Femoral Revision Using the Wagner SL Revision Stem: A Single-Surgeon Experience Featuring 11–19 Years of Follow-Up

Abstract Seventy-four revisions of the femoral component featuring placement of a Wagner stem in 74 patients operated upon between 1995 and 2003 were reviewed. Clinical evaluation, radiological assessment, and survival analysis of revision stems were conducted. The mean follow-up duration was 14.4 y...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-05, Vol.30 (5), p.827-834
Main Authors: Baktır, Ali, MD, Karaaslan, Fatih, MD, Gencer, Kürşat, MD, Karaoğlu, Sinan, MD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - instrumentation
Bone Resorption - surgery
clinical outcome
extended trochanteric osteotomy
Female
femoral revision
Femur - surgery
Follow-Up Studies
hip arthroplasty
Hip Joint - surgery
Hip Prosthesis
Humans
Joint Diseases - surgery
Male
Middle Aged
Orthopedics
Prosthesis Design
Prosthesis Failure
Reoperation
Retrospective Studies
Wagner SL Stem
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Summary:Abstract Seventy-four revisions of the femoral component featuring placement of a Wagner stem in 74 patients operated upon between 1995 and 2003 were reviewed. Clinical evaluation, radiological assessment, and survival analysis of revision stems were conducted. The mean follow-up duration was 14.4 years (range, 11 to 19 years). When failure was defined as stem removal for any reason, 4 of 64 stems had to be further revised during the follow-up period, yielding a cumulative stem survival rate of 93.8% (95% CI: 87.7% to 98.2%) at 18 years. The Wagner revision stem is an effective implant for revision hip surgery when bone stock is lacking. Use of the stem affords mechanical stability even when bone loss is massive.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.12.024