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Long-term outcome after revision of hip arthroplasty with the BioBall® adapter system in multimorbid patients

Introduction - Long-term study evidence about the BioBall® adapter system is limited, especially in highly morbid elderly patients. Thus, we analysed the long-term outcome of revision hip arthroplasty using this system in highly morbid elderly patients. - Materials and methods - We included 19 patie...

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Main Authors: Kock, Hans-Jürgen (Author) , Cho, Christopher (Author) , Buhl, Klaus (Author) , Hillmeier, Joachim S. (Author) , Huber, Franz-Xaver (Author)
Format: Article (Journal)
Language:English
Published: 2020
In: Journal of orthopaedic translation
Year: 2019, Volume: 22, Pages: 43-49
ISSN:2214-0328
DOI:10.1016/j.jot.2019.08.007
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jot.2019.08.007
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S2214031X19302037
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Author Notes:Hans-Jürgen Kock, Christopher Cho, Klaus Buhl, Joachim Hillmeier, Franz X. Huber

MARC

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520 |a Introduction - Long-term study evidence about the BioBall® adapter system is limited, especially in highly morbid elderly patients. Thus, we analysed the long-term outcome of revision hip arthroplasty using this system in highly morbid elderly patients. - Materials and methods - We included 19 patients undergoing revision hip arthroplasty after primary or secondary total hip arthroplasty dislocations between July 2002 and August 2004 and followed up their long-term outcome until 2015. - Results - The patients achieved a median of 17 points in the Merle d'Aubigné hip score in 2004 and a median of 18 points in 2011, and the 4 surviving patients in 2015 achieved 18 points. For the four 12-year survivors, the Merle d'Aubigné score was virtually stable over the complete observation period. The Harris Hip Score showed comparable results. The patients had a median Barthel index of 90 in 2004 and 100 in 2011, and the 4 survivors in 2015 had Barthel indices of 65, 95, 100, and 100, respectively, in 2015. - Conclusions - In multimorbid patients, using the BioBall® adapter system for total hip arthroplasty, revision due to dislocation results in good long-term outcome without impairment of quality of life. - Translational potential - Our study provides long-term evidence in a vulnerable patient population. It shows how the therapeutic concept of revision hip replacement with an adapter device translates into long-term outcome and quality of life in these patients. Thus, it adds important information for evaluation of therapeutic options in this field. 
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