The use of a cementless tapered stem in young patients affected of secondary hip arthritis

Introduction: The Wagner cone stem was designed for uncemented hip arthroplasty in difficult proximal femoral conditions or femoral deformities. The most common indications for the use of this stem are secondary hip arthritis due to developmental hip dysplasia, septic arthritis or congenital malform...

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Autores: Llombart-Blanco, R. (Rafael)|||/items/3d6ea8d5-a0ab-4782-8a17-20cad56420cf, Cruz-Morande, S. (Sebastián)|||/items/ff19ce8c-3b81-4025-9f21-0a984b33361a, Valenti, J.R. (Juan Ramón)|||/items/54623de1-bd9f-4da1-98e6-1a16a69ea080
Tipo de recurso: artículo
Fecha de publicación:2014
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/38343
Acceso en línea:https://hdl.handle.net/10171/38343
Access Level:acceso abierto
Palabra clave:Hip arthritis
Hip arthoscopy
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spelling The use of a cementless tapered stem in young patients affected of secondary hip arthritisLlombart-Blanco, R. (Rafael)|||/items/3d6ea8d5-a0ab-4782-8a17-20cad56420cfCruz-Morande, S. (Sebastián)|||/items/ff19ce8c-3b81-4025-9f21-0a984b33361aValenti, J.R. (Juan Ramón)|||/items/54623de1-bd9f-4da1-98e6-1a16a69ea080Hip arthritisHip arthoscopyIntroduction: The Wagner cone stem was designed for uncemented hip arthroplasty in difficult proximal femoral conditions or femoral deformities. The most common indications for the use of this stem are secondary hip arthritis due to developmental hip dysplasia, septic arthritis or congenital malformations. We present a case series of patients that underwent hip arthroplasty with the use of a Wagner cone stem. Materials and methods: A retrospective chart review of 17 patients (15 women and 2 men) was performed with a mean age of 39 (25-62). Clinical evaluation was rated with the Merlé D´Aubigné score. Radiographic evaluation consisted in antero posterior and axial views of the hip. One patient was operated bilaterally, with a total of 18 hips operated, and mean follow up of 8 years (5-12). Results: Diagnosis of secondary arthritis was: developmental hip dysplasia in 12 patients, septic arthritis sequelae in 3 patients and other causes of hip arthritis in 3 patients. Average Merlé-D´Aubigné score was 9,9 (8-13) preoperatively and 16,10 (13-18) at last follow-up. One patient presented crural nerve paresia after surgery, which was recovered completely and one stem was reviewed due to aseptic loosening. Discussion: The Wagner cone stem has successfully resolved cases with abnormalities in the proximal femur in patients with secondary hip arthritis. Although this procedure is not exempt of complications, it has shown good stability which translates into good results in the medium to long term.OMICS InternationalDadun. Depósito Académico Digital Universidad de Navarra20152015-05-1820142014-01-0120142014-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/38343reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/383432026-06-21T12:47:57Z
dc.title.none.fl_str_mv The use of a cementless tapered stem in young patients affected of secondary hip arthritis
title The use of a cementless tapered stem in young patients affected of secondary hip arthritis
spellingShingle The use of a cementless tapered stem in young patients affected of secondary hip arthritis
Llombart-Blanco, R. (Rafael)|||/items/3d6ea8d5-a0ab-4782-8a17-20cad56420cf
Hip arthritis
Hip arthoscopy
title_short The use of a cementless tapered stem in young patients affected of secondary hip arthritis
title_full The use of a cementless tapered stem in young patients affected of secondary hip arthritis
title_fullStr The use of a cementless tapered stem in young patients affected of secondary hip arthritis
title_full_unstemmed The use of a cementless tapered stem in young patients affected of secondary hip arthritis
title_sort The use of a cementless tapered stem in young patients affected of secondary hip arthritis
dc.creator.none.fl_str_mv Llombart-Blanco, R. (Rafael)|||/items/3d6ea8d5-a0ab-4782-8a17-20cad56420cf
Cruz-Morande, S. (Sebastián)|||/items/ff19ce8c-3b81-4025-9f21-0a984b33361a
Valenti, J.R. (Juan Ramón)|||/items/54623de1-bd9f-4da1-98e6-1a16a69ea080
author Llombart-Blanco, R. (Rafael)|||/items/3d6ea8d5-a0ab-4782-8a17-20cad56420cf
author_facet Llombart-Blanco, R. (Rafael)|||/items/3d6ea8d5-a0ab-4782-8a17-20cad56420cf
Cruz-Morande, S. (Sebastián)|||/items/ff19ce8c-3b81-4025-9f21-0a984b33361a
Valenti, J.R. (Juan Ramón)|||/items/54623de1-bd9f-4da1-98e6-1a16a69ea080
author_role author
author2 Cruz-Morande, S. (Sebastián)|||/items/ff19ce8c-3b81-4025-9f21-0a984b33361a
Valenti, J.R. (Juan Ramón)|||/items/54623de1-bd9f-4da1-98e6-1a16a69ea080
author2_role author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv Hip arthritis
Hip arthoscopy
topic Hip arthritis
Hip arthoscopy
description Introduction: The Wagner cone stem was designed for uncemented hip arthroplasty in difficult proximal femoral conditions or femoral deformities. The most common indications for the use of this stem are secondary hip arthritis due to developmental hip dysplasia, septic arthritis or congenital malformations. We present a case series of patients that underwent hip arthroplasty with the use of a Wagner cone stem. Materials and methods: A retrospective chart review of 17 patients (15 women and 2 men) was performed with a mean age of 39 (25-62). Clinical evaluation was rated with the Merlé D´Aubigné score. Radiographic evaluation consisted in antero posterior and axial views of the hip. One patient was operated bilaterally, with a total of 18 hips operated, and mean follow up of 8 years (5-12). Results: Diagnosis of secondary arthritis was: developmental hip dysplasia in 12 patients, septic arthritis sequelae in 3 patients and other causes of hip arthritis in 3 patients. Average Merlé-D´Aubigné score was 9,9 (8-13) preoperatively and 16,10 (13-18) at last follow-up. One patient presented crural nerve paresia after surgery, which was recovered completely and one stem was reviewed due to aseptic loosening. Discussion: The Wagner cone stem has successfully resolved cases with abnormalities in the proximal femur in patients with secondary hip arthritis. Although this procedure is not exempt of complications, it has shown good stability which translates into good results in the medium to long term.
publishDate 2014
dc.date.none.fl_str_mv 2014
2014-01-01
2014
2014-01-01
2015
2015-05-18
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/38343
url https://hdl.handle.net/10171/38343
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv OMICS International
publisher.none.fl_str_mv OMICS International
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
repository.name.fl_str_mv
repository.mail.fl_str_mv
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