Among the options for femoral reconstruction in total hip arthroplasty (THA) revision procedures, in cases of extensive circumferential defects, is the use of proximal femoral allografts. This technique makes it possible to correct the hip abductor mechanism and the leg length discrepancy, as well as presenting osteoconductive potential. The authors report the clinical and radiographic results ...

In this retrospective study we have analysed 10-year period results of all type periprosthetic hip joint infection treatments at our Department. Data for 73 patients were analysed and functional status for 41 patients evaluated. A smaller proportion of patients (45%) with resection arthroplasty as the definitive solution were satisfied. These were mostly females with numerous comorbidities and ...

OBJECTIVES To identify a cut point in annual surgeon volume associated with increased risk of complications after primary elective total hip arthroplasty and to quantify any risk identified. DESIGN Propensity score matched cohort study. SETTING Ontario, Canada. PARTICIPANTS 37,881 people who received their first primary total hip arthroplasty during 2002-09 and were followed for at least ...

A safe, cheap, reliable method of bone storage is required for much arthroplasty revision surgery. We have screwed the femoral head taken from a primary hip arthroplasty to the ipsilateral iliac wing and, at a later date, harvested it for use in a contralateral revision hip arthroplasty. Case report. A 58-year-old woman with a history of bilateral hip degeneration had had a cemented double cup ...

We present the results of 506 consecutive Howse hip arthroplasties with a minimum follow-up of 10 years. The mortality within one month of surgery was 0.79%. The early dislocation rate was 1.38%, two hips requiring revision. Nine hips developed deep sepsis (1.78%), eight of which required revision. At 10 years 42 hips (8.3%) had required revision, including 14 with aseptic acetabular loosening ...

PURPOSE It is challenging procedure to revise acetabular component in acetabulum with severe bone defect or deformity. The jumbo cup is good option for revisional arthroplasty in large bone defect. The purpose of this study is to compare the prognosis of revisional total hip arthroplasty using jumbo cup with peripheral rim fixation and no rim fixation. MATERIALS AND METHODS We included the pa...

The surface finish of a femoral stem plays an important role in the longevity of cemented total hip arthroplasty. In efforts to decrease the rate of aseptic loosening, some prostheses have been designed to have a roughened surface that enhances bonding between the prosthesis and cement, but clinical outcomes remain controversial. We present a rare case of massive osteolysis with extreme femoral...

There are approximately 1.6 million lower extremity amputees in the United States. Lower extremity amputees are subject to increased physical demands proportional to their level of amputation. Lower extremity amputees have a 6-fold higher risk of developing radiographic osteoarthritis in the ipsilateral hip and a 2-fold risk of developing radiographic osteoarthritis in contralateral hip when co...

Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are recognised and proven interventions for patients with advanced arthritis. Studies to date have demonstrated a steady increase in the requirement for primary and revision procedures. Projected estimates made for the United States show that by 2030 the demand for primary TKA will grow by 673% and for revision TKA by 601% from the ...

GREATER TROCHANTERIC OSTEOPLASTY IN REVISION HIP ARTHROPLASTY, David E. Attarian, MD and Michael P. Bolognesi, MD, Duke Medical Center, Durham, North Carolina Revision hip arthroplasty when the greater trochanter has migrated proximally can be challenging, particularly in regard to surgical exposure of the joint, re-establishing leg length, avoiding postoperative impingement/ instability, and a...