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The Lubinus SP II was most commonly used (57%), followed by the Exeter long stem (23%) and the Spectron revision hip system (20%, Table 2).
The control group included femoral components such as Lubinus (length 170 350 mm; Waldemar Link, Hamburg, Germany), the Spectron revision hip system (165 225 mm; Smith & Nephew Inc., Memphis, TN) and the Exeter long stem (200 300 mm; Stryker, Mahwah, NJ).
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Stem modularity of revision hip implant systems offers the advantage of the restoration of individual patient geometry but introduces additional interfaces, which are subjected to repetitive bending loading and have a propensity for fretting corrosion.
Contrary to the increased rate of revision in modular hip systems found in the Australian Orthopaedic Association National Joint Replacement Registry, the modular, cementless, proximally hydroxyapatite-coated, anatomic femoral stem provided predictably stable fixation with excellent mid-term outcome.
In both groups (A and S), revision surgery was performed with modular titanium cementless femoral components (PROFEMUR® Hip System; Wright Medical Group Inc., Arlington, TN, USA, or S-ROM; DePuy Orthopaedics Inc., Warsaw, IN, USA).
The exclusion criterion was revision hip surgery.
Less is known about its significance in revision hip arthroplasty.
Revision hip arthroplasty is a technically difficult procedure.
Periprosthetic fractures are a common complication of revision hip surgery.
As younger patients undergo primary hip arthroplasty, the age of the revision hip patient is falling.
Needless to say, failure rates in revision hip arthroplasty are higher than in primary hip surgery [11, 12, 13].
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