Early femoral loosening in one design of cemented hip replacement

Massoud, Samir N.; Hunter, J. B.; Holdsworth, Brian J.; Wallace, WA; Juliusson, Rigmor

doi:10.1302/0301-620x.79b4.7131

Cited by 106 publications

(41 citation statements)

References 22 publications

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“…The results of our study contrast reports with cases of early loosening and high loosening rates after cemented implantation of titanium alloy straight femoral prostheses [10,13,18,21]. A mechanism of crevice corrosion has been described as a mechanism of loosening in cemented titanium stems [23].…”

Section: Discussioncontrasting

confidence: 90%

Results of a cemented titanium alloy straight femoral shaft prosthesis after 10 years of follow-up

Eingartner

Volkmann²,

Winter

et al. 2001

International Orthopaedics (SICOT)

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Two-hundred fifty implantations of a cemented femoral stem made of titanium alloy in 239 patients were followed for 9.7 years (range 8.7-10.3 years). Eighty-nine patients with 93 hips have died and two could not be located. Five hips have been revised, two for infection, one for aseptic loosening and two during revision of the cup. Three stems showed radiological loosening but have not been revised. The average hip score was 85. The results are encouraging and comparable to other cemented femoral stems.Résumé 250 implantations d'une tige fémorale cimentée en alliage de titane chez 239 malades ont été suivies pendant 9.7 années (8.7-10.3 années). 89 malades avec 93 prothèses sont morts et deux sont perdus de vue. Cinq hanches ont été révisées, deux pour infection, une pour descellement aseptique et deux pour une révision de la cupule acétabulaire. Trois tiges ont présentés un descellement radiologique mais n'ont pas été reprises. Le score moyen était de 85. Les résultats sont encourageant set comparables à ceux des autres tiges fémorales cimentées.

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Section: Discussioncontrasting

confidence: 90%

Results of a cemented titanium alloy straight femoral shaft prosthesis after 10 years of follow-up

Eingartner

Volkmann²,

Winter

et al. 2001

International Orthopaedics (SICOT)

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“…The poor performance of the modular ti-alloy stem version of the Capital hip (3 M Health Care Ltd, UK) has been reported [22]. The use of inadequately sized broaches resulting in thin cement mantle, along with the mechanical properties and surface texture of the ti-alloy, have been implicated in its failure.…”

Section: Resultsmentioning

confidence: 99%

Mid-term results and migration behaviour of a ti-alloy cemented stem

Meek

Michos

Grigoris

et al. 2002

International Orthopaedics

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Between 1991 and 1994, 147 patients (154 hips) underwent a primary cemented total hip replacement using the Ultima ti-alloy, collarless, double-tapered stem and a UHMWPE cup. The average age at operation was 66.4 years. Ninety-one patients (97 hips) were available for review with an average follow-up of 76 months. The Harris hip score had improved from pre-operative average of 43.1 (12.5-65.0) to the latest score of 88.9 (67.5-100). There were 11 revisions in total, eight of which were for aseptic stem loosening. The results of Kaplan-Meier survival analysis, based on stem revision for aseptic loosening as an end-point, was 92% at 8 years. Early stem migration analysis at 2 years was possible in 114 cases using digitised radiographs analysed by the EBRA method. Sixty-three stems had not migrated and 35 migrated less than 2 mm with only one of these ending in failure. Sixteen stems showed early migration of more than 2 mm and five of these failed. Early stem migration is predictive of stem failure. Osteolytic lesions occurred in 12 femurs and four of these stems failed.Résumé Entre 1991 et 1994, 147 malades (154 hanches) ont subi une arthroplastie primaire cimentée qui utilise une tige à section décroissante Ultima sans collerette en alliage de Titane et une cupule de UHMWPE. L'âge moyen à l'opération était 66.4 ans. Quatre-vingtonze malades (97 hanches) étaient disponibles pour la révision avec une moyenne de suivi de 76 mois. Le score de Harris s'est amélioré de la moyenne préopératoire de 43.1 (12.5 à 65.0) au score le plus tardif de 88.9 (67.5 à 100). Il y avait 11 révisions, huit pour descellement aseptique de la tige. La survie selon KaplanMeyer, basée sur la révision de la tige pour descellement aseptique était 92% à huit années. L'analyse du descellement précoce de la tige à deux années était possible dans 114 cas utilisant des radiographies digitalisées analysées par la méthode EBRA. Soixante-trois tiges n'avaient pas migré et trente-cinq tiges avaient migré de moins de 2 mm avec seul cas évoluant vers un échec. Seize tiges ont montré une migration de plus de 2 mm avec finalement cinq échecs. La migration préco-ce de la tige est prédictif du descellement. Les lésions ostéolytique se sont produites sur 12 fémurs conduisant à quatre échecs par descellement fémoral.

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“…The non-availability of the advanced 4th generation cementation equipment viz. vacuum centrifugal measured pulsed lavage systems did not hamper the results of our series, as none of the cemented femoral stem showed signs of loosening on final follow up however Hunter and Holdsworth [10] reported in 1997 a series with 16% definite and an additional 10% probable loosening of femoral component at 26 months follow up.…”

Section: H) Overall Functional Resultsmentioning

confidence: 56%

Short term outcome of primary hip osteoarthritis treated with total hip arthroplasty in adults

Vora¹,

Yadav²

2017

Int. J. Orthop. Sci.

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Introduction:In 1961 Sir John Charnley demonstrated the use of steel, plastics and cement to conquer the hip joint, ending the dread associated with the ' hip disease'. A new era of orthopedics had begun. There has been continuous evolution of total hip arthroplasty over last four decades throwing up newer forms of prosthesis from cemented to hybrid to cementless. Inspite of few drawbacks, total hip arthroplasty has emerged by far the popular choice among orthopaedic surgeons to tackle common or complicated hip pathologies and today most commonly performed hip reconstruction procedure. The present study aims to evaluate the results of cement less total hip replacement arthoplasties and to compare the results with other standard series. Aim: To evaluate the results of cement less total hip replacement arthoplasties and to compare the results with other standard series. Materials and Methods: The present prospective study was carried out on 30 patients of either sex or varied age groups having various hip disorders who were admitted during the year 2013-2014. The surgical approach for all the patients enrolled in the current study remained the same i.e Modified Gibson (Modified by Marcy and Fletcher) approach. Patients were followed up every month for the first 6 months followed by quarterly visits thereafter. The follow ups included proper clinical evaluation and roentgenographic evaluation. Results and discussion: We obtained 100% excellent overall results in our series which are comparable to a similar larger series done at the department of orthopaedics, university of Innsbruck, Austria which included 71 primary cementless hip arthroplasty using porous coated press fit acetabular cups which were combined with 61 cementless stems and 10 cemented stems with an average follow up of 2.4 years. However Coventry et al had reported 83% overall good to excellent functional results in their series while, Charnley had found it to be 91% in his series. Thus, our results were consistent with the standars series available in literature. Conclusion: We conclude that the operative treatment for various hip disorders in the form of cementless total hip arthroplasty has helped in alleviation of intractable pain, early rsumption of ambulation and return to functional activity.

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Early femoral loosening in one design of cemented hip replacement

Cited by 106 publications

References 22 publications

Results of a cemented titanium alloy straight femoral shaft prosthesis after 10 years of follow-up

Results of a cemented titanium alloy straight femoral shaft prosthesis after 10 years of follow-up

Mid-term results and migration behaviour of a ti-alloy cemented stem

Short term outcome of primary hip osteoarthritis treated with total hip arthroplasty in adults

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