One-component revision in total hip arthroplasty: the fate of the retained component

J Arthroplasty. 2014 Oct;29(10):2007-12. doi: 10.1016/j.arth.2014.05.005. Epub 2014 May 15.

Abstract

The purpose of the present study was to evaluate the long-term outcome of the unrevised part in one-component total hip arthroplasty revision (index operation). Forty-four patients (46 hips) with a mean age of 58years at the time of the index operation were included. At the final follow-up, 4 of the 19 (21%) unrevised acetabular components and 6 of the 27 (22%) unrevised femoral components were subsequently revised at a mean time of 14 and 11years from the index operation, and 22 and 24years from the primary operation, respectively. We concluded that revision of a stable component is not justifiable on the basis of its long duration in use or non-ideal position or possible loosening on radiographs.

Keywords: isolated acetabular revision; isolated femoral revision; one-component revision; retained component; revision total hip replacement.

MeSH terms

  • Acetabulum / diagnostic imaging
  • Acetabulum / surgery
  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Arthroplasty, Replacement, Hip / instrumentation
  • Arthroplasty, Replacement, Hip / methods*
  • Female
  • Femur / diagnostic imaging
  • Femur / surgery
  • Follow-Up Studies
  • Hip Joint / diagnostic imaging
  • Hip Joint / surgery*
  • Hip Prosthesis*
  • Humans
  • Joint Diseases / diagnostic imaging
  • Joint Diseases / surgery*
  • Male
  • Middle Aged
  • Prosthesis Failure*
  • Radiography
  • Reoperation