Kyphoplasty is an effective treatment of VBCFs in terms of pain relief and durable reduction of deformity. Whether spinal realignment results in an improved long-term clinical outcome remains to be investigated.
While performing percutaneous vertebroplasty, the surgeon is exposed to a significant amount of radiation. Proper surgical technique and shielding devices to decrease potentially high morbidity are mandatory. Training in radiation protection should be an integral part of the education for all surgeons using minimally invasive radiologic-guided interventional techniques.
We followed 39 patients with 40 revision hip arthroplasties using the Wagner stem. Mean follow-up was 65 (29-108) months. There were 12 intraoperative proximal femoral fractures, which all united, five postoperative dislocations not related to subsidence, and two loose stems that were revised. Clinical improvement was best for pain. Once the stem was osteointegrated the clinical and radiological result remained stable for up to 9 years. Résumé Nous avons suivi 39 patients aprés 40 révisions d'arthroplastie de la hanche en utilisant la tige de Wagner. Le suivi était en moyenne 65 (29-108) mois. Il y avait 12 fractures fémorales proximales peropératoires, qui ont toutes consolidées. Il y avait 5 luxations postopé-ratoires non liées à un enfoncement de la tige. Deux tiges descellées ont été revisées. L'amélioration clinique était meilleure pour la douleur. Une fois que la tige etait osteo-intégrée, le résultat clinique et radiologique est resté stable juqu'au recul de neuf ans.
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