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The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments
Background: Highly porous Trabecular Metal™ acetabular components are increasingly being used in revision hip arthroplasty as they facilitate ingrowth, provide a useful mechanism to deal with bone loss and may decrease the risk of infection. The purpose of this audit was to describe: 1) the short-te...
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| Format: | Thesis |
| Language: | English |
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Division of Orthopaedic Surgery
2021
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| _version_ | 1867613941579907072 |
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| access_status_str | Open Access |
| author | Noconjo, Lubabalo |
| author2 | Nortje, Marc |
| author_browse | Noconjo, Lubabalo Nortje, Marc |
| author_facet | Nortje, Marc Noconjo, Lubabalo |
| author_sort | Noconjo, Lubabalo |
| collection | Thesis |
| description | Background: Highly porous Trabecular Metal™ acetabular components are increasingly being used in revision hip arthroplasty as they facilitate ingrowth, provide a useful mechanism to deal with bone loss and may decrease the risk of infection. The purpose of this audit was to describe: 1) the short-term radiological outcomes of revision hip arthroplasty with Trabecular Metal™ components and augments. 2) the total number of hip arthroplasty surgeries over five years, and indications for revision. Methods: A retrospective folder and radiograph review of all patients who had revision total hip arthroplasty (THA) at a tertiary level hospital from February 2012 to February 2017 was done. Results: There were 979 THAs performed over the period – 863 (87%) primary THAs, and 116 (12%) hip revision cases performed in 107 patients. Of the 116 (107 patients) hip revisions, there were seven (6%) re-revisions in five patients. Trabecular Metal™ was used for revision in 16 hips (14 patients), which is 13.7% of the total 116 revisions. There were ten females and four males with an average age of 61 years. The average duration of follow-up in this group was 18.5 months (1.5– 39.2). In these 16 Trabecular Metal™ hips, there were three (18.7%) early failures of fixation due to technical errors. The indications for revision were aseptic loosening 67 (58.6%), septic loosening 11 (9.5%), liner wear 18 (15.5%), periprosthetic fracture five (4.3%), other 15 (13%). Conclusion: In our institution, Trabecular Metal™ revisions had a 18.7% early failure rate due to technical error. 12% of the arthroplasty is revision surgery. The indications for revision are similar to published literature. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/33918 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:44:09.047Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Division of Orthopaedic Surgery |
| publisherStr | Division of Orthopaedic Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/33918 The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments Noconjo, Lubabalo Nortje, Marc Trabecular Metal Augments Total Hip Arthroplasty Revision hip Arthroplasty Background: Highly porous Trabecular Metal™ acetabular components are increasingly being used in revision hip arthroplasty as they facilitate ingrowth, provide a useful mechanism to deal with bone loss and may decrease the risk of infection. The purpose of this audit was to describe: 1) the short-term radiological outcomes of revision hip arthroplasty with Trabecular Metal™ components and augments. 2) the total number of hip arthroplasty surgeries over five years, and indications for revision. Methods: A retrospective folder and radiograph review of all patients who had revision total hip arthroplasty (THA) at a tertiary level hospital from February 2012 to February 2017 was done. Results: There were 979 THAs performed over the period – 863 (87%) primary THAs, and 116 (12%) hip revision cases performed in 107 patients. Of the 116 (107 patients) hip revisions, there were seven (6%) re-revisions in five patients. Trabecular Metal™ was used for revision in 16 hips (14 patients), which is 13.7% of the total 116 revisions. There were ten females and four males with an average age of 61 years. The average duration of follow-up in this group was 18.5 months (1.5– 39.2). In these 16 Trabecular Metal™ hips, there were three (18.7%) early failures of fixation due to technical errors. The indications for revision were aseptic loosening 67 (58.6%), septic loosening 11 (9.5%), liner wear 18 (15.5%), periprosthetic fracture five (4.3%), other 15 (13%). Conclusion: In our institution, Trabecular Metal™ revisions had a 18.7% early failure rate due to technical error. 12% of the arthroplasty is revision surgery. The indications for revision are similar to published literature. 2021-09-15T14:10:32Z 2021-09-15T14:10:32Z 2021 2021-09-15T00:55:03Z Master Thesis Masters MMed http://hdl.handle.net/11427/33918 eng application/pdf Division of Orthopaedic Surgery Faculty of Health Sciences |
| spellingShingle | Trabecular Metal Augments Total Hip Arthroplasty Revision hip Arthroplasty Noconjo, Lubabalo The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments |
| thesis_degree_str | Master's |
| title | The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments |
| title_full | The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments |
| title_fullStr | The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments |
| title_full_unstemmed | The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments |
| title_short | The Fc Orth (SA) final examination The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments |
| title_sort | fc orth sa final examination the short term outcome of hip revision arthroplasty with trabecular metal™ components and augments |
| topic | Trabecular Metal Augments Total Hip Arthroplasty Revision hip Arthroplasty |
| url | http://hdl.handle.net/11427/33918 |
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