Long stem cemented revision arthroplasty offers shorter time to bone union and independent cane walking for periprosthetic femoral fracture.

IF 1.1 4区医学 Q3 ORTHOPEDICS

HIP International Pub Date : 2025-09-19 DOI:10.1177/11207000251371119

Kenichi Oe, Shohei Sogawa, Tomohisa Nakamura, Yosuke Otsuki, Takashi Toyoda, Fumito Kobayashi, Hirokazu Iida, Takanori Saito

{"title":"Long stem cemented revision arthroplasty offers shorter time to bone union and independent cane walking for periprosthetic femoral fracture.","authors":"Kenichi Oe, Shohei Sogawa, Tomohisa Nakamura, Yosuke Otsuki, Takashi Toyoda, Fumito Kobayashi, Hirokazu Iida, Takanori Saito","doi":"10.1177/11207000251371119","DOIUrl":null,"url":null,"abstract":"Background: There have been few reports of long stem cemented revision arthroplasty in the treatment of periprosthetic fractures (PPFs). The purpose of this study was to retrospectively compare the clinical and radiological outcomes between osteosynthesis and long stem cemented revision arthroplasty for PPFs.Methods: This study retrospectively evaluated 29 femurs who underwent surgical treatment for PPF following total or bipolar hip arthroplasty. The mean duration of clinical follow-up was 5.0 (range 2-12) years. Surgical options included osteosynthesis only in 7 femurs (Group O) and long stem cemented revision arthroplasty in 22 femurs (Group R).Results: Repeat surgeries due to implant failure were performed in 2 (29%) and 1 (5%) in groups O and R, respectively. In the walking component of the mean Merle d'Aubigné clinical score at the last follow-up, there were significant differences between the groups. Mean time to independent cane walking was 24.0 (13.1-42.3) weeks and 7.2 (2.0-15.6) weeks in groups O and R, respectively (p < 0.05). Bone union rates were 71% and 95% in groups O and R, respectively (p = 0.14). Where bone union was successfully achieved, the mean time to bone union was 12.2 (6.1-22.2) months in group O and 6.6 (1.7-12.5) months in group R (p < 0.05).Conclusions: The time to independent cane walking and bone union was significantly shorter for long stem cemented revision arthroplasty. This procedure offers considerable advantages for patients, despite the difficulty of the procedure for surgeons.","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251371119"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HIP International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11207000251371119","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: There have been few reports of long stem cemented revision arthroplasty in the treatment of periprosthetic fractures (PPFs). The purpose of this study was to retrospectively compare the clinical and radiological outcomes between osteosynthesis and long stem cemented revision arthroplasty for PPFs.

Methods: This study retrospectively evaluated 29 femurs who underwent surgical treatment for PPF following total or bipolar hip arthroplasty. The mean duration of clinical follow-up was 5.0 (range 2-12) years. Surgical options included osteosynthesis only in 7 femurs (Group O) and long stem cemented revision arthroplasty in 22 femurs (Group R).

Results: Repeat surgeries due to implant failure were performed in 2 (29%) and 1 (5%) in groups O and R, respectively. In the walking component of the mean Merle d'Aubigné clinical score at the last follow-up, there were significant differences between the groups. Mean time to independent cane walking was 24.0 (13.1-42.3) weeks and 7.2 (2.0-15.6) weeks in groups O and R, respectively (p < 0.05). Bone union rates were 71% and 95% in groups O and R, respectively (p = 0.14). Where bone union was successfully achieved, the mean time to bone union was 12.2 (6.1-22.2) months in group O and 6.6 (1.7-12.5) months in group R (p < 0.05).

Conclusions: The time to independent cane walking and bone union was significantly shorter for long stem cemented revision arthroplasty. This procedure offers considerable advantages for patients, despite the difficulty of the procedure for surgeons.

查看原文本刊更多论文

股骨假体周围骨折的长柄骨水泥改良关节置换术可缩短骨愈合时间和独立手杖行走。

背景：长柄骨水泥翻修关节置换术治疗假体周围骨折（PPFs）的报道很少。本研究的目的是回顾性比较骨融合术和长柄骨水泥关节翻修成形术治疗PPFs的临床和影像学结果。方法：本研究回顾性评估了29例在全髋关节置换术或双极髋关节置换术后接受手术治疗的PPF患者。平均临床随访时间为5.0年（范围2-12年）。手术选择包括7根股骨的骨融合术（O组）和22根股骨的长柄骨水泥翻修关节置换术（R组）。结果：O组2例（29%），R组1例（5%）因种植体失败再次手术。在最后一次随访时，两组患者在步行部分的平均Merle d' aubign临床评分中存在显著差异。O组和R组患者平均手杖独立行走时间分别为24.0（13.1-42.3）周和7.2（2.0-15.6）周(p)。结论：长柄骨水泥翻修关节置换术患者手杖独立行走时间和骨愈合时间明显缩短。尽管手术对外科医生来说很困难，但这种手术对病人来说有很大的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

HIP International 医学-整形外科

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

2 months

期刊介绍： HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology