"Modes of failure" of cemented stem-type femoral components: a radiographic analysis of loosening.

Abstract:

:In view of the increasing incidence of stem-type femoral component loosening, a detailed retrospective radiographic zonal analysis of 389 total hip replacements indicated a 19.5% incidence (76 hips) of radiological evidences of mechanical looseness, i.e., fractured acrylic cement and/or a radiolucent gap at the stem-cement or cement-bone interfaces. Detailed serial radiographic examination demonstrated progressive loosening in 56 of the 76 hips and these were categorized into mechanical modes of failure. The 4 modes of failure characterizing stem-type component progressive loosening mechanisms consisted of stem pistoning within the acrylic (3.3%), cement-embedded stem pistoning with the femur (5.1%), medial midstem pivot (2.5%), calcar pivot (0.7%) and bending (fatigue) cantilever (3.3%).

journal_name

Clin Orthop Relat Res

authors

Gruen TA,McNeice GM,Amstutz HC

subject

Has Abstract

pub_date

1979-06-01 00:00:00

pages

17-27

issue

141

eissn

0009-921X

issn

1528-1132

pub_type

杂志文章
  • Elevated Expression of Transforming Acidic Coiled-Coil Containing Protein 3 (TACC3) Is Associated With a Poor Prognosis in Osteosarcoma.

    abstract:BACKGROUND:Transforming acidic coiled-coil containing protein 3 (TACC3) is expressed during the mitotic phase of nuclear division and regulates microtubules. Recently, high TACC3 expression in tumor cells of various cancers including soft tissue sarcoma has been reported. However, its role in osteosarcoma remains unkno...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/CORR.0000000000000379

    authors: Matsuda K,Miyoshi H,Hiraoka K,Hamada T,Nakashima K,Shiba N,Ohshima K

    更新日期:2018-09-01 00:00:00

  • Complications associated with limb salvage for extremity sarcomas and their management.

    abstract::A retrospective clinical review of 100 consecutive patients with extremity sarcomas managed by limb salvage operations was performed to evaluate local tumor control and morbidity. The mean follow-up period was 45.1 months. Overall survival was 86%. There were local recurrences in 3% of patients, and 26 complications i...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Quill G,Gitelis S,Morton T,Piasecki P

    更新日期:1990-11-01 00:00:00

  • Peripheral nerve palsies in victims of the Hanshin-Awaji earthquake.

    abstract::On January 17, 1995, the Hanshin-Awaji earthquake directly hit a metropolis and destroyed approximately 120,000 houses. Many people were buried under the debris of the Japanese style wooden houses or were injured by falling furniture. Twenty-five patients (35 extremities) with earthquake associated peripheral nerve pa...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Yoshida T,Tada K,Uemura K,Yonenobu K

    更新日期:1999-05-01 00:00:00

  • Posterior medial meniscus-femoral insertion into the anterior cruciate ligament. A case report.

    abstract::Medial meniscal anomalies are rare. The anterior horn insertion into the anterior cruciate ligament is the most common. In the course of an arthroscopy for torn lateral meniscus, an anomalous band in continuity with the posterior horn of the medial meniscus was observed to insert into the anterior cruciate ligament. A...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Bhargava A,Ferrari DA

    更新日期:1998-03-01 00:00:00

  • Preventive effects of puerarin on alcohol-induced osteonecrosis.

    abstract::Alcohol can induce adipogenesis by bone marrow stromal cells and may cause osteonecrosis of the femoral head. Currently, there are no medications available to prevent alcohol-induced osteonecrosis. We hypothesized puerarin, a Chinese herbal medicine with antioxidative and antithrombotic effects, can prevent alcohol-in...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-008-0178-7

    authors: Wang Y,Yin L,Li Y,Liu P,Cui Q

    更新日期:2008-05-01 00:00:00

  • Anatomic study of the semispinalis cervicis for reattachment during laminoplasty.

