Risk Factors for Significant Radiolucent Line Development in a Fully Coated Hydroxyapatite Stem

Karayiannis, Paul N.; Cassidy, Roslyn; Isaac, Graham; Hughes, Ioan; Hill, Janet; Machenaud, A; Beverland, David

doi:10.1016/j.arth.2021.07.001

Cited by 8 publications

(28 citation statements)

References 14 publications

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“…Although other authors indicate that the risks of stem revision increase by being male gender, being older than 70 years, having a small stem size (8)(9)(10)(11) compared to medium ones (12)(13)(14)(15), and having a non-osteoarthritis diagnosis, 7 our study did not find such a correlation. The clinical results could be evaluated as excellent, as they are also higher than in other studies, 16,17 but it should be noted that there was also a longer follow-up period.…”

Section: Survivalcontrasting

confidence: 91%

“…14 However, EGS is still not used in radiologists’ daily reports; therefore, some essential features, such as the pedestal sign, can be underestimated. There are no statistically significant differences in overall OHS for patients with or without significant radiolucent lines, 15 as observed in our study, where the clinical and radiological results did not correlate significantly.…”

Section: Discussioncontrasting

confidence: 58%

“…10 When the survival bar increases to ten years, survival varies between 95.0%-98.8%. 10,11,15,16 Furthermore, extensive studies, such as a report from the Norwegian Registry of Arthroplasty with 28,928 standard collarless Corail stems, show 97.6% survival over a 10-year period, without stem revision for all causes of standard collarless stem. 7 After 20 years, the survival rate is above 96% 6 but decreases to 93.7% after 26 years of mean follow-up 17 and 88.4% for any non-infectious cause with up to 30 years of follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…The EGS is a reliable scale to use when reviewing radiographs, 22 and doing it by one person makes the review process more consistent. 15,22 Therefore, radiographs play an essential role in the prognosis of stability of THA. It should not be forgotten that other factors could influence the outcome; for example, bone mineral density (BMD) can significantly affect EGS and be a significant predictor of prosthesis instability.…”

Section: Discussionmentioning

confidence: 99%

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Mid-term clinical and radiographic outcomes after primary total hip replacement with fully hydroxyapatite-coated stem: A cross-sectional study

Studers,

Jakovicka,

Solska

et al. 2023

Journal of Orthopaedics, Trauma and Rehabilitation

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Background The number of total hip arthroplasties increases every year as the population ages. The purpose of the study was to evaluate mid-term clinical and radiological results for a minimum of two years and the survival rate at the 5-year follow-up period using a fully hydroxyapatite (HA)-coated stem. Methods A single-center retrospective observational study was conducted, in which 121 primary total hip arthroplasties (THA) were performed between 2013 and 2015 using a standard offset Corail fully HA-coated stem. The study included 108 patients, with a median age among all patients of 55.00 years (range 18.0–79.0 years). The median follow-up time was 4 years and 9 months. Results Stem survival for any reason was 98.4% at 5 years. The mean Harris Hip Score and Engh Grading Scale before surgery and at the follow-up visit show statistically significant improvement, accordingly (44.70 vs 98.13; p < 0.001) and (17.42 vs 19.68; p < 0.01). There is no statistically significant correlation between radiological and clinical results and no correlation between follow-up time and results. Conclusions A completely coated hydroxyapatite standard offset Corail stem shows an excellent survival rate for a 5-year follow-up. Although the radiological results are not perfect, the clinical evaluation shows that the patients are satisfied and are not limited in their daily activities as before the surgery.

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Section: Survivalcontrasting

confidence: 91%

Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mid-term clinical and radiographic outcomes after primary total hip replacement with fully hydroxyapatite-coated stem: A cross-sectional study

Studers,

Jakovicka,

Solska

et al. 2023

Journal of Orthopaedics, Trauma and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Other studies of fully HA-coated stems of a comparable design ( 10 ) as well as proximally coated stems ( 11 , 12 ) reveal similar findings. Additionally, Magill et al ( 13 ) and Karayiannis et al ( 14 ) both report a statistical relationship between under-sizing the Corail stem and the development of radiolucent lines in zone 7.…”

Section: Discussionmentioning

confidence: 98%

Progressive proximal loosening of initially well-fixed bilateral Corail stems: a case report and review of the literature

Johnston

Eppich

Gray

et al. 2022

ActaO

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Comparison of canal fill and radiolucent line formation between two fully coated, hydroxyapatite tapered stems: a 2-year follow-up after total hip arthroplasty

Shichman,

Lawrence,

Berzolla

et al. 2023

Arch Orthop Trauma Surg

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Risk Factors for Significant Radiolucent Line Development in a Fully Coated Hydroxyapatite Stem

Cited by 8 publications

References 14 publications

Mid-term clinical and radiographic outcomes after primary total hip replacement with fully hydroxyapatite-coated stem: A cross-sectional study

Mid-term clinical and radiographic outcomes after primary total hip replacement with fully hydroxyapatite-coated stem: A cross-sectional study

Progressive proximal loosening of initially well-fixed bilateral Corail stems: a case report and review of the literature

Comparison of canal fill and radiolucent line formation between two fully coated, hydroxyapatite tapered stems: a 2-year follow-up after total hip arthroplasty

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