Effects of design changes on cemented tapered femoral stem fixation.

Abstract:

:The effects of matte finish and modularity on loosening of tapered stems using the same cementing technique were studied prospectively. In 80 patients, 82 cemented Exeter primary stems were implanted at total hip revision by one surgeon using the same surgical and cementing technique throughout the series. The polished stems behaved differently than the matte surfaced stems behaved. Polished stems subsided in the cement mantle an average of 1 mm at 2 years after implantation, but without subsequent loosening of stems at as long as 12 years after implantation. Matte surfaced stems with metal centralizers had a higher loosening rate, and loss of fixation at the prosthesis to cement interface was identified as an early sign of loosening of these stems. At a mean 6-year followup, there were no revisions nor was there radiographic evidence of loosening of the polished modular stems. It is concluded that matte finish results in increased loosening of tapered stems but the introduction of modularity did not.

journal_name

Clin Orthop Relat Res

authors

Middleton RG,Howie DW,Costi K,Sharpe P

doi

10.1097/00003086-199810000-00006

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

47-56

issue

355

eissn

0009-921X

issn

1528-1132

pub_type

临床试验,杂志文章,随机对照试验
  • Can an integrated orthotic and rehabilitation program decrease pain and improve function after lower extremity trauma?

    abstract:BACKGROUND:Patients with severe lower extremity trauma have significant disability 2 years after injury that worsens by 7 years. Up to 15% seek late amputation. Recently, an energy-storing orthosis demonstrated improved function compared with standard orthoses; however, the effect when integrated with rehabilitation ov...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-014-3609-7

    authors: Bedigrew KM,Patzkowski JC,Wilken JM,Owens JG,Blanck RV,Stinner DJ,Kirk KL,Hsu JR,Skeletal Trauma Research Consortium (STReC).

    更新日期:2014-10-01 00:00:00

  • Open reduction internal fixation of supracondylar fractures above total knee arthroplasties using the intramedullary supracondylar rod.

    abstract::Seven patients who had low supracondylar fractures above total knee arthroplasties were treated using the intramedullary supracondylar rod. Six of the seven patients were steroid-dependent, long-standing severe polyarticular rheumatoid arthritics with marked osteopenia. The intramedullary supracondylar rod provided st...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: McLaren AC,Dupont JA,Schroeber DC

    更新日期:1994-05-01 00:00:00

  • Can osteonecrosis of the femoral head be recurrent?

    abstract::Three patients with osteonecrosis of the femoral head in whom the extent of necrosis increased by repeated episodes of osteonecrosis are described. In all cases the evidence of two attacks of osteonecrosis was detected clearly on magnetic resonance images. The significance of the recurrent attacks of osteonecrosis is ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000037441.23683.ee

    authors: Kim YM,Rhyu KH,Lee SH,Kim HJ

    更新日期:2003-01-01 00:00:00

  • Spastic paraparesis due to cryptococcal osteomyelitis. A case report.

    abstract::Skeletal cryptococcosis is an uncommon infection. Isolated osteomyelitis due to Cryptococcus neoformans is quite rare. Only seven cases of skeletal cryptococcosis with involvement of vertebrae but no systemic infection have been reported. In only one was there paraplegia. Since vertebral cryptococcosis seems not to ha...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Matsushita T,Suzuki K

    更新日期:1985-06-01 00:00:00

  • Total knee arthroplasty following patellectomy.

    abstract::Eleven patients with a previous patellectomy and primary total knee arthroplasty (TKA) had chart reviews, recent clinical examinations, evaluation of roentgenograms, rating of knee arthroplasty on a standard scale, and quantitation of quadriceps and hamstring torque using an isokinetic dynamometer. Good to excellent r...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Lennox DW,Hungerford DS,Krackow KA

    更新日期:1987-10-01 00:00:00

  • Estradiol-induced knee osteoarthrosis in ovariectomized rabbits.

