Linked Life Data

11417237

Source:http://linkedlifedata.com/resource/pubmed/id/11417237

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2001-6-21
pubmed:abstractText
Between 1988 and 1999 we used the Wagner SL revision prosthesis in 99 cases. The indications were aseptic and septic loosening, periprosthetic fractures, and Girdlestone situations. These were mostly Paprosky types 2 and 3 meta- and metadiaphyseal femoral bone defects. The intervention was the first revision in 49 cases and the second or up to the sixth revision in 50 cases. A transgluteal or transfemoral approach was usually chosen. We gradually reduced the anchorage area to a length of 8-12 cm. If after the first few postoperative months an osseous integration without radiolucency is achieved, a long-lasting integration can be expected. Due to considerable subsidence during the 1st year, six stems had to be replaced. Seven additional revisions were done because of hematoma and three because of seroma. According to the survival analysis, 92% of the stems remained in place after 10 years. No revision was executed between the 5th and 10th year. At the 1-year control, 96% of the patients were pain free and 90% were satisfied. Nevertheless, 80% limped and 33% used at least one crutch. Mainly because of deterioration of general health, the walking distance was considerably reduced between the 1st and the 5th postoperative year. There is little difference in the results after revision between a relatively small and an extended defect. At present, we limit the use of the SL revision stem mainly to extended defects. Careful planning of the operation is mandatory.
pubmed:commentsCorrections
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0085-4530
pubmed:author
pubmed:issnType
Print
pubmed:volume
30
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
294-303
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2001
pubmed:articleTitle
[The value of the Wagner SL revision prosthesis for bridging large femoral defects].
pubmed:affiliation
Orthopädische Klinik, Kantonsspital Liestal, Schweiz.
pubmed:publicationType
Journal Article, English Abstract