{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:48:14Z","timestamp":1777880894735,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2018,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Revision hip arthroplasty is a very challenging procedure. Use of a modular distal fixation stem is one of the available options for revision arthroplasty in patients with proximal femoral bone deficiency. The purpose of this study was to evaluate mid- to long-term outcomes of cementless modular distal fixation femoral stem implantation in revision hip surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Clinical and radiological findings, complications, and stem survival rate were analyzed for 46 patients (48 hips) who underwent revision hip arthroplasty using a cementless modular distal fixation femoral stem. The mean patient age was 58.8 years (range 31\u201382 years) and the mean follow-up period was 95 months (72\u2013122 months). The preoperative diagnoses were aseptic loosening (36 hips), infection (4 hips), ceramic fracture (4 hips), and femoral periprosthetic fracture (4 hips).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean Harris hip score improved from 56.6 preoperatively to 88.2 postoperatively at the last follow-up. All hips showed stable osteointegration and firm fixation. Complications involved four hips (8.3%); there was one case each of periprosthetic fracture, delayed union of osteotomy site, femoral perforation, and infection. One stem re-revision was performed for deep infection of the femoral side. The Kaplan\u2013Meier survival rate was 97.6% at the final follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Revision hip arthroplasty using a cementless modular distal fixation femoral stem showed satisfactory initial firm fixation and mid- to long-term survival rate. Complications can be minimized by careful surgical planning and meticulous procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499018812241","type":"journal-article","created":{"date-parts":[[2018,11,18]],"date-time":"2018-11-18T23:14:15Z","timestamp":1542582855000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical outcomes and survival rate of cementless modular distal fixation femoral stem for revision hip arthroplasty: A minimum 6-year follow-up"],"prefix":"10.1177","volume":"26","author":[{"given":"Joon Soon","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Inha University Hospital, Incheon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeop","family":"Na","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Inha University Hospital, Incheon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bong Seong","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Inha University Hospital, Incheon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoon Sang","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Inha University Hospital, Incheon, 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