Vástagos monobloque de recubrimiento completo en cirugía de revisión femoral. Resultados a largo plazo de 80 casos.
NAGIOS: RODERIC FUNCIONANDO

Vástagos monobloque de recubrimiento completo en cirugía de revisión femoral. Resultados a largo plazo de 80 casos.

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Vástagos monobloque de recubrimiento completo en cirugía de revisión femoral. Resultados a largo plazo de 80 casos.

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dc.contributor.author Diranzo García, J. es
dc.contributor.author Hernández Ferrando, L. es
dc.contributor.author Estrems Díaz, V. es
dc.contributor.author Castillo Ruiperez, L. es
dc.contributor.author Zarzuela Sánchez, V. es
dc.contributor.author Brú Pomer, Antonio es
dc.date.accessioned 2019-04-15T10:34:29Z
dc.date.available 2019-04-15T10:34:29Z
dc.date.issued 2019 es
dc.identifier.uri http://hdl.handle.net/10550/69947
dc.description.abstract Bone stock lost and anatomical changes in the proximal femur make femoral revision surgery a complex procedure where the implant chooses will be essential. With the aim of evaluating the clinical and radiological results of the fully coated monoblock stems, we retrospectively studied 80 consecutive cases of femoral revision surgery operated by our hip team. The mean follow-up was 8.6 years. The average score on the Harris Hip Score was 81,2 points. We achieved better results in patients with less bone defects (Paprosky I, II and IIIA) in contrast to those with Paprosky type IIIB defects (p=0.005), in patients with a single previous surgery (p=0.031), in patients under 65 years (p=0.009) and in those who did not suffer complications (p=0.024). The survival rate was 96.1% at 10 years if we consider as failure the removal of the stem due to aseptic loosening and 89.9% if we consider revision of the stem as a failure due to any cause. After the results obtained, we think that fully coated stems provide a solid and stable fixation in femoral revision surgery. However, worst results obtained in patients with bigger bone defects make other options to be considered. es
dc.source Diranzo García, J. ; Hernández Ferrando, L. ; Estrems Díaz, V. ; Castillo Ruiperez, L. ; Zarzuela Sánchez, V. ; Brú Pomer, Antonio. Vástagos monobloque de recubrimiento completo en cirugía de revisión femoral. Resultados a largo plazo de 80 casos.. En: Revista española de cirugía osteoarticular, 53 275 2019: 108-114 es
dc.title Vástagos monobloque de recubrimiento completo en cirugía de revisión femoral. Resultados a largo plazo de 80 casos. es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi es

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