    abstract::Experiments in animals have shown that estrogen is chondrodestructive. The existence of 17 beta-estradiol receptor in rabbit chondrocyte and canine cartilage suggests that estrogen is associated with the development of osteoarthrosis (OA). The increased frequency of knee OA in obese postmenopausal women, who are often...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Tsai CL,Liu TK

    更新日期:1993-06-01 00:00:00

  • Lateral unicompartmental knee arthroplasty through a lateral parapatellar approach has high early survivorship.

    abstract:BACKGROUND:The literature suggests lateral unicompartmental knee arthroplasties are associated with low revision rates. However, there are fewer reports describing techniques for lateral unicompartmental arthroplasty and whether technique influences ROM and function compared to reports for medial unicompartmental arthr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-2005-9

    authors: Berend KR,Kolczun MC 2nd,George JW Jr,Lombardi AV Jr

    更新日期:2012-01-01 00:00:00

  • MRI predicts ALVAL and tissue damage in metal-on-metal hip arthroplasty.

    abstract:BACKGROUND:Adverse local tissue reactions (ALTR) around metal-on-metal (MOM) hip arthroplasties are increasingly being recognized as a cause of failure. These reactions may be associated with intraoperative tissue damage and complication rates as high as 50% after revision. Although MRI can identify ALTR in MOM hips, i...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-013-2788-y

    authors: Nawabi DH,Gold S,Lyman S,Fields K,Padgett DE,Potter HG

    更新日期:2014-02-01 00:00:00

  • Arm wrestler's injury: report of seven cases.

    abstract::Seven cases of fractures of the humerus from arm wrestling included 2 types of fractures. Two were spiral fractures of the humeral shaft with large butterfly fragments at the junction of the middle and distal one third caused by a violent uncoordinated muscular action. Five were fractures of the medial epicondyle of t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Moon MS,Kim I,Han IH,Suh KH,Hwang JD

    更新日期:1980-03-01 00:00:00

  • Systematic review of cemented and uncemented hemiarthroplasty outcomes for femoral neck fractures.

    abstract::Although hemiarthroplasties are an important treatment for femoral neck fractures, the literature does not provide a clear approach for selecting the implant fixation method. Therefore, we performed a systematic search of the medical literature and identified 11 prospective and retrospective studies that compared resu...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11999-008-0368-3

    authors: Ahn J,Man LX,Park S,Sodl JF,Esterhai JL

    更新日期:2008-10-01 00:00:00

  • Supracondylar fractures of the femur adjacent to resurfacing and MacIntosh arthroplasties of the knee in patients with rheumatoid arthritis.

    abstract::Twelve cases of supracondylar fracture of the femur in rheumatoid arthritis patients with previously implanted resurfacing or MacIntosh arthroplasty of the knee had long standing severe polyarticular rheumatoid arthritis (duration, ten to 41 years; mean 24.8 years). The fractures occurred following a long interval aft...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Bogoch E,Hastings D,Gross A,Gschwend N

    更新日期:1988-04-01 00:00:00

  • Survival and management considerations in postirradiation osteosarcoma and Paget's osteosarcoma.

    abstract::Postirradiation and Paget's osteosarcomas are high-grade malignancies. The five-year survival was only 10% in recent experience at the author's institution. Progressive pain is an important clinical feature in both conditions. Careful roentgenographic studies demonstrate cortical destruction and a soft-tissue mass in ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Frassica FJ,Sim FH,Frassica DA,Wold LE

    更新日期:1991-09-01 00:00:00

  • Increased expression of transforming growth factor-beta1 in patellar tendinosis.

    abstract::Patellar tendinosis is characterized by longstanding localized and activity-related pain, swelling and tenderness on palpation, and characteristic features on magnetic resonance imaging and ultrasonography and during surgical excision. Histologic examination of tendinosis tissues shows disrupted collagen matrix, incre...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200207000-00022

    authors: Fu SC,Wang W,Pau HM,Wong YP,Chan KM,Rolf CG

    更新日期:2002-07-01 00:00:00

  • Fuller Albright. His concept of postmenopausal osteoporosis and what came of it.

