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The effect of surgical approach on the histology of the femoral head following resurfacing of the hip : analysis of retrieval specimens
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Amarasekera, Hiran W., Campbell, P. C., Parsons, Nicholas R., Achten, Juul, Masters, James P. M., Griffin, Damian R. and Costa, Matthew L. (2013) The effect of surgical approach on the histology of the femoral head following resurfacing of the hip : analysis of retrieval specimens. Bone and Joint Research, Volume 2 (Number 9). pp. 200-205. doi:10.1302/2046-3758.29.2000179
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Official URL: http://dx.doi.org/10.1302/2046-3758.29.2000179
Abstract
Objectives: We aimed to determine the effect of surgical approach on the histology of the femoral head following resurfacing of the hip.
Methods: We performed a histological assessment of the bone under the femoral component taken from retrieval specimens of patients having revision surgery following resurfacing of the hip. We compared the number of empty lacunae in specimens from patients who had originally had a posterior surgical approach with the number in patients having alternative surgical approaches.
Results: We found a statistically significant increase in the percentage of empty lacunae in retrieval specimens from patients who had the posterior approach compared with other surgical approaches (p < 0.001).
Conclusions: This indicates that the vascular compromise that occurs during the posterior surgical approach does have long-term effects on the bone of the femoral head, even if it does not cause overt avascular necrosis.
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine > RD Surgery | ||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit |
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| Library of Congress Subject Headings (LCSH): | Total hip replacement -- Reoperation, Hip joint -- Reoperation , Total hip replacement, Hip joint -- Surgery, Arthroplasty | ||||
| Journal or Publication Title: | Bone and Joint Research | ||||
| Publisher: | British Editorial Society of Bone and Joint Surgery | ||||
| ISSN: | 2046-3758 | ||||
| Official Date: | September 2013 | ||||
| Dates: |
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| Volume: | Volume 2 | ||||
| Number: | Number 9 | ||||
| Page Range: | pp. 200-205 | ||||
| DOI: | 10.1302/2046-3758.29.2000179 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Open Access |
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