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Supervivencia a mediano y largo plazo de vástago femoral Synergy en artroplastía total de cadera no cementada.

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Title: Supervivencia a mediano y largo plazo de vástago femoral Synergy en artroplastía total de cadera no cementada.
Alternate Title: Medium and long-term survival of Synergy femoral stem in cementless total hip arthroplasty.
Authors: F. E., García-Dobarganes-Barlow1 fdobarganes@icloud.com, A., Esquivel-Solorio2, A. S., García-Saud3, G., Murray-López4, F., Garcini-Munguía5, A., Guevara-Álvarez5, J., Negrete-Corona5
Source: Acta Ortopédica Mexicana. May/Jun2025, Vol. 39 Issue 3, p145-151. 7p.
Subjects: TOTAL hip replacement, HIP osteoarthritis, OVERALL survival, DISABILITIES, MECHANICAL wear
Abstract (English): Introduction: hip osteoarthritis is one of the most disabling conditions affecting the quality of life in the elderly, with a current prevalence of 10%. Advanced treatment for this condition generally involves total hip arthroplasty. Recently, there has been a shift from using cemented stems to uncemented stems due to the excellent clinical and radiological outcomes achieved with the latter. Material and methods: a retrospective review was conducted of 578 total hip arthroplasties using a tapered uncemented stem performed between 2003 and 2018. The average age of the patients was 62.92 years, with a mean follow-up of 14.03 years. Follow-up ranged from 5 to 20 years. Results: the revision rate for any reason was 2.3%, with a polyethylene wear rate of 1.0%, a deep infection rate of 0.9%, and a dislocation rate of 0.3%. No revisions were reported for aseptic loosening. The survival rate for aseptic loosening was 100%, and the overall survival rate was 97.7%. The rate of complications that did not require revision was 5.0%, while the total complication rate was 7.2%. Conclusion: the third generation tapered uncemented titanium stem shows excellent short- and medium-term results, with adequate osteointegration. It is expected to continue showing favorable long-term results, with aseptic loosening being the primary reason for revision. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la artrosis de cadera es una de las condiciones más incapacitantes que afectan la calidad de vida de los ancianos; tiene una prevalencia actual de 10%. El tratamiento avanzado de esta patología generalmente involucra la artroplastía total de cadera. Recientemente, se ha invertido la tendencia del uso de vástagos cementados a vástagos no cementados, debido a los excelentes resultados clínicos y radiológicos obtenidos con éstos últimos. Material y métodos: se revisaron retrospectivamente 578 artroplastías totales de cadera con vástago cónico no cementado realizadas entre 2003 y 2018. La edad promedio de los pacientes fue 62.92 años, con un seguimiento medio de 14.03 años. El seguimiento osciló entre cinco y 20 años. Resultados: la tasa de revisión por cualquier motivo fue de 2.3%, con una tasa de desgaste de polietileno de 1.0%, infección profunda de 0.9% y luxaciones de 0.3%. No se reportaron revisiones por aflojamiento aséptico. La tasa de supervivencia para aflojamiento aséptico fue de 100% y para todas las causas de 97.7%. La tasa de complicaciones sin necesidad de revisión fue de 5.0%, mientras que la tasa total de complicaciones fue de 7.2%. Conclusión: el vástago cónico no cementado de titanio de tercera generación muestra acexcelentes resultados a mediano plazo, con una adecuada osteointegración y se espera que continúe mostrando buenos resultados a largo plazo, considerando el aflojamiento aséptico como el principal motivo de revisión. [ABSTRACT FROM AUTHOR]
Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Supervivencia a mediano y largo plazo de vástago femoral Synergy en artroplastía total de cadera no cementada.
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  Data: Medium and long-term survival of Synergy femoral stem in cementless total hip arthroplasty.
