{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T15:44:35Z","timestamp":1790351075911,"version":"4.1.0"},"reference-count":27,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"9","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p>In this retrospective study, we investigated the results of revision total hip replacement (THR) using a cemented long-stemmed Exeter femoral component, with a minimum length of 205 mm in patients with extensive femoral bone defects. The study included 37 consecutive patients with a mean age of 76 years (39 to 93) and a mean follow-up of nine years (5 to 16). A total of 26 patients (70%) had a pre-operative Endo-Klinik score of 3 or 4. Impaction bone grafting was used in 24 patients (65%). At the time of evaluation, 22\u00a0patients (59%) were still alive and were evaluated clinically and radiologically. A total of 14 patients died during follow-up and their data were included until the time of their death. One reconstruction failed after five years and five months owing to recurrent dislocation: the hip was converted to an excision arthroplasty. Intra-operative fractures or fissures were encountered in nine patients (24%), but none occurred during impaction of the bone graft. Post-operative peri-prosthetic fractures occurred in two patients (5%); both were treated with plate fixation. At nine years, survival with the endpoint of all-cause re-revision was 96.3% (95% CI 76.4 to 99.5); including re-operations for any reason, it was 80.7% (95% CI 56.3 to 92.3%). There were no re-revisions for aseptic loosening.<\/jats:p><jats:p>The survival of long stem cemented femoral components following revision THR is satisfactory in a fragile population with extensive femoral defects.<\/jats:p><jats:p>Cite this article: Bone Joint J 2014; 96-B:1207\u201313.<\/jats:p>","DOI":"10.1302\/0301-620x.96b9.33304","type":"journal-article","created":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T14:23:37Z","timestamp":1409667817000},"page":"1207-1213","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":19,"title":["The use of a long stem cemented femoral component in revision total hip replacement"],"prefix":"10.1302","volume":"96-B","author":[{"given":"M. A. J.","family":"te Stroet","sequence":"first","affiliation":[{"name":"Radboud University Medical Center , Department of Orthopaedics P.O. Box 9101, Geert Grooteplein zuid 10, 6500 HB, Nijmegen, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Bronsema","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center , Department of Orthopaedics P.O. Box 9101, Geert Grooteplein zuid 10, 6500 HB, Nijmegen, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. H. C.","family":"Rijnen","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center , Department of Orthopaedics P.O. Box 9101, Geert Grooteplein zuid 10, 6500 HB, Nijmegen, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. W. M.","family":"Gardeniers","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center , Department of Orthopaedics P.O. Box 9101, Geert Grooteplein zuid 10, 6500 HB, Nijmegen, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. W.","family":"Schreurs","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center , Department of Orthopaedics P.O. 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