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Clinical results of revision hip arthroplasty for neck-taper corrosion and adverse local tissue reactions around a modular neck stem

Journal of Arthroplasty Mar 22, 2020

Inoue D, et al. - This study was attempted to investigate the clinical outcomes of revision total hip arthroplasty (THA) in this patient population. Researchers distinguished 80 hips in 77 individuals who had undergone revision THA due to neck-stem corrosion [mean follow-up period after revision was 45.3 ± 16.3 months (range 24-81 months)]. They assessed Intraoperative and postoperative complications, clinical outcomes, re-revision rates, and the postoperative ion levels. No intraoperative mechanical complications were found during the revision surgery. The study showed that intraoperative complication, postoperative complication, and re-revision rates are similar to femoral revision surgeries for other causes (infection, fracture, loosening). They advocated selecting revision-type appears to reduce the risk of femoral loosening or periprosthetic fracture, and larger femoral heads or dual mobility bearings to minimize the risk of dislocation.

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