exeter short revision stem (Howmedica)
Structured Review

Exeter Short Revision Stem, supplied by Howmedica, used in various techniques. Bioz Stars score: 90/100, based on 1 PubMed citations. ZERO BIAS - scores, article reviews, protocol conditions and more
https://www.bioz.com/product/exeter+short+revision+stem/exeter+stem/pmc06985006-187-91-95
Average 90 stars, based on 1 article reviews
Images
1) Product Images from "Cement-in-cement revision with the Exeter Short Revision Stem: A review of 50 consecutive hips"
Article Title: Cement-in-cement revision with the Exeter Short Revision Stem: A review of 50 consecutive hips
Journal: Journal of Clinical Orthopaedics and Trauma
doi: 10.1016/j.jcot.2019.04.002
Figure Legend Snippet: Summary of cement-in-cement studies.
Techniques Used: Infection, Activity Assay, Migration, Isolation
Related Articles
Activity Assay:Article Title: Cement-in-cement revision with the Exeter Short Revision Stem: A review of 50 consecutive hips Article Snippet: Standard Exeter stems [5] CDH Exeter stems [7] Long stainless steel Exeter stem [1] (Stryker Ltd, Newbury, United Kingdom) CPT stainless steel hemi stem [1] Standard stainless steel CPT stems [3] Petite stainless steel CPT stems [2] Standard cobalt-chrome CPT stems [4] (Zimmer, Warsaw, Ind) Survivorship Rate Not reported Revisions 1 (4.3%) Periprosthetic fracture 1 (4.3%) Acetabular component loosening (stem not revised) Aseptic Loosening Femur None Outcome Scores Median HHS 61 Other Complications 1 (4.3%) Periprosthetic fracture 1 (4.3%) Acetabular component loosening (stem not revised) Goto et al. 2008 6 44 61 (24–121) THR acetabular loosening (91%) Bipolar hemi head penetration (9%) HS (physio-hip-system) type 6 [30] KC [7] PHS type 7 [3] HS-3 [4] All titanium alloy (Japan Medical Materials, Osaka, Japan) Survivorship Rate 71.5% five years, 53.5% ten years using appearance of 1 mm width radiolucent line in any zone as endpoint Revisions 1 (2.3%) femoral loosening/periprosthetic fracture Aseptic Loosening Femur 1 (2.3%) Outcome Scores Mean JOA 77.8 Complications Peri-operative fracture: 10 (22.7%); (9 greater trochanter, 1 proximal perforation) Dislocation: 3 (6.8%) Heterotopic ossification: 1 (2.3%) Briant-Evans et al. 2009 22 23 36 (3.6–108) Periprosthetic fracture Exeter polished tapered stem (Stryker Ltd, Newbury, United Kingdom) Survivorship Rate Not reported Revisions 1 (4.3%) Non-union resulting in periprosthetic fracture Aseptic Loosening Femur None Outcome Scores Not reported Other Complications 1 (4.3%) non-union Duncan et al. 2009 16 136 96 (40–180) Acetabular component failure/loosening (75%) Recurrent dis- location/Subluxation (15%) Sepsis (6%) Access for removal of ectopic bone in (2%) Periprosthetic fracture in (2%) Exeter polished stems (Stryker Howmedica, Newbury, United Kingdom) [133] Charnley (DePuy, Leeds, United Kingdom) [1] McKee- Arden (Deloro Surgical, Swindon, United Kingdom) [1] Muller (Zimmer, Warsaw, Indiana) [1] Survivorship Rate Survival rate for revision for all causes at nine years was 92.0% Revisions 35 hips (25.7%): Failure of the acetabular component 26 (19.1%), sepsis in 4 (2.9%), instability in 3 (2.2%), femoral fracture in 1 (0.7%) and stem fracture in 1 (0.7%). .. Aseptic Loosening Femur None Outcome Scores Median HHS: Pain 40.0, Function 28.0, Median OHS 33.5 Median Charnley: Pain 6.0, Function 3.0, Range Of Movement 5.0 Other Complications 2 (1.5%) Femoral perforation 1 (0.7%) Stem fracture (Charnley stem) 4 (2.9%) Deep infections (2 two stage revisions, 1 girdlestone) 3 (2.2%) Dislocations 1 (0.7%) Periprosthetic femoral fracture te Stroet et al. 2014 8 24 72 (60–84) Aseptic loosening (45.8%) Early proximal loosening observed during acetabular revision (20.8%) Recurrent dislocation (12.5%) Femoral stem fracture (8.3%) Version/offset alteration (8.3%) Monobloc with damaged head exchange (4.2%) Article Title: Cement-in-cement revision with the Exeter Short Revision Stem: A review of 50 consecutive hips Article Snippet: Duncan et al. 2009 16 , 136 , 96 (40–180) , Acetabular component failure/loosening (75%) Recurrent dis- location/Subluxation (15%) Sepsis (6%) Access for removal of ectopic bone in (2%) Periprosthetic fracture in (2%) , Exeter polished stems (Stryker Howmedica, Newbury, United Kingdom) [133] Charnley (DePuy, Leeds, United Kingdom) [1] McKee- Arden (Deloro Surgical, Swindon, United Kingdom) [1] Muller (Zimmer, Warsaw, Indiana) [1] , Survivorship Rate Survival rate for revision for all causes at nine years was 92.0% Revisions 35 hips (25.7%): Failure of the acetabular component 26 (19.1%), sepsis in 4 (2.9%), instability in 3 (2.2%), femoral fracture in 1 (0.7%) and stem fracture in 1 (0.7%). Aseptic Loosening Femur None Outcome Scores Median HHS: Pain 40.0, Function 28.0, Median OHS 33.5 Median Charnley: Pain 6.0, Function 3.0, Range Of Movement 5.0 Other Complications 2 (1.5%) Femoral perforation 1 (0.7%) Stem fracture (Charnley stem) 4 (2.9%) Deep infections (2 two stage revisions, 1 girdlestone) 3 (2.2%) Dislocations 1 (0.7%) Periprosthetic femoral fracture. .. te Stroet et al. 2014 8 , 24 , 72 (60–84) , Aseptic loosening (45.8%) Early proximal loosening observed during acetabular revision (20.8%) Recurrent dislocation (12.5%) Femoral stem fracture (8.3%) Version/offset alteration (8.3%) Monobloc with damaged head exchange (4.2%) , Infection:Article Title: Cement-in-cement revision with the Exeter Short Revision Stem: A review of 50 consecutive hips Article Snippet: Standard Exeter stems [5] CDH Exeter stems [7] Long stainless steel Exeter stem [1] (Stryker Ltd, Newbury, United Kingdom) CPT stainless steel hemi stem [1] Standard stainless steel CPT stems [3] Petite stainless steel CPT stems [2] Standard cobalt-chrome CPT stems [4] (Zimmer, Warsaw, Ind) Survivorship Rate Not reported Revisions 1 (4.3%) Periprosthetic fracture 1 (4.3%) Acetabular component loosening (stem not revised) Aseptic Loosening Femur None Outcome Scores Median HHS 61 Other Complications 1 (4.3%) Periprosthetic fracture 1 (4.3%) Acetabular component loosening (stem not revised) Goto et al. 2008 6 44 61 (24–121) THR acetabular loosening (91%) Bipolar hemi head penetration (9%) HS (physio-hip-system) type 6 [30] KC [7] PHS type 7 [3] HS-3 [4] All titanium alloy (Japan Medical Materials, Osaka, Japan) Survivorship Rate 71.5% five years, 53.5% ten years using appearance of 1 mm width radiolucent line in any zone as endpoint Revisions 1 (2.3%) femoral loosening/periprosthetic fracture Aseptic Loosening Femur 1 (2.3%) Outcome Scores Mean JOA 77.8 Complications Peri-operative fracture: 10 (22.7%); (9 greater trochanter, 1 proximal perforation) Dislocation: 3 (6.8%) Heterotopic ossification: 1 (2.3%) Briant-Evans et al. 2009 22 23 36 (3.6–108) Periprosthetic fracture Exeter polished tapered stem (Stryker Ltd, Newbury, United Kingdom) Survivorship Rate Not reported Revisions 1 (4.3%) Non-union resulting in periprosthetic fracture Aseptic Loosening Femur None Outcome Scores Not reported Other Complications 1 (4.3%) non-union Duncan et al. 2009 16 136 96 (40–180) Acetabular component failure/loosening (75%) Recurrent dis- location/Subluxation (15%) Sepsis (6%) Access for removal of ectopic bone in (2%) Periprosthetic fracture in (2%) Exeter polished stems (Stryker Howmedica, Newbury, United Kingdom) [133] Charnley (DePuy, Leeds, United Kingdom) [1] McKee- Arden (Deloro Surgical, Swindon, United Kingdom) [1] Muller (Zimmer, Warsaw, Indiana) [1] Survivorship Rate Survival rate for revision for all causes at nine years was 92.0% Revisions 35 hips (25.7%): Failure of the acetabular component 26 (19.1%), sepsis in 4 (2.9%), instability in 3 (2.2%), femoral fracture in 1 (0.7%) and stem fracture in 1 (0.7%). .. Aseptic Loosening Femur None Outcome Scores Median HHS: Pain 40.0, Function 28.0, Median OHS 33.5 Median Charnley: Pain 6.0, Function 3.0, Range Of Movement 5.0 Other Complications 2 (1.5%) Femoral perforation 1 (0.7%) Stem fracture (Charnley stem) 4 (2.9%) Deep infections (2 two stage revisions, 1 girdlestone) 3 (2.2%) Dislocations 1 (0.7%) Periprosthetic femoral fracture te Stroet et al. 2014 8 24 72 (60–84) Aseptic loosening (45.8%) Early proximal loosening observed during acetabular revision (20.8%) Recurrent dislocation (12.5%) Femoral stem fracture (8.3%) Version/offset alteration (8.3%) Monobloc with damaged head exchange (4.2%) |