11.07.2015 Views

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

SHOW MORE
SHOW LESS
  • No tags were found...

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

The mean follow up was 4.2 years (3 - 8.5); 70% hips were “asymptomatic” , 22% “better” and8% “without changes or worse”. In patients older than 45 years-old, 40% were “asymptomatic”versus 77% in younger than 45 years-old (p=0.03). Mixed impingement presented 37%“asymptomatic” versus 87% in cam and 82% in pincer impingement (p=0.003). In cases withosteoarthritis, 64% were “asymptomatic” versus 79% in whose <strong>the</strong>re were not radiologicosteoarthritis (p=0.225). The risk <strong>of</strong> osteoarthritis increased when <strong>the</strong> patient was >35 years-old(p45 years-old, mixed impingement, hip osteoarthritis, labrumresection and prolonged symptomatology time.Keywords: femoroacetabular impingement, surgical dislocation <strong>of</strong> <strong>the</strong> hip, hip osteoarthritis.Poster: 9Long-Term RESULTS <strong>of</strong> WAGNER-TYPE CONICAL STEMS forCEMENTLESS FEMORAL REVISION*Roberto Binazzi - UNIVERSITY OF BOLOGNA - Bologna, ITALYAlice Bondi - ISTITUTO RIZZOLI - BOLOGNA, ITALYMassimo De Zerbi - - Ravenna,Francesco Perdisa - University <strong>of</strong> Bologna - BOLOGNA, ITALY*Email: binazzi@gmail.comLong-term results obtained with <strong>the</strong> conical tapered stem designed by Wagner for cementlesship revision were on <strong>the</strong> whole very encouraging. Neverthless we have identified some defects<strong>of</strong> <strong>the</strong> stem such as an excessive valgus neck, an insufficient <strong>of</strong>fset for larger stems and a lack<strong>of</strong> modularity, making s<strong>of</strong>t tissues tension sometimes difficult.The T3 stem was designed with <strong>the</strong> purpose <strong>of</strong> correcting <strong>the</strong>se defects. The T3 stem is made <strong>of</strong>Titanium alloy with a textured surface finish and is modular. The lateral <strong>of</strong>fset has beenincreased to 42 mm (34 mm for Wagner’s stem) and <strong>the</strong> cervico-diaphyseal angle has beenreduced from 145° to 138° degrees. Recently, <strong>the</strong> T3 stem has been substituted by <strong>the</strong>Restoration having a more varus neck (132° instead <strong>of</strong> 138°) and 3 sizes <strong>of</strong> distal stem (instead<strong>of</strong> 2). In this retrospective study we have analized <strong>the</strong> preliminary results obtained with <strong>the</strong> T3stem.We reviewed <strong>the</strong> first 30 consecutive cases having an average FU <strong>of</strong> more than 10 years.We have always used a trans-femoral approach with “prophylactic” distal cable circlage. In nocase an homologous bone graft was used. No re-revision was necessary. 87% <strong>of</strong> <strong>the</strong> femursfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!