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FIXATION SURGERY
Of the 54 hips (n=54 patients) in the hybrid group, 8 patients died with
a well-functioning arthroplasty (range, 2.7-16.9 years) and none were lost to follow-
up. Five hybrid THRs (9.3%) were revised. Two (3.7%) underwent revision for a
loose acetabular component caused by pelvic osteolysis, 2 (3.7%) for a loose
femoral component, and 1 (1.9%) for a fractured femoral stem.
One hip (1.9%) had a partially loose acetabular cup but was not
revised. Of the 54 hips (n=54 patients) in the reverse hybrid group, 4 patients died
with a well-functioning arthroplasty (range, 2.3-14.6 years) and none were lost to
follow-up. One patient underwent a revision procedure due to a loose femoral stem.
No patients in the reverse hybrid group reported significant postoperative
complications, including residual polyethylene wear, osteolysis, or evidence of
acetabular aseptic loosening.
Conclusion :-
This study shows that the reverse hybrid THR, although unusual, is a
successful alternative to hybrid THR when a need arises and institutional resources
allow.
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