Cementless CUT femoral neck prosthesis: increased rate of aseptic loosening after 5 years.

Abstract:

BACKGROUND:Bone-saving hip arthroplasty techniques, which facilitate revision, are gaining importance as the number of hip replacements in younger patients increases. PATIENTS AND METHODS:123 CUT femoral neck prostheses (ESKA Implants, Lübeck, Germany) were implanted in 113 patients (average age 53 years) between 1999 and 2002. After a mean follow-up of 5 (3-7) years, we determined the state of 120 prostheses; 3 patients could not be located. 97 patients with 107 prostheses, none of which had been revised, were evaluated clinically and radiographically. RESULTS:The median Harris hip score improved from 51 points to 92 points in the unrevised hips. 13 CUT prostheses (11%) had been revised, 7 because of aseptic loosening, 3 because of persisting thigh pain, 1 because of immediate vertical migration, and 2 because of septic loosening. The 5-year survival rate of the CUT prosthesis was 89%. INTERPRETATION:The medium-term survival with this type of femoral component is unsatisfactory, with a high rate of aseptic loosening. The surviving prostheses had a good clinical outcome.

journal_name

Acta Orthop

journal_title

Acta orthopaedica

authors

Ender SA,Machner A,Pap G,Hubbe J,Grashoff H,Neumann HW

doi

10.1080/17453670710014301

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

616-21

issue

5

eissn

1745-3674

issn

1745-3682

pii

783548875

journal_volume

78

pub_type

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