Abstract:
PURPOSE:The failure of total hip systems caused by wear-particle-induced loosening has focused interest on factors potentially affecting wear rate. Remnants of the blasting material were reported on grit-blasted surfaces for cementless fixation. These particles are believed to cause third-body wear and implant loosening. The purpose of this study was to evaluate the early clinical and radiological outcomes of a cementless hip system with a new, contamination-free, roughened surface with regard to prosthesis-related failures. METHODS:Between May 2004 and March 2009, 202 consecutive primary total hip arthroplasties (THAs) (192 patients with a mean age of 62.6 years) were performed using a cementless stem (Hipstar®) and a hemispherical acetabular cup (Trident®). RESULTS:At a minimum follow-up of two years, five revisions (2.5%) due to aseptic loosening of the stem and three (1.5%) of the cup were necessary. The cumulative rate of prostheses survival, counting revision of both components and with aseptic failure as end point, was 92.9% at 8.8 years. Radiolucent lines up to three millimetres were evaluated in the proximal part of the femur in 61% of cases. CONCLUSIONS:Although the incidence of radiolucent lines was decreased, the revision rate was considerably increased compared to other uncemented hip implants with grit-blasted surfaces in the short- to mid-term follow-up of our study. Subsequent studies are needed to confirm whether these changes in implant material and surface affect the radiological and clinical outcome in the long term.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Lass R,Kolb A,Skrbensky G,Reinisch G,Kubista B,Giurea A,Windhager R,Kotz Rdoi
10.1007/s00264-013-2135-7subject
Has Abstractpub_date
2014-04-01 00:00:00pages
703-9issue
4eissn
0341-2695issn
1432-5195journal_volume
38pub_type
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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