Uncemented computer-assisted design-computer-assisted manufacture femoral components in revision total hip replacement

Author:

Muirhead-Allwood S.1,Sandiford N. A.1,Skinner J. A.2,Hua J.2,Muirhead W.1,Kabir C.1,Walker P. S.3

Affiliation:

1. The London Hip Unit, 4th Floor, 30 Devonshire Street, London W1G 6PU, UK.

2. Department of Biomedical Engineering, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK.

3. MIS Laboratory, Department of Orthopaedic Surgery, NYU Medical Center, Hospital for Joint Disease, 301 East 17th Street, Manhattan, New York, 10003, USA.

Abstract

We prospectively evaluated the long-term outcome of 158 consecutive patients who underwent revision total hip replacement using uncemented computer-assisted design-computer-assisted manufacture femoral components. There were 97 men and 61 women. Their mean age was 63.1 years (34.6 to 85.9). The mean follow-up was 10.8 years (10 to 12). The mean Oxford, Harris and Western Ontario and McMaster hip scores improved from 41.1, 44.2 and 52.4 pre-operatively to 18.2, 89.3 and 12.3, respectively (p < 0.0001, for each). Six patients required further surgery. The overall survival of the femoral component was 97% (95% confidence interval 94.5 to 99.7). These results are comparable to those of previously published reports for revision total hip replacement using either cemented or uncemented components.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

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