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Revision with Cementless Acetabular ComponentsA Concise Follow-up, at a Minimum of Twenty Years, of Previous Reports*
Bryan N. Trumm, BS, DPT1; John J. Callaghan, MD1; Steve S. Liu, MD1; Devon D. Goetz, MD2; Richard C. Johnston, MD1
1 Department of Orthopaedics, University of Iowa Health Care, 200 Hawkins Drive, 01029 JPP, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan@uiowa.edu
2 Des Moines Orthopaedic Surgeons, 6001 Westown Parkway, West Des Moines, IA 50266
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Original Publications

Weber KL, Callaghan JJ, Goetz DD, Johnston RC. Revision of a failed cemented total hip prosthesis with insertion of an acetabular component without cement and a femoral component with cement. A five to eight-year follow-up study. J Bone Joint Surg Am. 1996 Jul;78(7):982-94.

Templeton JE, Callaghan JJ, Goetz DD, Sullivan PM, Johnston RC. Revision of a cemented acetabular component to a cementless acetabular component. A ten to fourteen-year follow-up study. J Bone Joint Surg Am. 2001 Nov;83-A(11):1706-11.

Investigation performed at the University of Iowa, Iowa City, and Des Moines Orthopaedic Surgeons, West Des Moines, Iowa

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Nov 07;94(21):2001-2004. doi: 10.2106/JBJS.L.00058
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The purpose of the present study was to analyze the longer-term results for a previously reported cohort of patients who were managed with cementless acetabular fixation at the time of revision arthroplasty. Sixty-one consecutive revision total hip arthroplasties were performed in fifty-five patients with use of a cementless acetabular component and screw-augmented fixation. This series was evaluated at minimum of twenty years. Twelve patients (fourteen hips) were living at twenty years. In this group of sixty-one arthroplasties, there were nineteen revisions in fourteen hips (22.9%) during the follow-up period, but no revisions were performed because of loosening of the acetabular component and no additional cups had loosened since the time of the last report at a minimum of ten years. Two components had previously been reported as loose and had migrated, but neither had been revised at the time of the latest follow-up. The minimum twenty-year follow-up of these cementless acetabular components demonstrated durable long-term fixation. The survival rate was 100% with revision of the shell because of aseptic loosening as the end point and 97.7% (95% confidence interval, ±8.8%) with radiographic evidence of loosening as the end point. The authors continue to use cementless acetabular fixation with screw augmentation for most revision total hip arthroplasty procedures.

Level of Evidence: 

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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