    abstract::Some patients who had cervical laminoplasty with subsequent substantial loss of cervical lordosis have shown failed healing of a repaired semispinalis cervicis. We also have identified some patients in whom it is difficult to repair the C2 spinous process during laminoplasty. We therefore quantitatively analyzed the m...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000160710.11991.33

    authors: Takeuchi K,Yokoyama T,Aburakawa S,Itabashi T,Toh S

    更新日期:2005-07-01 00:00:00

  • Long-term implantation of gentamicin-polymethylmethacrylate antibiotic beads.

    abstract::Fifty-two chronic osteomyelitis patients treated with gentamicin-polymethylmethacrylate (Septopal) antibiotic bead chains were observed retrospectively to explore the relationship between the duration of bead implantation and clinical results. Group A contained 35 asymptomatic patients who had elective bead removal ba...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Henry SL,Hood GA,Seligson D

    更新日期:1993-10-01 00:00:00

  • Difficult complications after hip joint replacement. Dislocation.

    abstract::Dislocation after hip replacement occurs at an overall incidence of 2% to 3% and has significant cost and morbidity implications. Statistically increased incidence is observed in females and in the elderly, and after reoperation procedures. Specific causes include cup malrotation, trochanteric migration, and decreased...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Morrey BF

    更新日期:1997-11-01 00:00:00

  • Influence of the Wilmington brace on spinal decompensation in adolescent idiopathic scoliosis.

    abstract::The Wilmington brace is a custom-molded thoracolumbosacral orthosis for decompensated adolescent idiopathic curves. Using the roentgenographic measurement of Rudicel and Renshaw, 71 patients with pretreatment curves that were decompensated greater than 1.0 cm were investigated in detail. The average follow-up period w...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Bassett GS,Bunnell WP

    更新日期:1987-10-01 00:00:00

  • Knee Abduction Affects Greater Magnitude of Change in ACL and MCL Strains Than Matched Internal Tibial Rotation In Vitro.

    abstract:BACKGROUND:Anterior cruciate ligament (ACL) injures incur over USD 2 billion in annual medical costs and prevention has become a topic of interest in biomechanics. However, literature conflicts persist over how knee rotations contribute to ACL strain and ligament injury. To maximize the efficacy of ACL injury preventio...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-017-5367-9

    authors: Bates NA,Nesbitt RJ,Shearn JT,Myer GD,Hewett TE

    更新日期:2017-10-01 00:00:00

  • The four-in-one arthroplasty for the painful arc syndrome.

    abstract::The painful arc syndrome of the shoulder is a manifestation of rotator cuff tendinitis associated with tenosynovitis of the long head of the biceps under and just distal to the transverse humeral ligament. Eighty-nine patients with clinical signs of the painful arc syndrome were proven to have an associated biceps ten...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Neviaser TJ,Neviaser RJ,Neviaser JS,Neviaser JS

    更新日期:1982-03-01 00:00:00

  • A comparison of collagen synthesis by different categories of human chondrosarcoma in organ culture.

    abstract::Accurate diagnosis of the degree of malignancy of individual chondrosarcomas is a difficult problem for the orthopedist. To determine whether certain biochemical and metabolic parameters might provide a useful supplement to roentgenologic and histologic evaluations, 19 human chondrosarcomas were analyzed for DNA and c...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Miller DR,Mankin HJ

    更新日期:1982-08-01 00:00:00

  • Changing demographics of patients with total joint replacement.

    abstract::There has been a substantial change in the population demographics of patients who potentially will require total joint replacements. We studied data regarding temporal trends in physical condition, life expectancy, education, and other population demographics of individuals most likely to receive total joint replacem...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000188066.01833.4f

    authors: Crowninshield RD,Rosenberg AG,Sporer SM

    更新日期:2006-02-01 00:00:00

  • Functional properties of knee ligaments and alterations induced by immobilization: a correlative biomechanical and histological study in primates.

    abstract::The effect of immobility on the biomechanical properties of an anterior cruciate bone-ligament-bone unit of rhesus monkey is reported. Wild primates were used and the captivity time was minimized to lessen disuse changes from cage confinement. The ligament-bone specimens were tested in tension to failure under high st...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Noyes FR

