Revision of Failed Total Hip Arthroplasty Acetabular Cups to Porous Tantalum Components:
A 5-Year Follow-Up Study
Mariano Fernández-Fairen, MD, PhD, Antonio Murcia, MD, PhD, Agustin Blanco, MD, PhD, Antonio Meroño, MD, Antonio Murcia Jr, MD, and Jorge Ballester, MD, PhD
The Journal of Arthroplasty Vol. 25 No. 6 2010
Abstract: We reviewed 263 consecutive patients with failed acetabular components after total hip arthroplasty that were revised using porous tantalum acetabular components and augments when necessary. The mean follow-up was 73.6 months (range, 60-84 months). The improvement of mean Harris hip score, Western Ontario and McMaster Osteoarthritis Index, and University of California Los Angeles activity scales were statistically significant (P b .001). Subjective assessments showed that 87.3% of patients reported “improvement” and 85.9% were “very or fairly pleased” with the results. At the most recent follow-up, all acetabular components were radiographically stable and none required rerevision for loosening. The acetabular revision was considered successful in 87% of cases. From this study, we conclude that the acetabular component used was reliable in creating a durable composite without failure for a minimum of 5 years.
- Predicting Dissatisfaction After THA
- Sex as a Patient Selection Criterion for Metal-on-Metal HRA
- Whole Blood Metal Ion Concentrations
- Magnetic Resonance Imaging Findings in Painful Metal-On-Metal Hips
- Adverse reaction to metal debris following hip resurfacing
- Ceramic-on-Ceramic Hip Outcome at a 5- to 10-Year Interval
- Wear Comparison
- The Incidence of Acetabular Osteolysis in Young Patients
- A Monoblock Porous Tantalum Acetabular Cup Has No Osteolysis on CT at 10 Years
- Large Acetabular Defects Can be Managed with Cementless Revision Components
- A Comparison of Two Implant Systems in Restoration of Hip Geometry in Arthroplasty
- Total Hip Arthroplasty Modular Neck Failure
- Revision of Failed THA Acetabular Cups to Porous Tantalum Components
- Metal-on-Metal Hip Arthroplasty in Patients Thirty Years of Age or Younger
- Metal-on-Metal Total Hip Arthroplasty
- Optimal acetabular orientation for hip resurfacing
- Histological Features of Pseudotumor-like Tissues From Metal-on-Metal Hips
- The Prevalence of Groin Pain After Metal-on-Metal THA and THR
- Risk of Complication and Revision Total Hip Arthroplasty