Clinical and biological assessment of cemented titanium femoral stems: an 11-year experience.

Abstract:

:This study prospectively assessed the outcome of 134 cemented titanium stems and serum ion levels. The stems were polished (0.1 microm Ra) with circular cross section. At the end point, only one stem revision was performed for aseptic loosening, and two were planned due to subsidence greater than 5 mm. Non-progressive radiolucencies in zones 1 and 7 were observed in 16 hips at the cement-bone interface without osteolysis. Median serum titanium concentrations were below the detection limit (30 nmol/l) except in patients with failed stems. The overall stem survival rate was 97.7% at nine years, which is comparable to other series of cemented stems. The protective layer of titanium oxide coating the stem and a thick cement mantle may help resist aseptic loosening. In addition, satisfactory monitoring of the stem was reached using titanium serum level determination.

journal_name

Int Orthop

authors

Boyer P,Lazennec JY,Poupon J,Rousseau MA,Ravaud P,Catonné Y

doi

10.1007/s00264-008-0678-9

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1209-15

issue

5

eissn

0341-2695

issn

1432-5195

journal_volume

33

pub_type

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