    更新日期:1977-03-01 00:00:00

  • What are risk factors for local recurrence of deep high-grade soft-tissue sarcomas?

    abstract:BACKGROUND:Patients with local recurrence of soft-tissue sarcomas have a poor overall survival. High-grade, soft-tissue sarcomas in deep locations may have a poorer prognosis regarding local recurrence than low-grade sarcomas or those located superficially. Although previous reports evaluated tumors at various depths, ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-2017-5

    authors: Sawamura C,Matsumoto S,Shimoji T,Tanizawa T,Ae K

    更新日期:2012-03-01 00:00:00

  • The influence of distal clavicle resection and rotator cuff repair on the effectiveness of anterior acromioplasty.

    abstract::Anterior acromioplasty, described by Neer in 1972, is generally accepted as the procedure of choice for symptomatic subacromial impingement. Subsequent authors have written little about the prolonged length of postoperative rehabilitation, residual strength deficits, and the effect of the addition of a distal clavicle...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Daluga DJ,Dobozi W

    更新日期:1989-10-01 00:00:00

  • Function after resection of humeral metastases: analysis of 59 consecutive patients.

    abstract:UNLABELLED:Metastatic bone disease of the humerus may require surgery for treatment of an impending or existing pathologic fracture or for alleviating disabling pain. Prompt restoration of function is a main goal of surgery, although published results do not reveal if that goal is being met. We retrospectively reviewed...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000165857.12676.00

    authors: Bickels J,Kollender Y,Wittig JC,Meller I,Malawer MM

    更新日期:2005-08-01 00:00:00

  • Local antibiotic delivery with OsteoSet, DBX, and Collagraft.

    abstract::Biodegradable local antibiotic delivery systems have gained interest for prophylaxis and treatment of musculoskeletal infections. We studied the biodegradable materials Osteo- Set, DBX and Collagraft for local delivery of vancomycin and gentamicin in vitro. We determined the antimicrobial activity of vancomycin and ge...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000229319.45416.81

    authors: Heijink A,Yaszemski MJ,Patel R,Rouse MS,Lewallen DG,Hanssen AD

    更新日期:2006-10-01 00:00:00

  • Lower extremity pain is associated with reduced function and psychosocial health in obese children.

    abstract:BACKGROUND:Childhood obesity is associated with reduced quality of life, physical fitness, and a higher prevalence of lower extremity (LE) pain; however, it is unclear whether and how these factors are related. QUESTIONS/PURPOSES:For this study we asked if obese children with LE pain (LE+) had higher BMI-Z scores, low...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2620-0

    authors: Bout-Tabaku S,Briggs MS,Schmitt LC

    更新日期:2013-04-01 00:00:00

  • Stress fracture of the hip. An unusual complication of total knee arthroplasty.

    abstract::Stress fracture of the hip is a rare complication of total knee arthroplasty (TKA). Only eight cases seem to have been reported in the literature. A ninth case is reported in the present study. A 76-year-old obese woman was treated by right TKA for osteoarthrosis with cementing of the tibial component because of insuf...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Hardy DC,Delince PE,Yasik E,Lafontaine MA

    更新日期:1992-08-01 00:00:00

  • Proposed protocol for reading images of humeral head fractures.

    abstract:UNLABELLED:Fractures of the proximal humerus can be treated effectively but require proper characterization. None of the existing classifications intended to facilitate characterization have been satisfactory. We studied proximal humerus fractures using radiographs alone and radiographs plus computed tomography scans t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000205899.28856.98

    authors: Mora Guix JM,Gonzalez AS,Brugalla JV,Carril EC,Baños FG

    更新日期:2006-07-01 00:00:00

  • Long term followup of thorough debridement and cancellous bone grafting of the femoral head for avascular necrosis.

    abstract::From 1977 to 1982, 13 patients were diagnosed with avascular necrosis of the femoral head. The diagnoses were made with a combination of clinical exams, radiographs, tomograms, and Tc99 bone scans. One hip was classified as Ficat Stage I, 9 as Stage II, and 5 as Stage III. There were 11 male and 2 female patients with...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Rosenwasser MP,Garino JP,Kiernan HA,Michelsen CB

