1990 Volume 39 Issue 1 Pages 152-155
Revision using bipolar prosthesis with bone-graft was performed in two cases of deep infection and one case of aseptic loosening after prosthesis replacement of cemented total hip arthroplasties.
The patients are two males and one female.
Deep infection was treated by removing prosthesis, currettage of the joint and femoral medullary canal and continuous irrigation for three weeks. Revision was secondarily carried out after eight months in one case and eleven weeks in another. No inflammatory symtoms are checked after two years postoperatively and result of revision is good. The patient who received cemented total hip arthroplasty for osteoarthritis of the hip joint seventeen years ago experienced one revision before visiting our clinic. X-ray showed aseptic loosening and destruction of the acetabulum. Bipolar prosthesis replacement and bone-grafting in the acetabulum were performed.
Eight months postoperatively the follow-up study showed good results.
