Ten to fifteen-year clinical and radiographic follow-up with a third-generation cementless stem in a young patient population

Studers, Pēteris; Belajevs, Danils; Jurkevics, Vitolds; Likums, Peteris

doi:10.1007/s00264-015-2846-z

Cited by 11 publications

(11 citation statements)

References 35 publications

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“…[[2]] The use of cementless stems allows shorter operating times than can be achieved with cemented stems, eliminates the risk of bone cement implantation syndrome and achieves reliable long-term fixation in younger patients. [ [3][4][5]] However, cemented acetabular components do not allow the use of alternative bearing surfaces, take longer to perform, have a more demanding surgical technique when compared to cementless components; cementless stems are more expensive than cemented implants and have a greater risk of periprosthetic fracture (PPF). [ [6,7]]Whilst registry data confirms low rates of revision for reverse hybrid THA, [[1,8,9]] there are very few clinical studies of this form of THA.…”

Section: Icmje Coi Statementmentioning

confidence: 99%

Reverse hybrid total hip arthroplasty

Jain

Magra

Dube

et al. 2018

The Bone & Joint Journal

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Section: Icmje Coi Statementmentioning

confidence: 99%

Reverse hybrid total hip arthroplasty

Jain

Magra

Dube

et al. 2018

The Bone & Joint Journal

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“…[14] With one of the lowest rates of volumetric wear, CoC bearings are excellent choices, characterized by high chemical stability, excellent lubrication, high biocompatibility, and outstanding resistance to mechanical damage, [14,20,21] with good/excellent mid- and long-term clinical results. [14,22,23] However, their more widespread use in THR was prevented by some disadvantages related to reliability (fracture risk), squeaking, and the limited choices of materials. [21] …”

Section: Discussionmentioning

confidence: 99%

“…Other authors have also reported good outcomes for CoP bearings, albeit the results are for primary THR. [22,23] However, in a small series of 23 cases, Kwak et al [30] found higher re-revision rates for replacing fractured ceramic bearings with CoP bearings compared to MoP bearings. Still, in lack of sufficient data to highlight the best coupling, both CoC and CoP seem to be advisable choices for replacing fractured ceramic bearings during revision THR.…”

Section: Discussionmentioning

confidence: 99%

Adverse local tissue reaction after 2 revision hip replacements for ceramic liner fracture

et al. 2017

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Introduction:In younger patients, ceramic-on-ceramic (CoC) bearing surfaces are usually recommended for total hip replacement (THR) because of their low wear rate and longer expected functional life. Although technical advancements have reduced the risk of ceramic bearings fracture, this complication remains a major concern.Case description:We present the case of a 56-year-old patient undergoing 3 revision hip arthroplasties of the right hip due to ceramic liner fractures. Initial THR (2008) was performed with a CoC bearing, followed by liner fracture due to trauma a year later. The acetabular component and liner were replaced, with a minor incongruence between the old head and new insert. The 2nd ceramic insert fractured 3.5 years later, following minor trauma. Upon revision, the bearing surface was changed to metal-on-polyethylene (MoP). The performed retrieval analysis demonstrated stripe and rim wear, and evidence of adhesive wear. The patient was referred to us a month later, with a fistula on the lateral side of the hip, discharging black, petroleum-like liquid. Radiology showed well-fixed implants, no dislocation and no apparent polyethylene wear. Microbiological assessment of the discharge showed no infection. Intraoperatively massive metallosis was noticed, with stable acetabular and femoral components. The metal femoral head was heavily abraded, with almost 1% volumetric wear. Hematoxylin and eosin stained frozen tissue samples showed muscular and adipose tissue necrosis, while polarized light microscopy highlighted metal, polyethylene, and ceramic particles.Conclusion:The present case is yet another report showing the adverse outcomes of using MoP bearings for revision after ceramic liner fracture in THR.

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“…Osteoarthritis (OA) is the most common reason for patients older than 60 years of age to undergo THA [ 5 ]. Although OA is still the primary reason for THA with younger patients [ 4 ], they require THA for several other conditions such as osteonecrosis, rheumatoid arthritis, hip dysplasia, a slipped epiphysis, Perthes disease, congenital hip luxation, tumors and infection [ 1 , 4 , 6 , 7 ]. Regardless of age, symptoms for elective THA remain similar in that severe pain, limitation of range of motion (ROM) and functional limitations are primary reasons for THA [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Augmented Rehabilitation Program for Patients 60 Years and Younger Following Total Hip Arthroplasty—Feasibility Study

et al. 2022

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The purpose of this study is to examine the feasibility, safety and outcomes of a study comparing a 6-week post-operative rehabilitation program to usual care in patients ≤60 years undergoing elective unilateral total hip arthroplasty (THA). Methods: A cohort of 24 THA patients were recruited during their 6-week postoperative visit to their surgeons. The community-based rehabilitation program, which was designed to improve function and increase activity, consisted of 12 structured exercise classes on land and water over 6 weeks. Physical activity was assessed using a Sense Wear Pro Armband (SWA). Participants completed the Hip Osteoarthritis Outcome Score (HOOS) and THA satisfaction questionnaire before and immediately after the intervention. Results: 14 participants received the augmented rehabilitation, and 10 participants were in the control group. All except one in the intervention group completed at least 80% of the sessions. The intervention group took significantly more steps/day (mean difference = 2440 steps/day, 95% CI = 1678, 4712) (p < 0.05), at the follow-up compared to baseline. The intervention group had a higher mean change of number of weekly PA bouts than the control group. Within the intervention group, all HOOS subscales were significantly higher at the follow-up compared to baseline. Conclusion: Findings provided pragmatic insight regarding the intervention and assessments of implementing an augmented rehabilitation program for elective THA.

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Ten to fifteen-year clinical and radiographic follow-up with a third-generation cementless stem in a young patient population

Abstract: The third-generation Zweymüller stem shows good radiographic and clinical results and good longevity, including in the younger osteoarthritic patient. The use of low-wear bearings may further reduce the rate of osteolysis and wear-related revision in young and active patients.

Cited by 11 publications

References 35 publications

Reverse hybrid total hip arthroplasty

Reverse hybrid total hip arthroplasty

Adverse local tissue reaction after 2 revision hip replacements for ceramic liner fracture

Augmented Rehabilitation Program for Patients 60 Years and Younger Following Total Hip Arthroplasty—Feasibility Study

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