    更新日期:1994-09-01 00:00:00

  • Classification of ankle fractures: the Lauge-Hansen or AO system?

    abstract::Lauge-Hansen's system of classification of ankle fractures has been of pioneering importance and when correctly employed has improved the results of conservative treatment. Weber's classification scheme introduced by AO is simpler and more suited for surgical than nonoperative therapy. Both systems have deficiencies. ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Lindsjö U

    更新日期:1985-10-01 00:00:00

  • Vulnerability of vertebral artery in anterolateral decompression for cervical spondylosis.

    abstract::This study aimed to provide anatomic data for the location of the vertebral artery and offer an optimal approach for lateral cervical decompression that minimizes the risk of injury to the vertebral artery. Anatomically, there has been little study documenting the safe zone to prevent vertebral artery injury during th...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Ebraheim NA,Lu J,Brown JA,Biyani A,Yeasting RA

    更新日期:1996-01-01 00:00:00

  • Biosynthetic bone grafting.

    abstract::The regeneration of bone remains an elusive yet important goal in the field of orthopaedic surgery. Despite its limitations, autogenous cancellous bone grafting continues to the most effective means by which bone healing is enhanced clinically. Biosynthetic bone grafts currently are being developed as an alternative t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/00003086-199910001-00011

    authors: Lane JM,Tomin E,Bostrom MP

    更新日期:1999-10-01 00:00:00

  • Ketorolac prophylaxis against heterotopic ossification after hip replacement.

    abstract::Three hundred three patients undergoing total hip replacement were enrolled in a prospective, randomized, double-blind clinical study of heterotopic bone formation. All the procedures were primary arthroplasties done for osteoarthritis using an anterolateral approach. Patients with spondyloarthropathy, previous surger...

    journal_title:Clinical orthopaedics and related research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Pritchett JW

    更新日期:1995-05-01 00:00:00

  • Traumatic coxa vera. A case report of spontaneous correction in a child.

    abstract::Residual coxa vara is a common complication of femoral neck fracture in a child. Factors favoring the development of this complication are delayed reduction and avascular necrosis. The present case report is a 10-year follow-up of spontaneous correction of traumatic coxa vara in a child. This is of interest because re...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: DeLuca FN,Keck C

    更新日期:1976-05-01 00:00:00

  • Computer-assisted cup placement techniques in total hip arthroplasty improve accuracy of placement.

    abstract::Malposition of the acetabular component during hip arthroplasty increases the occurrence of impingement, reduces range of motion, and increases the risk of dislocation and long-term wear. To prevent malpositioned hip implants, an increasing number of computer-assisted orthopaedic systems have been described, but their...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000141903.08075.83

    authors: Jolles BM,Genoud P,Hoffmeyer P

    更新日期:2004-09-01 00:00:00

  • Biceps tenodesis for painful inferior subluxation of the shoulder in adult acquired hemiplegia.

    abstract::Painless inferior subluxation of the shoulder is a common finding following stroke and is a manifestation of the adynamic nature of the disorder. The weight of the limb is not counterbalanced by shoulder musculature. This is a preliminary report of a simple tenodesis procedure performed in six patients with uniformly ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Pinzur MS,Hopkins GE

    更新日期:1986-05-01 00:00:00

  • Experimental meniscal lesions reconstructed with a carbon fiber-polyurethane-poly(L-lactide) graft.

    abstract::Reconstructive procedures were investigated in meniscal lesions in 14 dogs. Large wedge-shaped lesions were repaired with a graft containing carbon fibers and an organic polymer, prepared from physical mixtures of poly(L-lactide) and a segmented polyurethane. Four and eight weeks postoperation, arthroscopy was perform...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Veth RP,Jansen HW,Leenslag JW,Pennings AJ,Hartel RM,Nielsen HK

    更新日期:1986-01-01 00:00:00