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A clinical, radiological and biomechanical study of the TARA hip prosthesis

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Summary

We reviewed 60 patients with 72 TARA (total articular replacement arthroplasty) resurfacing hip prostheses. To analyse the behaviour of the femoral component a radiographic study was done and a two-dimensional finite element model was constructed. The stem of the femoral component plays a role in the load transfer mechanism. Stress shielding is seen in the proximal femur but depends on the interface conditions. When only the dome of the cup is assumed to be bonded to the bone, the stresses in the head increase dramatically and there is no more stress shielding. Five years after implantation radiographic signs of loosening of the femoral component were seen in 6.8% of the implants placed without notching in the femoral neck and in 28.6% of the components with notching (significant difference, P = 0.0005). Signs of loosening of the acetabular component were seen in 37.7% 5 years postoperatively. The cumulative survival rates of the femoral and acetabular components were 89.7% and 85.6% respectively 5 years after implantation. The overall clinical results are represented by an integration of the clinical results (Harris Hip Score System), the radiographic results and the survival analysis. This gave a success rate of only 72% 5 years after implantation.

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References

  1. Abrahamsson SO, Ahlgren SA, Stigsson L (1987) Wagner surface replacement of the hip. Three to six year follow-up. Acta Orthop Scand 58:93–96

    Google Scholar 

  2. Amstutz HC, Clarke IC, Christie J, Graff-Radford A (1977) Total hip articular replacement by internal eccentric shells. The “Tharies” approach to total surface replacement arthroplasty. Clin orthop 128:261–284

    Google Scholar 

  3. Amstutz HC, Ma SM, Jinnah RH, Mai LL (1982) Revision of aseptic loose total hip arthroplasties. Clin Orthop 170:21–33

    Google Scholar 

  4. Bell RS, Schatzker J, Fornasier VL, Goodman SB (1985) A study of implant failure in the Wagner resurfacing arthroplasty. J Bone Joint Surg [Am] 67:1165–1175

    Google Scholar 

  5. Bradley GW, Freeman MAR (1983) Revision of failed hip resurfacing. Clin Orthop 178:236–240

    Google Scholar 

  6. Callaghan JJ, Salvati EA, Pellicci PM, Wilson PD, Ranawat CS (1985) Results of revision for mechanical failure after cemented total hip replacement, 1979–1982. J Bone Joint Surg [Am] 67:1074–1985

    Google Scholar 

  7. Capello WN, Ireland PH, Trammell TR, Eicher P (1978) Conservative total hip arthroplasty. A procedure to conserve bone stock. Clin Orthop 134:59–74

    Google Scholar 

  8. Capello WN, Trancik TM, Misamore GW, Eaton R (1982) Analysis of revision surgery of resurfacing hip arthroplasty. Clin Orthop 170:50–55

    Google Scholar 

  9. Chandler HP, Reineck FT, Wixson RL, McCarthy JC (1981) Total hip replacement in patients younger than thirty years old. A five-year follow-up study. J Bone Joint Surg [Am] 63:1426–1434

    Google Scholar 

  10. Cohn BT, Froimson AI, Brahms MA, Greenwald AS (1988) Total articular replacement arthroplasty. Orthopaedics 11:551–558

    Google Scholar 

  11. Cook SD, Spires WP, Klawitter JJ, Weinstein AM, Powell PL (1981) Stress analysis of five commercially available conservative hip surface replacements. Trans 27th Annual Meeting of the Orthopedic Research Society, Las Vegas, Nevada, p 203

  12. De Lee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32

    Google Scholar 

  13. Dorr D, Takei GK, Conaty JP (1983) Total hip arthroplasties in patients less than forty-five years old. J Bone Joint Surg [Am] 65:474–479

    Google Scholar 

  14. Dustmann HO, Godolias G (1984) Erfahrungen mit der Hiiftgelenksschalenendoprothese nach Wagner. Indikation, Ergebnisse, Komplikationen. Z Orthop 122:106–113

    Google Scholar 

  15. Eftekhar NS (1976) Replacement of failel total hip prostheses in the absence of infection: low-friction arthroplasty technique. In: Evarts CM (ed) The hip. Mosby, St. Louis

    Google Scholar 

  16. Ferdini R, Moos N, Brunner H (1986) Erfahrungen bei 466 nachkontrollierten Hüftgelenkdoppelschalenendoprothesen nach Wagner. Z Orthop 124:740–742

    Google Scholar 

  17. Freeman MAR, Swanson SAV, Day WH, Thomas RJ (1975) Conservative total replacement of the hip. J Bone Joint Surg [Br] 57:114

    Google Scholar 

  18. Freeman MAR, Bradley GW (1983) ICLH surface replacement of the hip. An analysis of the first 10 years. J Bone Joint Surg [Br] 65:405–411

