Fashioning of an anterolateral femoral bony lid for revision hip arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-09

AUTHORS

Wolfram Thomas, Sascha Thomas, Luca Lucente

ABSTRACT

ObjectiveSafe removal of a loosened or broken femoral stem together with cement particles and soft tissues. Preparation of the implant bed under direct vision and exact fitting of the new stem. Restoration of pain-free hip motion.IndicationsExchange of loosened or broken femoral stem, its simple extraction being impossible or fraught with complications and time-consuming.ContraindicationsExchange procedures that can be performed without resorting to an anterolateral bony lid.Surgical TechniqueAnterolateral approach over the extent of the femoral stem plus cement plug. Fashioning of an anterolateral bony lid (approximately one third of the shaft circumference). The remaining part of the lateral cortex remains undisturbed. If at all possible, a proximal bony ring should be preserved. Distal part of the lid is shaped like a keel. Removal of stem, cement, granulation tissue, and necrotic bone. Reconstruction of the bed for the new femoral stem. All bony cavities are cleaned with a burr and filled with autogenous or allogenic bone. Insertion of revision stem protruding proximally by 1 cm. Closure of the lid. Stabilization with three cerclage wires. Final stable seating of the stem by gentle hammer blows.ResultsThis approach was used in 49 patients (average age 65 years [26–98 years]). Two patients died of unrelated causes, two could not be reached. The remaining 30 women and 15 men were followed up for 8.4 years (1–14 years). The average Harris hip score improved from 36 to 84 points. All osteotomies consolidated. More... »

PAGES

210-219

References to SciGraph publications

  • 1999-12. The transfemoral approach for revision of total hip replacement in ORTHOPAEDICS & TRAUMATOLOGY SURGERY & RESEARCH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00065-002-1050-z

    DOI

    http://dx.doi.org/10.1007/s00065-002-1050-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1021125197


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/09", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Engineering", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/0903", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Biomedical Engineering", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Clinical Sciences", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Clinica Quisisana-Orthopedia, Via G.-G. Porro 5, 00197, Rome, Italy", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Clinica Quisisana-Orthopedia, Via G.-G. Porro 5, 00197, Rome, Italy"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Thomas", 
            "givenName": "Wolfram", 
            "id": "sg:person.01230721752.99", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01230721752.99"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Orthopedia Department, Krankenhaus der Barmherzigen Br\u00fcder, Munich, Germany", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Orthopedia Department, Krankenhaus der Barmherzigen Br\u00fcder, Munich, Germany"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Thomas", 
            "givenName": "Sascha", 
            "id": "sg:person.011643716357.26", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011643716357.26"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Clinica Quisisana-Orthopedia, Via G.-G. Porro 5, 00197, Rome, Italy", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Clinica Quisisana-Orthopedia, Via G.-G. Porro 5, 00197, Rome, Italy"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Lucente", 
            "givenName": "Luca", 
            "id": "sg:person.011434303421.43", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011434303421.43"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1007/bf03180945", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085991475", 
              "https://doi.org/10.1007/bf03180945"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2002-09", 
        "datePublishedReg": "2002-09-01", 
        "description": "ObjectiveSafe removal of a loosened or broken femoral stem together with cement particles and soft tissues. Preparation of the implant bed under direct vision and exact fitting of the new stem. Restoration of pain-free hip motion.IndicationsExchange of loosened or broken femoral stem, its simple extraction being impossible or fraught with complications and time-consuming.ContraindicationsExchange procedures that can be performed without resorting to an anterolateral bony lid.Surgical TechniqueAnterolateral approach over the extent of the femoral stem plus cement plug. Fashioning of an anterolateral bony lid (approximately one third of the shaft circumference). The remaining part of the lateral cortex remains undisturbed. If at all possible, a proximal bony ring should be preserved. Distal part of the lid is shaped like a keel. Removal of stem, cement, granulation tissue, and necrotic bone. Reconstruction of the bed for the new femoral stem. All bony cavities are cleaned with a burr and filled with autogenous or allogenic bone. Insertion of revision stem protruding proximally by 1 cm. Closure of the lid. Stabilization with three cerclage wires. Final stable seating of the stem by gentle hammer blows.ResultsThis approach was used in 49 patients (average age 65 years [26\u201398 years]). Two patients died of unrelated causes, two could not be reached. The remaining 30 women and 15 men were followed up for 8.4 years (1\u201314 years). The average Harris hip score improved from 36 to 84 points. All osteotomies consolidated.", 
        "genre": "article", 
        "id": "sg:pub.10.1007/s00065-002-1050-z", 
        "inLanguage": "en", 
        "isAccessibleForFree": false, 
        "isPartOf": [
          {
            "id": "sg:journal.1041017", 
            "issn": [
              "0941-2530", 
              "1617-3538"
            ], 
            "name": "Orthopaedics & Traumatology Surgery & Research", 
            "publisher": "Springer Nature", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "3", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "10"
          }
        ], 
        "keywords": [
          "bony lid", 
          "femoral stem", 
          "average Harris hip score", 
          "Harris hip score", 
          "revision hip arthroplasty", 
          "unrelated causes", 
          "hip score", 
          "necrotic bone", 
          "hip arthroplasty", 
          "direct vision", 
          "lateral cortex", 
          "cerclage wires", 
          "hip motion", 
          "granulation tissue", 
          "allogenic bone", 
          "revision stem", 
          "bony cavity", 
          "soft tissue", 
          "implant bed", 
          "distal part", 
          "patients", 
          "bony ring", 
          "bone", 
          "tissue", 
          "ResultsThis approach", 
          "complications", 
          "arthroplasty", 
          "osteotomy", 
          "cortex", 
          "women", 
          "cement particles", 
          "men", 
          "scores", 
          "cause", 
          "lid", 
          "cement plug", 
          "hammer blows", 
          "years", 
          "closure", 
          "stem", 
          "removal", 
          "restoration", 
          "insertion", 
          "seating", 
          "cavity", 
          "simple extraction", 
          "procedure", 
          "bed", 
          "cement", 
          "reconstruction", 
          "extent", 
          "part", 
          "wire", 
          "vision", 
          "burr", 
          "preparation", 
          "particles", 
          "plug", 
          "motion", 
          "stabilization", 
          "approach", 
          "extraction", 
          "point", 
          "fitting", 
          "blow", 
          "new stems", 
          "exact fitting", 
          "keel", 
          "removal of stem", 
          "ring"
        ], 
        "name": "Fashioning of an anterolateral femoral bony lid for revision hip arthroplasty", 
        "pagination": "210-219", 
        "productId": [
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1021125197"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1007/s00065-002-1050-z"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1007/s00065-002-1050-z", 
          "https://app.dimensions.ai/details/publication/pub.1021125197"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2022-05-10T09:52", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-springernature-scigraph/baseset/20220509/entities/gbq_results/article/article_349.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://doi.org/10.1007/s00065-002-1050-z"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00065-002-1050-z'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00065-002-1050-z'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00065-002-1050-z'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00065-002-1050-z'


