Schuller, PP Besselaar and EL Vanfrank Haasnoot
Department of Orthopaedic Surgery, University of Amsterdam, The Netherlands.
We reviewed the results of sixty revisions of cemented total hip
replacement in fifty-four patients who had complete clinical and
radiographic follow-up. All of the revisions were performed by a
standardized operative technique, in which both components of a single
model of prosthesis were fixed with cement. In nineteen of the sixty
revisions, autogenous grafts from the iliac crest were used for a
deficiency in the roof of the acetabulum. After five to fourteen years,
there had been two infections and four additional revisions for aseptic
failure. Three cups had migrated, and another seven were surrounded by a
complete radiolucent line. Five femoral components had subsided, and
another eleven were surrounded by a complete radiolucent line. Survivorship
analysis of eighty revisions showed a cumulative survival of about 85 per
cent at fourteen years. In these relatively old patients, the outcome of
revision of hip replacement with the described operative technique was very
satisfactory.
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