Migration characteristics and early clinical results of the NANOS® short-stem hip arthroplasty.

Abstract:

BACKGROUND:Femoral short stems promise essential advantages in total hip arthroplasty. Up to now, only short- and midterm clinical studies exist. Data on early stem migration that could predict later aseptic loosening at an early stage are rare. The purpose of this study was to assess migration patterns and clinical outcome 2 years after hip replacement by a metaphyseal anchored cementless short stem. METHODS:Migration data and clinical results were prospectively assessed in 49 patients. Clinical outcome was measured using the Harris Hip Score (HHS). Migration analyses were performed using the computer-assisted Einzel-Bild-Roentgen-Analyse (EBRA) system. RESULTS:At 2 years after surgery, none of the implants needed revision, and HHS increased from 47.9 up to 98.1. Of 49 patients, 5 (10%) showed increased vertical stem migration (1.5 mm/2a) that might predict late aseptic loosening. Of 49 stems, 44 (90%) showed stable migration patterns indicating a beneficial long-term outcome. CONCLUSIONS:Results of this study confirm the excellent clinical data of previous works. Migration patterns strongly suggest that short-stem arthroplasty is not only an innovative but also a reliable strategy in total hip replacement.

journal_name

Wien Klin Wochenschr

authors

Kaipel M,Grabowiecki P,Sinz K,Farr S,Sinz G

doi

10.1007/s00508-015-0756-0

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

375-8

issue

9-10

eissn

0043-5325

issn

1613-7671

journal_volume

127

pub_type

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