{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,12,3]],"date-time":"2022-12-03T05:36:21Z","timestamp":1670045781506},"reference-count":0,"publisher":"Open Medical Publishing","issue":"3","license":[{"start":{"date-parts":[[2019,10,2]],"date-time":"2019-10-02T00:00:00Z","timestamp":1569974400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthop Rev (Pavia)"],"abstract":"<jats:p>Revision THA is increasingly performed especially in the elderly population. The surgeon\u2019s challenge is to provide a solution that supports immediate full weight-bearing, despite poor bone quality. Shape-closed revision stems facilitate that by combining cement fixation with additional press-fit anchoring. The design tolerates varying cement mantle thickness and inconsistent cancellous bone lining of the femoral canal. Following that philosophy, we present our mid-term results using a long version of a cemented Charnley- Kerboull type stem. From 2010 to 2017, 38 long Charnley-Kerboull revision stems (Centris\u00ae, Mathys European Orthopaedics, Bettlach, Switzerland) were implanted and followed prospectively. Surgery was performed via a Hardinge approach in supine position with a third generation cementing technique. Patients were mobilized using full-weight bearing as early as possible. Survival was determined for stem revision for aseptic loosening and stem and\/or cup revision for any reason. 20 stems had a minimum follow-up (f\/u) of 2 years and were included for further radiological analysis. Detailed subsidence analysis as an early predictor for later aseptic loosening was performed using EBRA-FCA software. Further, the presence of osteolysis and cement debonding was evaluated. Mean follow- up was 4 years. No patient was lost to f\/u.18 died of causes unrelated to THA. Stem survival was 100%. Survival for any re-operation was 82.2% (two early infections, one soft-tissue debridement, one cup exchange for recurrent dislocations). None of the cases revised for septic loosening showed signs of persistent infection at final f\/u. EBRA-FCA revealed two oligosymptomatic cases of subsidence of 5mm and 6mm over a course of 2 and 12 months, respectively, with stable implants thereafter. Neither required revision. There was no development of osteolysis or debonding. The stem provides a reliable early fullweight bearing solution for revision THA with excellent mid-term survival in an elderly population. Even in two cases where subsidence was present, mobility was not impaired and re-revision could be avoided.<\/jats:p>","DOI":"10.4081\/or.2019.8263","type":"journal-article","created":{"date-parts":[[2019,10,3]],"date-time":"2019-10-03T08:57:51Z","timestamp":1570093071000},"source":"Crossref","is-referenced-by-count":0,"title":["Is cemented revision total hip arthroplasty a reasonable treatment option in an elderly population?"],"prefix":"10.52965","volume":"11","author":[{"given":"Philipp","family":"Born","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabella","family":"Manzoni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Ilchmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Clauss","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30777","published-online":{"date-parts":[[2019,10,2]]},"container-title":["Orthopedic Reviews"],"original-title":[],"link":[{"URL":"https:\/\/www.pagepress.org\/journals\/index.php\/or\/article\/download\/8263\/8064","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/23088-is-cemented-revision-total-hip-arthroplasty-a-reasonable-treatment-option-in-an-elderly-population.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T15:38:56Z","timestamp":1669995536000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/23088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,2]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,9,24]]}},"URL":"https:\/\/doi.org\/10.4081\/or.2019.8263","relation":{},"ISSN":["2035-8164","2035-8237"],"issn-type":[{"value":"2035-8164","type":"electronic"},{"value":"2035-8237","type":"print"}],"subject":[],"published":{"date-parts":[[2019,10,2]]}}}