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  Data: <searchLink fieldCode="AR" term="%22F%2E+E%2E%2C+García-Dobarganes-Barlow%22">F. E., García-Dobarganes-Barlow</searchLink><relatesTo>1</relatesTo><i> fdobarganes@icloud.com</i><br /><searchLink fieldCode="AR" term="%22A%2E%2C+Esquivel-Solorio%22">A., Esquivel-Solorio</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22A%2E+S%2E%2C+García-Saud%22">A. S., García-Saud</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22G%2E%2C+Murray-López%22">G., Murray-López</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22F%2E%2C+Garcini-Munguía%22">F., Garcini-Munguía</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22A%2E%2C+Guevara-Álvarez%22">A., Guevara-Álvarez</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22J%2E%2C+Negrete-Corona%22">J., Negrete-Corona</searchLink><relatesTo>5</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Acta+Ortopédica+Mexicana%22">Acta Ortopédica Mexicana</searchLink>. May/Jun2025, Vol. 39 Issue 3, p145-151. 7p.
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  Data: <searchLink fieldCode="DE" term="%22TOTAL+hip+replacement%22">TOTAL hip replacement</searchLink><br /><searchLink fieldCode="DE" term="%22HIP+osteoarthritis%22">HIP osteoarthritis</searchLink><br /><searchLink fieldCode="DE" term="%22OVERALL+survival%22">OVERALL survival</searchLink><br /><searchLink fieldCode="DE" term="%22DISABILITIES%22">DISABILITIES</searchLink><br /><searchLink fieldCode="DE" term="%22MECHANICAL+wear%22">MECHANICAL wear</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: hip osteoarthritis is one of the most disabling conditions affecting the quality of life in the elderly, with a current prevalence of 10%. Advanced treatment for this condition generally involves total hip arthroplasty. Recently, there has been a shift from using cemented stems to uncemented stems due to the excellent clinical and radiological outcomes achieved with the latter. Material and methods: a retrospective review was conducted of 578 total hip arthroplasties using a tapered uncemented stem performed between 2003 and 2018. The average age of the patients was 62.92 years, with a mean follow-up of 14.03 years. Follow-up ranged from 5 to 20 years. Results: the revision rate for any reason was 2.3%, with a polyethylene wear rate of 1.0%, a deep infection rate of 0.9%, and a dislocation rate of 0.3%. No revisions were reported for aseptic loosening. The survival rate for aseptic loosening was 100%, and the overall survival rate was 97.7%. The rate of complications that did not require revision was 5.0%, while the total complication rate was 7.2%. Conclusion: the third generation tapered uncemented titanium stem shows excellent short- and medium-term results, with adequate osteointegration. It is expected to continue showing favorable long-term results, with aseptic loosening being the primary reason for revision. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: la artrosis de cadera es una de las condiciones más incapacitantes que afectan la calidad de vida de los ancianos; tiene una prevalencia actual de 10%. El tratamiento avanzado de esta patología generalmente involucra la artroplastía total de cadera. Recientemente, se ha invertido la tendencia del uso de vástagos cementados a vástagos no cementados, debido a los excelentes resultados clínicos y radiológicos obtenidos con éstos últimos. Material y métodos: se revisaron retrospectivamente 578 artroplastías totales de cadera con vástago cónico no cementado realizadas entre 2003 y 2018. La edad promedio de los pacientes fue 62.92 años, con un seguimiento medio de 14.03 años. El seguimiento osciló entre cinco y 20 años. Resultados: la tasa de revisión por cualquier motivo fue de 2.3%, con una tasa de desgaste de polietileno de 1.0%, infección profunda de 0.9% y luxaciones de 0.3%. No se reportaron revisiones por aflojamiento aséptico. La tasa de supervivencia para aflojamiento aséptico fue de 100% y para todas las causas de 97.7%. La tasa de complicaciones sin necesidad de revisión fue de 5.0%, mientras que la tasa total de complicaciones fue de 7.2%. Conclusión: el vástago cónico no cementado de titanio de tercera generación muestra acexcelentes resultados a mediano plazo, con una adecuada osteointegración y se espera que continúe mostrando buenos resultados a largo plazo, considerando el aflojamiento aséptico como el principal motivo de revisión. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=185025204
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      – SubjectFull: OVERALL survival
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