N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and Orthopedics0869-86782658-6738Eco-Vector4743210.17816/vto20120415-21Research ArticleResults of Cementless Femoral Components Use at Revision Hip ArthroplastyZagorodniyN. V-NuzhdinV. I-BukhtinK. Mk.bouhtin@gmail.comKagramanovS. V-15122012194152120102020Copyright © 2012, Eco-Vector2012Results of 98 revision total hip arthroplasties performed using cementless stems during the period from 2000 to 2012 are presented. In 1 st group of patients (36 operations) revision SLR stems were used. In group 2 (34 interventions) and group 3 (28 interventions) Solution stems and Wagner stems were implanted, respectively. Detailed characteristic of implants was given with account to the type of fixation. Follow up was from 3 to 6 years. Excellent and good results were achieved in 21 patients (58.33%)from the 1 st group, 14patients (41.18%) from the 2 nd group and 16 patients (57.14%) from the 3 rd group. Analysis of intraoperative, early (up to 6 months) and late (over 6 months) complications was performed. Recommendations for choice of revision femoral components depending on the degree of bone tissue defect are given.revision arthroplastycementless stemsfemoral bone defectsревизионное эндопротезированиеножки бесцементной фиксациидефекты бедренной кости[Dohmae Y., Bechtold J.E., Sherman R.E., Puno R.M., Gustilo R.B. Reduction in cement-bone interface shear strength between primary and revision arthroplasty. Clin. Orthop. Relat. Res. 1988; (236): 214-20.][Загородний Н.В. Эндопротезирование тазобедренного сустава. Основы и практика: руководство. М.: ГЭО- ТАР-Медиа; 2011.][Bьhler D., Berlemann U., Lippuner K., Jaeger P., Nolte L. Three-dimensional primary stability of cementless femoral stems. Clin. Biomech. (Bristol, Avon). 1997; 12: 75-86.][Загородний Н.В., Нуждин В.И., Бухтин К.М., Кагра- манов С.В. Результаты применения бедренных компонентов цементной фиксации при ревизионном эндопротезировании тазобедренного сустава. Вестн. травматол. ортопед. 2012; 3: 32-8.][Greidanus N.V., Antonious J., Paprosky W.G. Extensively œated cementless femoral components in revision hip arthroplasty. Surgical Technology International IX. May 2000: 267-72.][Paprosky W.G., Greidanus N.V., Antoniou J. Minimum 10-year results of extensively porous-coated stems in revision hip arthroplasty. Clin. Orthop. Relat. Res. 1999; (369): 230-42.][Meek R.M., Garbuz D.S., Masri B.A., Greidanus N.V., Duncan C.P. Intraoperative fracture of the femur in revision total hip arthroplasty with a diaphyseal fitting stem. J. Bone Jt Surg. Am. 2004; 86 (3): 480-5.][Moreland J.R., Bernstein M.L. Femoral revision hip arthroplasty with uncemented, porous- coated stems. Clin Orthop. 1995; (318): 141-50.][Nadaud M.C. , Griffin W.L., Fehring T.K., Mason J.B., Tabor O.B. Jr, Odum S., Nussman D.S. Cementless revision total hip arthroplasty without allograft in severe proximal femoral defects. J. Arthroplasty. 2005; 20 (6): 738-44]