Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

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$Percutaneous Fixation for Pipkin type II Femoral head fracture ... - sicot$

$Tibial plateau fracture primarily treated with knee arthroplasty - sicot$

Poster Topic: Arthroplasty - Hip Abstract number: 24592 ACETABULAR RECONSTRUCTION USING REINFORCEMENT RING AND CEMENTED METAL ON METAL CUP FOR REVISION HIP ARTHROPLASTY Inder GILL, Murali KRISHNAN, Mike REED, Paul PARTINGTON Wansbeck General Hospital, Newcastle Upon Tyne (UNITED KINGDOM) Aim: To report the short to medium term results of acetabular reconstruction using reinforcement/reconstruction ring and cemented metal on metal cup. Methods: Single centre retrospective study of 6 consecutive patients. The acetabulum was reconstructed using morcellised femoral head allograft and reinforcement or reconstruction ring fixed with screws. The Birmingham cup designed for cementless fixation, was cemented into the ring. Uncemented stem with metal on metal modular head was used for reconstructing the femur. Our previous in-vitro study has shown good pull out strength of a cemented Birmingham cup.Results: There were 2 men and 4 women with a mean age of 75 years (57-83). Revision was performed for aseptic loosening in 2, septic loosening in 2 and peri-prosthetic fracture with loosening in 2 patients. All patients were reviewed at a mean of 36 months (24 - 42 months). Revision was not necessary in any patient for failure of acetabular or femoral fixation. 1 patient had revision for recurrent infection and osteomyelitis at 24 months, excluded from final analysis. The mean Harris hip score at follow up was 79(range 70-89).Radiographs revealed good graft incorporation and no signs of loosening or cup/ring migration.No dislocations or metal ion problems were recorded. Conclusions: We believe this is the first series using cemented metal on metal cups within a reinforcement/reconstruction ring for revision hip arthroplasty. Excellent cemented fixation of the cup, manufactured for cementless fixation, was obtained with no evidence of loosening or dislocations at minimum 24months follow up. 54
Poster Topic: Arthroplasty - Hip Abstract number: 24608 A FRACTURE THROUGH THE NECK OF A CHARNLEY ELITE-PLUS FEMORAL COMPONENT: A CASE REPORT Dionysios TRIGKILIDAS, Amarjit ANAND Milton Keynes Hospital, Milton Keynes (UNITED KINGDOM) Fracture of the femoral stem component, following hip arthroplasty, is an uncommon but recognised complication. Fracture of the neck of femoral stem, however, is rare with only a few cases reported in the literature. We present the first case of a fracture through the neck of a Charnley Elite Plus femoral stem and review the factors causing femoral stems to fail in this manner 55
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Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

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