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The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 23, Issue: 3, Page: 383-394
Hip
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The Effect of Preoperative Planning and Impaction Grafting Surgical Technique on Intraoperative and Postoperative Complication Rate for Femoral Revision Patients with Moderate to Severe Bone Loss: Mean 4.7-Year Results
William A. Leone Jr; Marybeth Naughton; Gwen Gratto-Cox; Christine M. Luland; John E. Kilgore; Gordon E. HillHip
This study reports the results of 41 revision hips, implanted by a single surgeon using impaction grafting (mean follow-up, 4.7 years). All hips had Paprosky scores of III or IV. Harris hip scores improved from 43 to 82. There was 1 intraoperative and 2 postoperative fractures. A single stem was revised during the study. Radiographic review showed the 40 unrevised stems to be stable, and graft incorporation was seen in at least 1 zone in 100% of the femurs. There was no stem subsidence greater than 2.5 mm. The results of this study demonstrate that preoperative planning and a surgical technique, which emphasizes femoral support and vigorous impaction grafting, resulted in an acceptable incidence of complications.
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