Ten- to Twelve-Year Follow-Up of the Furlong Hydroxyapatite-Coated Femoral Stem and Threaded Acetabular Cup in Patients Younger Than 65 Years

Gabbar, Omar Abdul; Rajan, Roy; Londhe, Sanjay Bhalchandra; Hyde, I.

doi:10.1016/j.arth.2007.01.027

Cited by 31 publications

(19 citation statements)

References 17 publications

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“…23 The Furlong fully HA-coated femoral component (Joint Replacement Industries, London, United Kingdom) has been extensively reported at mid term with comparable survivorship to that in the ten year report for the Freeman HA-coated stem. 1,[24][25][26][27] The results have been sustained in the long term, but with similar problems of acetabular failure. 28,29 Data from the Norwegian Hip Registry for proximally HA-coated femoral components show that there are four designs of implant with survivorship > 96% at ten years.…”

Section: Discussionmentioning

confidence: 70%

The Freeman femoral component with hydroxyapatite coating and retention of the neck

Mannan

Freeman

Scott

2010

The Journal of Bone and Joint Surgery. British volume

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The outcome at ten years of 100 Freeman hip stems (Finsbury Orthopaedics, Leatherhead, United Kingdom) retaining the neck with a proximal hydroxyapatite coating in a series of 52 men (six bilateral) and 40 women (two bilateral), has been described previously. None required revision for aseptic loosening. We have extended the follow-up to 20 years with a minimum of 17 years. The mean age of the patients at total hip replacement was 58.9 years (19 to 84). Six patients were lost to follow-up, but were included up to their last clinical review. A total of 22 patients (22 hips) had died, all from causes unrelated to their surgery. There have been 43 re-operations for failure of the acetabular component. However, in 38 of these the stem was not revised since it remained stable and there was no associated osteolysis. Two of the revisions were for damage to the trunnion after fracture of a modular ceramic head, and in another two, removal of the femoral component was because of the preference of the surgeon. In all cases the femoral component was well fixed, but could be extracted at the time of acetabular revision. In one case both components were revised for deep infection. There has been one case of aseptic loosening of the stem which occurred at 14 years. This stem had migrated distally by 7.6 mm in ten years and 8.4 mm at the time of revision at which stage it was found to be rotationally loose. With hindsight this component had been undersized at implantation. The survivorship for the stem at 17 years with aseptic loosening as the endpoint was 98.6% (95% confidence interval 95.9 to 100) when 62 hips were at risk. All remaining stems had a satisfactory clinical and radiological outcome. The Freeman proximally hydroxyapatite-coated femoral component is therefore a dependable implant and its continued use can be recommended.

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Section: Discussionmentioning

confidence: 70%

The Freeman femoral component with hydroxyapatite coating and retention of the neck

Mannan

Freeman

Scott

2010

The Journal of Bone and Joint Surgery. British volume

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“…These second-generation stems include fully coated and tapered stems with varied proximal coatings, such as fibre metal titanium mesh and hydroxyapatite [10][11][12]. There have been numerous midand long-term studies published that demonstrate excellent outcomes of a variety of second-generation, noncemented stems, with high rates of bony ingrowth, low rates of revision, and satisfied patients [13][14][15][16][17][18][19][20][21][22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

A concise minimum eight year follow-up of proximally porous-coated tapered titanium femoral stem in primary total hip arthroplasty

Beecher

Glassner

Malchau

et al. 2012

International Orthopaedics (SICOT)

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Purpose Our goal was to assess clinical and radiographic outcomes using a second-generation circumferentially proximally porous-coated titanium alloy stem at a minimum of eight years of follow-up. Methods Ninety-one hips (80 patients) with Fibre Metal Taper (FMT, Zimmer Inc, Warsaw, IN, USA) femoral stems implanted between May 1998 and April 2002 were followed prospectively and re-evaluated at a minimum of eight years postoperatively. The median patient age was 56 (range 34-78) years, with 40 women and 40 men. Radiographic data and clinical follow-up using Harris Hip Score (HHS) and EuroQol (EQ)-5D outcome measures were evaluated. Results Mean follow-up was 9.61 (range 8-12.3) years. At the time of the most recent follow-up, the mean HHS was 85.8 (range 46-100) points, mean EQ-5D Weighted Health State Index was 0.76 (range 0.05-1.00), and mean EQ-5D Visual Analogue Score was 80 (range 24-100). All stems were biologically stable, with all hips having osseous ingrowth. One stem was revised due to early periprosthetic fracture with stem subsidence. No hip had diaphyseal osteolysis. Conclusions To our knowledge, the data presented here represent the longest clinical follow-up of this secondgeneration cementless, proximally porous-coated femoral stem. The stems were found to perform well clinically and radiographically beyond the first five years previously reported in the literature. Patients had high levels of satisfaction and function, and osseous fixation occurred reliably without evidence of distal osteolysis.

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“…Some might be related to the preference and experience of the surgeon, transactional versus total cost, presence of bone loss, and the ability to revise, repair, or salvage the prosthesis in the future. Several studies have reported on the excellent long-term outcome of cementless implants [1,5,6]. We particularly recommend cemented long stems in patients with limited bone loss, and in older patients.…”

Section: Clinical Faceoffmentioning

confidence: 99%

Clinical Faceoff: One- Versus Two-Stage Exchange Arthroplasty for Prosthetic Joint Infections

Wongworawat

2013

Clinical Orthopaedics &Amp; Related Research

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Ten- to Twelve-Year Follow-Up of the Furlong Hydroxyapatite-Coated Femoral Stem and Threaded Acetabular Cup in Patients Younger Than 65 Years

Cited by 31 publications

References 17 publications

The Freeman femoral component with hydroxyapatite coating and retention of the neck

The Freeman femoral component with hydroxyapatite coating and retention of the neck

A concise minimum eight year follow-up of proximally porous-coated tapered titanium femoral stem in primary total hip arthroplasty

Clinical Faceoff: One- Versus Two-Stage Exchange Arthroplasty for Prosthetic Joint Infections

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