    abstract::Fifty years ago Albright contributed the following to understanding osteoporosis: (1) He recognized it as a deficiency of formation, not of mineralization of bone matrix; (2) he observed that 40 of 42 patients with osteoporosis before age 65 were women past menopause or young women postoophorectomy; (3) he concluded t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Forbes AP

    更新日期:1991-08-01 00:00:00

  • Cervical myelopathy in the Japanese.

    abstract::Surgeries (1155 cases) for cervical myelopathy in a northeastern prefecture (population, 2.26 million) and surrounding areas were reviewed. The annual operation rate per 100,000 residents in the prefecture was 5.7. Most of the patients were in their sixth or seventh decade of life (27% each), but the annual operation ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199602000-00018

    authors: Kokubun S,Sato T,Ishii Y,Tanaka Y

    更新日期:1996-02-01 00:00:00

  • Does surgical hip dislocation and periacetabular osteotomy improve pain in patients with Perthes-like deformities and acetabular dysplasia?

    abstract:BACKGROUND:Patients with symptomatic residual Perthes-like deformities may present with a combination of structural abnormalities including a large aspheric femoral head, short and wide femoral neck, high greater trochanter, and acetabular dysplasia. Sometimes, the hip is further compromised by concurrent symptomatic f...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-014-4115-7

    authors: Clohisy JC,Nepple JJ,Ross JR,Pashos G,Schoenecker PL

    更新日期:2015-04-01 00:00:00

  • Open fractures of the humerus treated with external fixation.

    abstract::Twenty-three patients with open fractures of the humerus who had been treated with immediate external fixation were reviewed retrospectively. Eighteen patients had adequate followup and were included in this study. Four patients (22%) had Gustilo and Anderson Grade I injury; 1 (5%), Grade II; and 13 (72%), Grade III (...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199704000-00021

    authors: Mostafavi HR,Tornetta P 3rd

    更新日期:1997-04-01 00:00:00

  • What Does a Shoulder MRI Cost the Consumer?

    abstract:BACKGROUND:More than 100 MRIs per 1000 inhabitants are performed in the United States annually, more than almost every other country. Little is known regarding the cost of obtaining an MRI and factors associated with differences in cost. QUESTIONS/PURPOSES:By surveying all hospital-owned and independent imaging center...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-016-5181-9

    authors: Westermann RW,Schick C,Graves CM,Duchman KR,Weinstein SL

    更新日期:2017-03-01 00:00:00

  • The role of cytokines in cartilage matrix degeneration in osteoarthritis.

    abstract::Chondrocytes are the single cellular component of hyaline cartilage. Under physiologic conditions, they show steady-state equilibrium between anabolic and catabolic activities that maintains the structural and functional integrity of the cartilage extracellular matrix. Implicit in the loss of cartilage matrix that is ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000144854.66565.8f

    authors: Goldring SR,Goldring MB

    更新日期:2004-10-01 00:00:00

  • Do patients with a failed metal-on-metal hip implant with a pseudotumor present differences in their peripheral blood lymphocyte subpopulations?

    abstract:BACKGROUND:Early adverse tissue reactions around metal-on-metal (MoM) hip replacements, especially pseudotumors, are a major concern. Because the causes and pathomechanisms of these pseudotumors remain largely unknown, clinical monitoring of patients with MoM bearings is challenging. QUESTIONS/PURPOSES:The purpose of ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-015-4466-8

    authors: Catelas I,Lehoux EA,Hurda I,Baskey SJ,Gala L,Foster R,Kim PR,Beaulé PE

    更新日期:2015-12-01 00:00:00

  • Minimal incision total knee arthroplasty: early experience.

