Septic Two-Stage Cementless Hip Revision Arthroplasty Is Safe but Has Higher Complication and Mortality Rates in Older Adults.

Highly significant differences in surgical technique also occurred between groups derived from the Paprosky classification ( p < 0.001): 97.3% of all patients grouped in IIIa received surgery performed with “transfemoral cementless fixation”, whereas almost all patients with classifications of IIIB and IV received surgery with “transfemoral cementless fixation + distal locking” (except one patient IIIB who received “transfemoral cementless fixation”).

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A total of 16 patients (9.5%) in group 1 and 10 patients (8.5%) in group 2 experienced a fracture of the bony flap during surgery in cases using a transfemoral approach, although the difference between groups did not reach statistical significance ( p = 0.783).

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