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Variables in the LROI database that were checked for validity were sex, date of birth, hospital patient number, encrypted personal identity number, diagnosis, ASA score, type of prosthesis, fixation, cemented component (in cases of hybrid fixation), product number of component and cement, type of revision, revised component, and conversion to THA or conversion to total knee arthroplasty (TKA).
Therefore, only 123 patients were analyzed with reference to the type of revised component (Table 2).
Similar(58)
In an attempt to identify the modes of failure of a constrained tripolar implant, it was found that in 43 revised components the causes of revision included failure at the bone-implant interface and failure of the retaining mechanism (Guyen et al. 2008).
Table 2 Type of total hip replacement components revised Components revised Type of implant Cemented Uncemented Acetabular component (63) 55 8 Femoral component (12) 11 1 Dual components (48) 43 5. Blood loss following acetabular-component revision (3.3 g/dl) was significantly less than dual-component (4.7 g/dl) (P < 0.001) and femoral-component (4.2 g/dl) (P = 0.048) revisions (Table 3).
Forty percent (44 of 110) of the revised components from the sequentially annealed cohort and 52% (28 of 54) from the annealed cohort were used in patients who had a history of at least one previous revision surgery.
However, if allowed to progress and affect the acetabulum, one faces the prospect of revising components in a field contaminated with abrasive particulate debris.
These seven steps, which also include application of the revised root component, are the basis for the biomass equation group assignments in Table 2.
These seven steps, which also include application of the revised root component, are the basis for the biomass equation group assignments in Table 2.
Subsidence was evident in 4 cases. 1 patient was revised by component exchange because of recurrent dislocation, and another 6 patients were reoperated: 5 because of deep infections and 1 because of periprosthetic fracture.
In the remaining revisions, the femoral component was preserved and the acetabular component revised to an uncemented acetabular component with a polyethylene or ceramic liner.
Although this may be technically correct, the finding that femoral-only revision has the same risk of re-revision as revising both components would suggest that the ease of revision cannot be extrapolated into a better outcome.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com