     

    This table displays all metadata directly associated to this object as RDF triples.

    156 TRIPLES      22 PREDICATES      99 URIs      88 LITERALS      6 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1007/s00065-002-1050-z schema:about anzsrc-for:09
    2 anzsrc-for:0903
    3 anzsrc-for:11
    4 anzsrc-for:1103
    5 schema:author N45655a433fa345d7a3030adb1d607a0e
    6 schema:citation sg:pub.10.1007/bf03180945
    7 schema:datePublished 2002-09
    8 schema:datePublishedReg 2002-09-01
    9 schema:description ObjectiveSafe removal of a loosened or broken femoral stem together with cement particles and soft tissues. Preparation of the implant bed under direct vision and exact fitting of the new stem. Restoration of pain-free hip motion.IndicationsExchange of loosened or broken femoral stem, its simple extraction being impossible or fraught with complications and time-consuming.ContraindicationsExchange procedures that can be performed without resorting to an anterolateral bony lid.Surgical TechniqueAnterolateral approach over the extent of the femoral stem plus cement plug. Fashioning of an anterolateral bony lid (approximately one third of the shaft circumference). The remaining part of the lateral cortex remains undisturbed. If at all possible, a proximal bony ring should be preserved. Distal part of the lid is shaped like a keel. Removal of stem, cement, granulation tissue, and necrotic bone. Reconstruction of the bed for the new femoral stem. All bony cavities are cleaned with a burr and filled with autogenous or allogenic bone. Insertion of revision stem protruding proximally by 1 cm. Closure of the lid. Stabilization with three cerclage wires. Final stable seating of the stem by gentle hammer blows.ResultsThis approach was used in 49 patients (average age 65 years [26–98 years]). Two patients died of unrelated causes, two could not be reached. The remaining 30 women and 15 men were followed up for 8.4 years (1–14 years). The average Harris hip score improved from 36 to 84 points. All osteotomies consolidated.
    10 schema:genre article
    11 schema:inLanguage en
    12 schema:isAccessibleForFree false
    13 schema:isPartOf N1245414700324e80a63e980c2226349f
    14 N3a3140f28eeb40b1ab6898fe3c252b0d
    15 sg:journal.1041017
    16 schema:keywords Harris hip score
    17 ResultsThis approach
    18 allogenic bone
    19 approach
    20 arthroplasty
    21 average Harris hip score
    22 bed
    23 blow
    24 bone
    25 bony cavity
    26 bony lid
    27 bony ring
    28 burr
    29 cause
    30 cavity
    31 cement
    32 cement particles
    33 cement plug
    34 cerclage wires
    35 closure
    36 complications
    37 cortex
    38 direct vision
    39 distal part
    40 exact fitting
    41 extent
    42 extraction
    43 femoral stem
    44 fitting
    45 granulation tissue
    46 hammer blows
    47 hip arthroplasty
    48 hip motion
    49 hip score
    50 implant bed
    51 insertion
    52 keel
    53 lateral cortex
    54 lid
    55 men
    56 motion
    57 necrotic bone
    58 new stems
    59 osteotomy
    60 part
    61 particles
    62 patients
    63 plug
    64 point
    65 preparation
    66 procedure
    67 reconstruction
    68 removal
    69 removal of stem
    70 restoration
    71 revision hip arthroplasty
    72 revision stem
    73 ring
    74 scores
    75 seating
    76 simple extraction
    77 soft tissue
    78 stabilization
    79 stem
    80 tissue
    81 unrelated causes
    82 vision
    83 wire
    84 women
    85 years
    86 schema:name Fashioning of an anterolateral femoral bony lid for revision hip arthroplasty
    87 schema:pagination 210-219
