REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE.

E.J. Mounsey; D.H. Williams; J.R. Howell; M.J. Hubble; A.J. Timperley; G.A. Gie

doi:10.1302/0301-620X.93BSUPP_I.0930046c

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REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE.

E.J. Mounsey
D.H. Williams
J.R. Howell
M.J. Hubble
A.J. Timperley
G.A. Gie

REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE.

Mounsey E, Williams D, Howell J, Hubble M, Timperley A, Gie G. REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE.. Orthop Procs. 2011;93-B(SUPP_I):46-46. doi:10.1302/0301-620X.93BSUPP_I.0930046c

Mounsey, E.J., et al. “REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE..” Orthopaedic Proceedings, vol. 93-B, no. SUPP_I, 2011, pp. 46-46., https://doi.org/10.1302/0301-620X.93BSUPP_I.0930046c

Mounsey, E., Williams, D., Howell, J., Hubble, M., Timperley, A., & Gie, G. (2011). REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE.. Orthopaedic Proceedings, 93-B(SUPP_I), 46-46. https://doi.org/10.1302/0301-620X.93BSUPP_I.0930046c

Mounsey, E., Williams, D., Howell, J., Hubble, M., Timperley, A. and Gie, G. (2011) “REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE..” Orthopaedic Proceedings, 93-B(SUPP_I), pp. 46-46. Available at: https://doi.org/10.1302/0301-620X.93BSUPP_I.0930046c

Mounsey, E.J., D.H. Williams, J.R. Howell, M.J. Hubble, A.J. Timperley, and G.A. Gie. “REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE..” Orthopaedic Proceedings 93-B, no. SUPP_I (2011): 46-46. https://doi.org/10.1302/0301-620X.93BSUPP_I.0930046c

Mounsey E, Williams D, Howell J, Hubble M, Timperley A, Gie G. REVISION OF HEMIARTHROPLASTY TO TOTAL HIP ARTHROPLASTY USING THE CEMENT IN CEMENT TECHNIQUE.. Orthop Procs. 2011 Jan 1;93-B(SUPP_I):46-46. https://doi.org/10.1302/0301-620X.93BSUPP_I.0930046c

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Abstract

The cement in cement technique for revision total hip arthroplasty (THA) has shown good results in selected cases. However results of its use in the revision of hemiarthroplasty to THA has not been previously reported.

Between May 1994 and May 2007 28 (20 Thompson’s and 8 Exeter bipolar) hip hemiarthroplasties were revised to THA in 28 patients using the cement in cement technique. All had an Exeter stem inserted at the time of revision. Clinical and operative data were collected prospectively. Clinical evaluation was by the Charnley, Harris and Oxford hip scores and radiographs were analysed post-operatively and at latest follow up.
The mean age at time of hemiarthroplasty revision was 80 (35 to 93) years. The reason for revision was acetabular erosion in 12 (43%), recurrent dislocation in 8 (29%), aseptic loosening in 4 (14%), periprosthetic fracture in 2 (7%) and infection in 2 (7%) patients. No patient has been lost to follow up.
3 patients died within 3 months of surgery. The mean follow up of the remainder was 50 (16 to 119) months. Survivorship with revision of the femoral stem for aseptic loosening as the endpoint was 100%. 3 cases (11%) have since undergone further revision, 1 for recurrent dislocation, 1 for infection, and 1 for periprosthetic fracture.
The cement in cement technique can be successfully applied to revision of hip hemiarthroplasty to THA. It has a number of advantages in this elderly population including minimizing bone loss, blood loss and operative time.

The abstracts were prepared by Mr D J Bracey, Editorial Secretary. Correspondence should be addressed to him at Royal Cornwall Hospital, Treliske, Cornwall TR1 3LJ, England.