{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T17:45:27Z","timestamp":1778003127987,"version":"3.51.4"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81873991"],"award-info":[{"award-number":["81873991"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81873990: 82072425: 82072498: 81672238"],"award-info":[{"award-number":["81873990: 82072425: 82072498: 81672238"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004608","name":"Natural Science Foundation of Jiangsu Province","doi-asserted-by":"publisher","award":["BK20180001"],"award-info":[{"award-number":["BK20180001"]}],"id":[{"id":"10.13039\/501100004608","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012246","name":"Priority Academic Program Development of Jiangsu Higher Education Institutions","doi-asserted-by":"publisher","award":["LCZX202003"],"award-info":[{"award-number":["LCZX202003"]}],"id":[{"id":"10.13039\/501100012246","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate mid\u2010 to long\u2010term results of revision total hip arthroplasty for massive femoral bone loss using a cementless modular, fluted, tapered stem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective study performed at a single hospital. During the period of January 2007 to January 2015, 33 patients (34 hips) underwent primary revision surgery with cementless modular, fluted, tapered stems due to femoral bone loss. Sixteen men and 17 women were included in the study, with an average age of 63.9\u2009\u00b1\u200911.7\u2009years (range, 27 to 88\u2009years). Operative data including operative duration, length of incision, drainage volume and duration, blood loss and transfusion, cases of bone graft and extended trochanteric osteotomy were recorded. Clinical evaluation was performed using Harris hip score (HHS), visual analogue scale (VAS), and patients' satisfaction. Radiographic data including femoral stem fixation, subsidence, integrin of allograft bone, and leg length discrepancy were assessed. Complications and survivorship were evaluated using Kaplan\u2013Meier survival rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean follow\u2010up was 9.1\u2009\u00b1\u20092.5\u2009years (range, 5\u201313\u2009years). The Harris hip score was 43.6\u2009\u00b1\u200911.5 preoperatively and maintained at 86.5\u2009\u00b1\u20096.6 at the time of latest follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090. 05). The X\u2010ray showed bone ingrowth fixation in 30 hips (88%), fibrous stable fixation in three hips (9%), and instability in one hip (3%). The average stem subsidence was 3.9\u2009\u00b1\u20092.2\u2009mm (range, 1 to 10\u2009mm). The mean difference in leg length in our study was 3.3\u2009\u00b1\u20092.7\u2009mm (range, 0 to 10\u2009mm), and the leg length discrepancy in 28 (82%) patients was within 5\u2009mm. No case of junction fracture was observed. Seven (21%) intraoperative fractures occurred in our study. Three (9%) cases with infection were observed after revision. Six (18%) patients had lower limb vein thrombosis. The survivorship of prostheses with re\u2010revision for any reason was 95% (95% CI, 12.0 to 13.0) at the 10\u2010year follow\u2010up. Three (9%) re\u2010revisions were needed, including one for aseptic loosening, one for dislocation, and one for infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The mid\u2010 to long\u2010term results of revision total hip arthroplasty with the cementless modular, fluted, tapered stems are encouraging for massive femoral bone loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.12936","type":"journal-article","created":{"date-parts":[[2021,4,6]],"date-time":"2021-04-06T01:05:00Z","timestamp":1617671100000},"page":"989-1000","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Mid\u2010 to Long\u2010Term Outcomes of Cementless Modular, Fluted, Tapered Stem for Massive Femoral Bone Loss in Revision Total Hip Arthroplasty"],"prefix":"10.1111","volume":"13","author":[{"given":"Kai","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weicheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaozeng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4375-2803","authenticated-orcid":false,"given":"Dechun","family":"Geng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First Affiliated Hospital of Soochow University  Suzhou China"},{"name":"Orthopedics Institute Soochow University  Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00155"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2014.913224"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200704000-00012"},{"key":"e_1_2_5_5_1","first-page":"82","article-title":"Current trends and projections in the utilisation rates of hip and knee replacement in New Zealand from 2001 to 2026","volume":"127","author":"Hooper G","year":"2014","journal-title":"N Z Med J"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B8.35170"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60607-2"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(86)80047-X"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2018.06.001"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.5301\/HIP.2013.10615"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.08.018"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.04.052"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20120621-13"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-4186-2"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.03.028"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200406000-00009"},{"key":"e_1_2_5_17_1","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/01.blo.0000096825.67494.e3","article-title":"Clinical consequences of stress shielding after porous\u2010coated total hip arthroplasty","volume":"417","author":"Engh CA","year":"2003","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-21-10-601"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3811-7"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.08.019"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20050902-24"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.05.031"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B1.36442"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.5371\/hp.2015.27.3.135"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2008.11.106"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1644-y"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-5012-z"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200403000-00012"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200312000-00017"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(02)00866-8"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew466"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199008000-00022"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B4.32607"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150120.80409.0d"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.12.019"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e3180986170"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2014.12.024"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1561-8"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.11.009"},{"key":"e_1_2_5_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2008.09.011"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198309000-00010"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002640050006"},{"key":"e_1_2_5_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.03.017"},{"key":"e_1_2_5_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.07.006"},{"key":"e_1_2_5_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2552-8"},{"key":"e_1_2_5_47_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00423"},{"key":"e_1_2_5_48_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01589"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12936","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.12936","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12936","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T02:00:16Z","timestamp":1693533616000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.12936"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,5]]},"references-count":47,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1111\/os.12936"],"URL":"https:\/\/doi.org\/10.1111\/os.12936","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-37004\/v1","asserted-by":"object"}]},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,5]]},"assertion":[{"value":"2020-08-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}