The use of proximal fixed modular stems in revision of total hip arthroplasty

Carlos A Higuera; George Hanna; Karen Florjancik; D Gordon Allan; Raymond Robinson; Wael K Barsoum

doi:10.1016/j.arth.2006.01.013

The use of proximal fixed modular stems in revision of total hip arthroplasty

J Arthroplasty. 2006 Jun;21(4 Suppl 1):112-6. doi: 10.1016/j.arth.2006.01.013.

Authors

Carlos A Higuera¹, George Hanna, Karen Florjancik, D Gordon Allan, Raymond Robinson, Wael K Barsoum

Affiliation

¹ Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH 44145, USA.

PMID: 16781443
DOI: 10.1016/j.arth.2006.01.013

Abstract

Proximally fixed femoral stems in revision of total hip arthroplasties (THAs) have had inconsistent results. Our aim was to determine the safety and efficacy of a new proximally fixed modular stem in THA revision. Fifty-three patients underwent THA revision with the Exactech AccuMatch M-Series (Gainesville, Fla) modular stem and were followed up prospectively for an average of 2.5 years with preoperative and postoperative Harris Hip Score and SF-12 scores. A small number of complications were reported. One stem was revised within 4 weeks due to subsidence. No later mechanical failure cases were reported. Postoperative Harris Hip Score and SF-12 improved significantly. The use of this modular stem system appears to be safe and efficacious regarding fixation and function in the short term.

Publication types

Multicenter Study
Research Support, Non-U.S. Gov't

MeSH terms

Arthroplasty, Replacement, Hip / instrumentation*
Femoral Fractures / surgery
Femur / diagnostic imaging
Follow-Up Studies
Humans
Internal Fixators*
Intraoperative Complications / classification
Intraoperative Complications / epidemiology
Prosthesis Design
Radiography
Retrospective Studies