Experience in use of Wagner SL Revision Stem for Revision Hip Arthroplasty

Abstract


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.

About the authors

G. M Kavalerskiy

First Moscow state medical university named after I.M. Sechenov, Moscow, Russia


V. Yu Murylyov

First Moscow state medical university named after I.M. Sechenov, Moscow, Russia


Ya. A Rukin

First Moscow state medical university named after I.M. Sechenov, Moscow, Russia

Email: yarbarmaley@gmail.com

M. Yu Kholodaev

City clinical hospital named after S.P. Botkin, Moscow, Russia


P. M Elizarov

First Moscow state medical university named after I.M. Sechenov, Moscow, Russia


References

  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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