Results of Total Cementless Hip Joint Arthroplasty with Taperloc Stem

Drobniewski, Marek; Borowski, Andrzej; Krasińska, Magdalena; Sibiński, Marcin; Synder, Marek

doi:10.5604/15093492.1220823

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…On the other hand, McLaughlin and Lee [ 18 ] reported a higher revision rate of 9% (for any cause) when the follow-up period was extended to 20 years. Still, when revision rates due to aseptic loosening are analyzed, our rates are similar to others [ 9 , 10 , 19 – 21 ], as this was the reason for only a single surgery (1.3%). Regarding the non-stem components, survival was lower at 63.2% with liner wear being the major cause for failure and revision.…”

Section: Discussionsupporting

confidence: 88%

“…The cemented implant, which is non-collared, is made of cobalt chrome and is polished. It has a tapered shape for optimal stability and utilizes the same conventional broaching system as the cementless implant [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Since its introduction, several authors have reported on the outcomes of the Taperloc cementless implant, with increasing duration of follow-up. Most have reported excellent survival rates and hip scores for both young patient and elderly patients [8][9][10][11][12][13]. Labek et al [7] performed a comprehensive literature review on the outcome of the cementless Taperloc stem demonstrating good performance in regards to revision rates.…”

Section: Introductionmentioning

confidence: 99%

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Long term results of total hip arthroplasty with cemented and cementless tapered femoral component

Factor¹,

Rutenberg

Garceau

et al. 2023

SICOT-J

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Background: Excellent midterm results for total hip arthroplasties (THA) with cementless, tapered porous Taperloc® femoral stems have been reported. Reports regarding such cemented stems, however, are lacking. Objectives: To evaluate the long-term outcomes of both cemented and cementless THAs with the Taperloc femoral component. Methods: The medical records of 71 patients (76 hips), operated on between January 1991 and December 2003, who had a minimum follow-up of 10 years were available for analysis. Functional analysis was performed with the Harris hip score (HHS) questionnaire and the numerical analogue scale (NAS). Radiographic analysis was performed for subsidence, radiolucent lines and osteolysis. Results: The cohort was comprised of 47 female and 24 male patients, with a mean age of 59.7 ± 12.4 years. The mean follow-up was 17.8 ± 4.4 years. 52.6% of THAs analyzed were cementless and 47.4% were cemented. Post-operative radiographs were available for 57 surgeries. Subsidence, hypertrophic ossification, radiolucent lines and osteolysis were noted in 4 (7%), 2 (2.6%), 14 (18.4%) and 11 (14.5%) hips respectively. The average HHS score at a mean follow-up of 20.1 ± 3.9 years was 62.1 (±27.7) and the NAS score was 4.6 (±3.6). During the study period, five revision surgeries were performed due to stem-related problems, one of which was for aseptic loosening. Conclusions: Our long-term experience with the Taperloc stem, both cemented and cementless, demonstrates good outcomes, with low rates of failure. This makes this prosthesis an attractive option for THAs. Level of Evidence: IV

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long term results of total hip arthroplasty with cemented and cementless tapered femoral component

Factor¹,

Rutenberg

Garceau

et al. 2023

SICOT-J

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“…The hip joint is particularly exposed to the effects of adverse muscle forces, increased spasticity, including, among others, the adductor muscles and the iliac-lumbar muscle [4]. Oblique pelvis significantly increases the risk of hip joint dislocation [2,4,5]. As a result, the hip joint pivot point is changed – from the femoral head center to the trochanter minor – the shape of the acetabulum is changed and the cervical-shaft angle is increased [6].…”

mentioning

confidence: 99%

More than 20 years of experience with Dega transiliac osteotomy in the treatment of dislocated hip joints in children with cerebral palsy

Pruszczyński

Synder²,

Drobniewski³

et al. 2021

Journal of Pediatric Orthopaedics B

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Cerebral palsy in children, which is the result of a nonprogressing damage to the central nervous system, causes motor and posture disorders that change with age. The level of child activity correlates with the hip dislocation risk. It most often affects nonwalking patients and those with tetraparesis or oblique pelvis. The aim of the study was to assess the effectiveness and clinical value of Dega pelvic osteotomy with accompanying directional femoral bone osteotomy after minimum of 20 years from surgery of patients with cerebral palsy. The conducted research was retrospective and concerned the children operated at our Hospital. The assessment was carried out in 346 children with spastic hip during the years 1993–2000. The inclusion criteria were applied: unilateral dislocation of the hip, the observation period of at least 20 years, pelvic osteotomy by Dega method and combined with varus derotation femur osteotomy. The analysis involved fifteen patients. The follow-up period was minimum 20 years (20–27 years). The average migration percentage decreased from 88% down to 25%, and an improved range of mobility was observed in the operated joint after surgery. However, the range of mobility was again significantly reduced during the last control examination after a minimum of 20 years. In all hips, the degenerative joint disease was present. Pelvic transiliac osteotomy, according to Dega, with VDRO, ensures very effective correction of the deficit in femoral head coverage by the acetabulum in the upper, lateral and posterior parts. However, it does not prevent the development of the early degenerative disease of the joint.

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“…Les prothèses totales de hanche (PTH) sans ciment avec tige conventionnelle ont d'excellents résultats avec un taux de survie à 10 ans qui dépasse 95% [1][2][3][4][5][6]. Depuis une dizaine d'année, avec le développement des techniques mini-invasives, de multiples PTH à tige courte ont fait leur apparition avec comme objectifs de s'adapter à des voies d'abord plus courtes, de préserver le stock osseux trochantérien, de permettre une répartition des charges plus physiologiques au niveau de l'extrémité proximale du fémur afin de réduire le stress shielding, et enfin de faciliter les reprises chirurgicales [7,8].…”

Section: Introductionunclassified

Résultats de 119 tiges fémorales raccourcies Taperloc Microplasty™ à 61 mois de recul moyen

Saragaglia

Orfeuvre

2020

Revue de Chirurgie Orthopédique et Traumatologique

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Results of Total Cementless Hip Joint Arthroplasty with Taperloc Stem

Cited by 5 publications

References 11 publications

Long term results of total hip arthroplasty with cemented and cementless tapered femoral component

Long term results of total hip arthroplasty with cemented and cementless tapered femoral component

More than 20 years of experience with Dega transiliac osteotomy in the treatment of dislocated hip joints in children with cerebral palsy

Résultats de 119 tiges fémorales raccourcies Taperloc Microplasty™ à 61 mois de recul moyen

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