Experience in use of Wagner SL Revision Stem for Revision Hip Arthroplasty
G. M Kavalerskiy , V. Yu Murylyov , Ya. A Rukin , M. Yu Kholodaev , P. M Elizarov
N.N. Priorov Journal of Traumatology and Orthopedics ›› 2014, Vol. 21 ›› Issue (2) : 40 -45.
Experience in revision hip arthroplasty with change of femoral stem was analyzed for 165 patients. In 107 operations (64.8%) Wagner SL Revision Stems were used, in the rest of cases - femoral components of other manufacturers. Distribution of patients by femoral defect type by Paprovsky was the following: I type - 27 patients, II type - 75, IIIA type - 59, IIIB and IV type - 4 patients. Good results at use of Wagner SL Revision Stems and stems of other manufacturers were comparable and made up 87.9 and 86.2%, respectively. Achieved data enabled to make conclusion that Wagner SL Revision Stem use is reasonable for patients with hip implant instability in I-IIIA femoral bone deficit, as they are cheaper than the modular revision stems and their design prevents the wear in the area of modular junction.
femoral component / implant instability / revision arthroplasty / periprosthetic fracture
| [1] |
Bozic K.J., Kurtz S.M., Lau E. The epidemiology of revision total hip arthroplasty in the United States. J. Bone Joint Surg. Am. 2009; 91: 128-33. |
| [2] |
Kurtz S., Ong K., Lau E. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J. Bone Joint Surg. Am. 2007; 89: 780-5. |
| [3] |
Мурылев В.Ю. Ревизионная артропластика тазобедренного сустава при асептическом расшатывании эндопротеза: Дис.. д-ра мед. наук. М.; 2009. |
| [4] |
Кавалерский Г.М., Силин Л.Л. Мурылев В.Ю., Кузин В.В., Рукин Я.А., Терентьев Д.И. Импакционная костная пластика вертлужной впадины при тотальном эндопротезировании тазобедренного сустава. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2008; 1: 66-70. |
| [5] |
Roberson J.R. Proximal femoral bone loss after total hip arthroplasty. Orthop. Clin. North. Am. 1992; 23: 291 - 302. |
| [6] |
Рукин Я.А. Ревизионное эндопротезирование вертлужного компонента тотального эндопротеза тазобедренного сустава при его асептической нестабильности: Дис.. канд. мед. наук. М.; 2011. |
| [7] |
Hartman C.W, Garvin K.L. Femoral fixation in revision total hip arthroplasty. J. Bone Joint Surg. Am. 2011; 93 (24): 2310-22. |
| [8] |
Khanuja H.S., Vakil J.J., Goddard M.S. Cementless femoral fixation in total hip arthroplasty. J. Bone Joint Surg. Am. 2011; 93 (5): 500-9. |
| [9] |
Bohm P., Bischel V. Femoral revision with the Wagner SL Revision Stem: evaluation of one hundred and twenty-nine revisions followed for a mean of 4,8 years. J. Bone Joint Surg. Am. 2001; 83 (7): 1023-31 |
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