    abstract::Total knee arthroplasty (TKA) has evolved during the past 30 years to a well-defined technical surgery with excellent results for as many as 20 years of followup. The concepts of exposure, ligament balancing, and joint alignment have been established clearly by Insall and others. In the early 1990s, Repicci introduced...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000093030.56370.d9

    authors: Tria AJ Jr,Coon TM

    更新日期:2003-11-01 00:00:00

  • Spontaneous necrosis in osteosarcoma.

    abstract::The percentage of necrosis in a primary osteosarcoma after the patient has received preoperative chemotherapy is prognostic and is usually used to select subsequent chemotherapy. However, the percentage of necrosis that occurs spontaneously, without preoperative chemotherapy, has not been adequately studied. The exami...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Springfield DS,Schakel ME Jr,Spanier SS

    更新日期:1991-02-01 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

  • Rationale of the Knee Society clinical rating system.

    abstract::A new total knee rating system has been developed by The Knee Society to provide an up-to-date more stringent evaluation form. The system is subdivided into a knee score that rates only the knee joint itself and a functional score that rates the patient's ability to walk and climb stairs. The dual rating system elimin...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Insall JN,Dorr LD,Scott RD,Scott WN

    更新日期:1989-11-01 00:00:00

  • Roentgenographic signs of cervical injury.

    abstract::The injured cervical spine may be completely examined without patient movement by positioning the X-ray tube relative to the injured patient. The prevertebral soft tissue in the cervical area is extremely important in the evaluation of injury, and a thickness of 5 mm or more at the level of the anterior inferior bord...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197506000-00003

    authors: Weir DC

    更新日期:1975-01-01 00:00:00

  • Bone cancer pain.

    abstract:BACKGROUND:Bone cancer pain is very common, and patients with this type of pain may be difficult to treat. Development of an experimental model for studying this condition is critical to advancing an understanding of the mechanisms that cause pain in patients with malignant disease. METHODS:A murine model of bone canc...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000093059.96273.56

    authors: Clohisy DR,Mantyh PW

    更新日期:2003-10-01 00:00:00

  • Vascular complications following total hip arthroplasty. A review of the literature and a report of two cases.

    abstract::Major vascular, nonthromboembolic complications of total hip arthroplasty are rare: only 23 have been reported over the last 20 years. This is a report of two additional cases. In an 84-year-old woman, the external iliac artery was lacerated following removal of the acetabular component. Two such injuries have been re...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Reiley MA,Bond D,Branick RI,Wilson EH

    更新日期:1984-06-01 00:00:00

  • Do first-generation highly crosslinked polyethylenes oxidize in vivo?

    abstract:BACKGROUND:Highly crosslinked and thermally treated polyethylenes were clinically introduced to reduce wear and osteolysis. Although the crosslinking process improves the wear performance, it also introduces free radicals into the polymer that can subsequently oxidize. Thermal treatments have been implemented to reduce...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-010-1728-3

    authors: MacDonald D,Sakona A,Ianuzzi A,Rimnac CM,Kurtz SM

    更新日期:2011-08-01 00:00:00

  • Distal radioulnar instability is an independent worsening factor in distal radial fractures.

    abstract::Distal radial fractures in patients who are younger than the age when osteoporosis usually develops are different from fractures in the elderly. Arthroscopy has revealed these fractures often have a complex pattern of fracture related chondral and ligament injuries in the wrist. In Lund, Sweden, of the 92 distal radia...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200007000-00031

    authors: Lindau T,Hagberg L,Adlercreutz C,Jonsson K,Aspenberg P

    更新日期:2000-07-01 00:00:00

  • Septic arthritis of the hip in a hemophiliac. Report of a case.

    abstract::Septic arthritis of the hip occurred in a 32-year-old hemophiliac with circulating Factor VIII antibodies. The clinical presentation suggested a soft tissue hematoma, but failure of early resolution with immobilization and Factor VIII replacement led to a correct diagnosis. A non-invasive method of management is essen...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197711000-00030

    authors: Houghton GR

    更新日期:1977-11-01 00:00:00