    88 schema:productId Nda9b372be70b470383587ff2f1edb851
    89 Nf0dc8ddabb9347c59e0234029d721f57
    90 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021125197
    91 https://doi.org/10.1007/s00065-002-1050-z
    92 schema:sdDatePublished 2022-05-10T09:52
    93 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    94 schema:sdPublisher N090c683f5fe749e5ad52e80a6b396601
    95 schema:url https://doi.org/10.1007/s00065-002-1050-z
    96 sgo:license sg:explorer/license/
    97 sgo:sdDataset articles
    98 rdf:type schema:ScholarlyArticle
    99 N090c683f5fe749e5ad52e80a6b396601 schema:name Springer Nature - SN SciGraph project
    100 rdf:type schema:Organization
    101 N1245414700324e80a63e980c2226349f schema:issueNumber 3
    102 rdf:type schema:PublicationIssue
    103 N1eb82c9ac9924a0d8b07aa10dec251ea rdf:first sg:person.011434303421.43
    104 rdf:rest rdf:nil
    105 N3a3140f28eeb40b1ab6898fe3c252b0d schema:volumeNumber 10
    106 rdf:type schema:PublicationVolume
    107 N45655a433fa345d7a3030adb1d607a0e rdf:first sg:person.01230721752.99
    108 rdf:rest Nbf67e4adf08940469e31155a322de4a4
    109 Nbf67e4adf08940469e31155a322de4a4 rdf:first sg:person.011643716357.26
    110 rdf:rest N1eb82c9ac9924a0d8b07aa10dec251ea
    111 Nda9b372be70b470383587ff2f1edb851 schema:name dimensions_id
    112 schema:value pub.1021125197
    113 rdf:type schema:PropertyValue
    114 Nf0dc8ddabb9347c59e0234029d721f57 schema:name doi
    115 schema:value 10.1007/s00065-002-1050-z
    116 rdf:type schema:PropertyValue
    117 anzsrc-for:09 schema:inDefinedTermSet anzsrc-for:
    118 schema:name Engineering
    119 rdf:type schema:DefinedTerm
    120 anzsrc-for:0903 schema:inDefinedTermSet anzsrc-for:
    121 schema:name Biomedical Engineering
    122 rdf:type schema:DefinedTerm
    123 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    124 schema:name Medical and Health Sciences
    125 rdf:type schema:DefinedTerm
    126 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
    127 schema:name Clinical Sciences
    128 rdf:type schema:DefinedTerm
    129 sg:journal.1041017 schema:issn 0941-2530
    130 1617-3538
    131 schema:name Orthopaedics & Traumatology Surgery & Research
    132 schema:publisher Springer Nature
    133 rdf:type schema:Periodical
    134 sg:person.011434303421.43 schema:affiliation grid-institutes:None
    135 schema:familyName Lucente
    136 schema:givenName Luca
    137 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011434303421.43
    138 rdf:type schema:Person
    139 sg:person.011643716357.26 schema:affiliation grid-institutes:None
    140 schema:familyName Thomas
    141 schema:givenName Sascha
    142 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011643716357.26
    143 rdf:type schema:Person
    144 sg:person.01230721752.99 schema:affiliation grid-institutes:None
    145 schema:familyName Thomas
    146 schema:givenName Wolfram
    147 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01230721752.99
    148 rdf:type schema:Person
    149 sg:pub.10.1007/bf03180945 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085991475
    150 https://doi.org/10.1007/bf03180945
    151 rdf:type schema:CreativeWork
    152 grid-institutes:None schema:alternateName Clinica Quisisana-Orthopedia, Via G.-G. Porro 5, 00197, Rome, Italy
    153 Orthopedia Department, Krankenhaus der Barmherzigen Brüder, Munich, Germany
    154 schema:name Clinica Quisisana-Orthopedia, Via G.-G. Porro 5, 00197, Rome, Italy
    155 Orthopedia Department, Krankenhaus der Barmherzigen Brüder, Munich, Germany
    156 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...