J Korean Orthop Assoc.
2002 Aug;37(4):494-498.
Revision of Total Hip Arthroplasty Using Wagner Femoral Revision Stem
- Affiliations
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- 1Department of Orthopaedic Surgery, Chosun University Hospital, Gwangju, Korea. shalee@mail.chosun.ac.kr
Abstract
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PURPOSE: The aim of this study was to see the results of total hip arthroplasty revision using Wagner femoral revision stem.
MATERIALS AND METHODS
From January 1994 and December 1998, we implanted to twenty-three Wagner revision stems in 22 patient (23 cases). The patients'average age was 54 years and the average follow-up time was 48 months. The causes of the revision were as follows: aseptic loosening (18 cases), periprosthetic fractures with loosening (4 cases), and septic loosening (1 case).
RESULTS
The preoperative Harris hip score was 47 points, and this improved to 90.5 points postoperatively. There were 3 cases of inguinal pain, 2 cases of thigh pain, 3 cases of leg length discrepancy, and one case of subsidence of stem exceeding more than 5 mm. Postoperative complications included 2 cases of hip posterior dislocation, and 2 cases of heterotopic ossification.
CONCLUSION
No patient required re-revision surgery to treat stem loosening or other problems. The results of the operations were excellent. However, we had difficulty selecting the optimal stem size with respect to preventing subsidence problems.
