Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/108637 https://doi.org/10.1016/j.ijscr.2015.12.008 |
Resumo: | INTRODUCTION: Lord total hip prosthesis was discontinued due to high revision rates of the smooththreaded acetabular component and negative effects of stress shielding in the proximal femur.PRESENTATION OF CASE: We report the outcome of a Lord cementless femoral stem, in a 55-year-oldwoman. In 1984, the patient underwent a Lord total hip arthroplasty for the treatment of advanced dys-plastic osteoarthritis of the left hip. After 12 years, the cementless acetabular component of the prosthesishad been revised due to aseptic loosening. An acetabular metallic support ring and a cemented polyethy-lene cup were implanted, the femoral stem was not changed. The acetabular bone loss was reconstructedwith morsellised cancellous bone allografts by the impacting technique. No complications were reportedduring the period of 19 years of the postoperative course. At the last clinical and radiological evaluations,the patient presented an asymptomatic hip and expressed high degree of satisfaction with the surgeryresult. The femoral stem was stable, with no measurable subsidence or radiolucent lines around the stem.DISCUSSION: Several reports have presented a high clinical success rate with the fully-porous-coated Lordfemoral stem in both primary and revision cases. However, the long-term results showed a substantialrate of proximal femoral bone loss and thigh pain.CONCLUSION: In our case, the Lord stem showed an excellent long-term result at the 31-year follow-up. To our knowledge, there is no published report with results of the Lord stem longer than 26-year’sfollow-up. |
id |
RCAP_93bbbf9ab9a791b4c1cecd8205bdb830 |
---|---|
oai_identifier_str |
oai:estudogeral.uc.pt:10316/108637 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case reportLord total hip prosthesisLord femoral stemLong-term resultINTRODUCTION: Lord total hip prosthesis was discontinued due to high revision rates of the smooththreaded acetabular component and negative effects of stress shielding in the proximal femur.PRESENTATION OF CASE: We report the outcome of a Lord cementless femoral stem, in a 55-year-oldwoman. In 1984, the patient underwent a Lord total hip arthroplasty for the treatment of advanced dys-plastic osteoarthritis of the left hip. After 12 years, the cementless acetabular component of the prosthesishad been revised due to aseptic loosening. An acetabular metallic support ring and a cemented polyethy-lene cup were implanted, the femoral stem was not changed. The acetabular bone loss was reconstructedwith morsellised cancellous bone allografts by the impacting technique. No complications were reportedduring the period of 19 years of the postoperative course. At the last clinical and radiological evaluations,the patient presented an asymptomatic hip and expressed high degree of satisfaction with the surgeryresult. The femoral stem was stable, with no measurable subsidence or radiolucent lines around the stem.DISCUSSION: Several reports have presented a high clinical success rate with the fully-porous-coated Lordfemoral stem in both primary and revision cases. However, the long-term results showed a substantialrate of proximal femoral bone loss and thigh pain.CONCLUSION: In our case, the Lord stem showed an excellent long-term result at the 31-year follow-up. To our knowledge, there is no published report with results of the Lord stem longer than 26-year’sfollow-up.Elsevier2016info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/108637http://hdl.handle.net/10316/108637https://doi.org/10.1016/j.ijscr.2015.12.008eng2210-2612Judas, Fernando M.Ferreira, Joana FonsecaDias, Rui FreitasLucas, Francisco M.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-09-06T09:18:35Zoai:estudogeral.uc.pt:10316/108637Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:24:55.430760Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report |
title |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report |
spellingShingle |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report Judas, Fernando M. Lord total hip prosthesis Lord femoral stem Long-term result |
title_short |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report |
title_full |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report |
title_fullStr |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report |
title_full_unstemmed |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report |
title_sort |
Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in a total hip arthroplasty: A case report |
author |
Judas, Fernando M. |
author_facet |
Judas, Fernando M. Ferreira, Joana Fonseca Dias, Rui Freitas Lucas, Francisco M. |
author_role |
author |
author2 |
Ferreira, Joana Fonseca Dias, Rui Freitas Lucas, Francisco M. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Judas, Fernando M. Ferreira, Joana Fonseca Dias, Rui Freitas Lucas, Francisco M. |
dc.subject.por.fl_str_mv |
Lord total hip prosthesis Lord femoral stem Long-term result |
topic |
Lord total hip prosthesis Lord femoral stem Long-term result |
description |
INTRODUCTION: Lord total hip prosthesis was discontinued due to high revision rates of the smooththreaded acetabular component and negative effects of stress shielding in the proximal femur.PRESENTATION OF CASE: We report the outcome of a Lord cementless femoral stem, in a 55-year-oldwoman. In 1984, the patient underwent a Lord total hip arthroplasty for the treatment of advanced dys-plastic osteoarthritis of the left hip. After 12 years, the cementless acetabular component of the prosthesishad been revised due to aseptic loosening. An acetabular metallic support ring and a cemented polyethy-lene cup were implanted, the femoral stem was not changed. The acetabular bone loss was reconstructedwith morsellised cancellous bone allografts by the impacting technique. No complications were reportedduring the period of 19 years of the postoperative course. At the last clinical and radiological evaluations,the patient presented an asymptomatic hip and expressed high degree of satisfaction with the surgeryresult. The femoral stem was stable, with no measurable subsidence or radiolucent lines around the stem.DISCUSSION: Several reports have presented a high clinical success rate with the fully-porous-coated Lordfemoral stem in both primary and revision cases. However, the long-term results showed a substantialrate of proximal femoral bone loss and thigh pain.CONCLUSION: In our case, the Lord stem showed an excellent long-term result at the 31-year follow-up. To our knowledge, there is no published report with results of the Lord stem longer than 26-year’sfollow-up. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/108637 http://hdl.handle.net/10316/108637 https://doi.org/10.1016/j.ijscr.2015.12.008 |
url |
http://hdl.handle.net/10316/108637 https://doi.org/10.1016/j.ijscr.2015.12.008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2210-2612 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799134132742127616 |