    Google Scholar 

  19. Grujic H, Olerud S, Soreff J (1982) Wagner resurfacing hip arthroplasty. Preliminary results. Acta Orthop Scand 53:785–789

    Google Scholar 

  20. Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures; treatment by mold arthroplasty. An end-study using a new method of result evaluation. J Bone Joint Surg [Am] 51:737–755

    Google Scholar 

  21. Head WC (1981) Wagner surface replacement arthroplasty of the hip. Analysis of fourteen failures in forty-one hips. J Bone Joint Surg [Am] 63:420–427

    Google Scholar 

  22. Head WC (1984) Total articular resurfacing arthroplasty. Analysis of component failure in sixty-seven hips. J Bone Joint Surg [Am] 66:28–34

    Google Scholar 

  23. Hoogland T, Razzano CD, Marks KE, Wilde AH (1981) Revision of Mueller total hip arthroplasties. Clin Orthop 161:180–185

    Google Scholar 

  24. Huiskes R, Strens PHGE, Heck J van, Sloff TJJH (1985) Interface stresses in the resurfaced hip. Finite element analysis of load transmission in the femoral head. Acta Orthop Scand 56:474–478

    Google Scholar 

  25. Huiskes R, Strens PGHE, Vroemen W, Slooff TJJH (1990) Post-loosening mechanical behaviour of femoral resurfacing prosthesis. Clin Mat 6:37–55

    Google Scholar 

  26. Hunter GA, Welsh RP, Cameron HU, Bailey WH (1979) The results of revision of total hip arthroplasty. J Bone Joint Surg [Br] 61:419–421

    Google Scholar 

  27. Mallory TH, Ballas S, Vanatta G (1984) Total articular replacement arthroplasty. A clinical review. Clin Orthop 185:131–136

    Google Scholar 

  28. Paltrinieri M, Trentani C (1971) Variante di arthroprotési d'anca. Chir Organi Mov 60:85–95

    Google Scholar 

  29. Pellicci PM, Wilson PD, Sledge CB, Salvati EA, Ranawat CS, Poss R (1981) Results of revision total hip replacement. In: Salvati EA (ed) The hip. Mosby, StLouis, pp 57–68

    Google Scholar 

  30. Phillips TW (1989) Thompson hemiarthroplasty and acetabular erosion. J Bone Joint Surg [Am] 71:913–917

    Google Scholar 

  31. Schreiber A, Jacob HAC (1984) Loosening of the femoral component of the ICLH double cup hip prosthesis. A biomechanical investigation with reference to clinical results. Acta Orthop Scand [Suppl] 55:207

    Google Scholar 

  32. Skybut GT, Askew MJ, Hori RY, Stulberg SD (1980) Theoretical and experimental studies of femoral stresses following surface replacement hip arthroplasty. In: The Hip Society (ed) The hip. Mosby, StLouis, pp 192–224

    Google Scholar 

  33. Steele RA, Dempster D, Smith MA (1985) Total hip replacement of failed surface arthroplasty. Acta Orthop Scand 56:133–134

    Google Scholar 

  34. Strens PHGE (1986) Analysis of implant failure in the Wagner resurfacing arthroplasty. Thesis, Catholic University Nijmegen

  35. Thomas BJ, Amstutz HC (1982) Revision surgery for failed surface arthroplasty of the hip. Clin Orthop 170:42–49

    Google Scholar 

  36. Townley CO (1981) Conservative total articular replacement arthroplasty with the fixed femoral cup. Orthop Trans J Bone Joint Surg 5:3

    Google Scholar 

  37. Trepte CT, Gärtner BM, Gauer EF (1984) Erfahrungen mit der Schalenprothese nach Wagner. Z Orthop 122:718–723

    Google Scholar 

  38. Wagner H (1978) Surface replacement arthroplasty of the hip. Clin Orthop 134:102–130

    Google Scholar 

  39. Willems WJ (1988) Ongecementeerde dubbele cup arthroplastiek volgens Gérard. Een klinisch, radiologisch, biomechanisch en histopathologisch onderzoek (English summary). Thesis, University of Leiden

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  1. University Hospital St. Radboud, Institute of Orthopaedics, Th. Craanenlaan 7, P.O.Box 9101, 6500, HB Nijmegen, The Netherlands

    M. C. de Waal Malefijt MD, PhD & R. Huiskes

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  1. M. C. de Waal Malefijt MD, PhD
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  2. R. Huiskes
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de Waal Malefijt, M.C., Huiskes, R. A clinical, radiological and biomechanical study of the TARA hip prosthesis. Arch Orthop Trauma Surg 112, 220–225 (1993). https://doi.org/10.1007/BF00451878

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