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Erschienen in: International Orthopaedics 5/2012

01.05.2012 | Original Paper

The Bicontact cementless primary total hip arthroplasty: long-term results

verfasst von: Girish Swamy, Alistair Pace, Conal Quah, Peter Howard

Erschienen in: International Orthopaedics | Ausgabe 5/2012

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Abstract

We report on a prospective series of 201 primary uncemented total hip arthroplasties with a Bicontact prosthesis at a mean follow-up of 12.9 years. The mean Harris hip score improved from 41 before surgery to 89 at final follow-up. Two femoral stems, one each for infection and fracture, and 12 cups were revised. The mean number of years to revision post-primary surgery was 8.7 years (six months to 16 years). The cumulative survival of the prosthesis was 95.42% for any cause at ten years and 93.57% at 12 years. Survivorship for aseptic loosening of the femoral stem was 100%. In our series, the Bicontact uncemented total hip arthroplasty stem without hydroxyapatite coating showed excellent survival and the cup survival was comparable to other leading series.
Literatur
1.
Zurück zum Zitat Zwartele R, Peters A, Brouwers J, Olsthoorn P, Brand R, Doets C (2008) Long-term results of cementless primary total hip arthroplasty with a threaded cup and a tapered, rectangular titanium stem in rheumatoid arthritis and osteoarthritis. Int Orthop 32(5):581–587PubMedCrossRef Zwartele R, Peters A, Brouwers J, Olsthoorn P, Brand R, Doets C (2008) Long-term results of cementless primary total hip arthroplasty with a threaded cup and a tapered, rectangular titanium stem in rheumatoid arthritis and osteoarthritis. Int Orthop 32(5):581–587PubMedCrossRef
2.
Zurück zum Zitat Maheshwari AV, Ranawat AS, Ranawat CS (2008) The use of hydroxyapatite on press-fit tapered femoral stems. Orthopedics 31(9):882–884PubMedCrossRef Maheshwari AV, Ranawat AS, Ranawat CS (2008) The use of hydroxyapatite on press-fit tapered femoral stems. Orthopedics 31(9):882–884PubMedCrossRef
3.
Zurück zum Zitat McLaughlin JR, Lee KR (2008) Total hip arthroplasty with an uncemented tapered femoral component. J Bone Joint Surg Am 90(6):1290–1296PubMedCrossRef McLaughlin JR, Lee KR (2008) Total hip arthroplasty with an uncemented tapered femoral component. J Bone Joint Surg Am 90(6):1290–1296PubMedCrossRef
4.
Zurück zum Zitat Badhe NP, Quinnell RC, Howard PW (2002) The uncemented Bi-Contact total hip arthroplasty. J Arthroplasty 17(7):896–901PubMedCrossRef Badhe NP, Quinnell RC, Howard PW (2002) The uncemented Bi-Contact total hip arthroplasty. J Arthroplasty 17(7):896–901PubMedCrossRef
5.
Zurück zum Zitat Badhe S, Livesley P (2006) Early polyethylene wear and osteolysis with ABG acetabular cups (7- to 12-year follow-up). Int Orthop 30(1):31–34PubMedCrossRef Badhe S, Livesley P (2006) Early polyethylene wear and osteolysis with ABG acetabular cups (7- to 12-year follow-up). Int Orthop 30(1):31–34PubMedCrossRef
6.
Zurück zum Zitat Clarius M, Jung AW, Raiss P, Streit MR, Merle C, Aldinger PR (2009) Long-term results of the threaded Weill cup in primary total hip arthroplasty: a 15-20-year follow-up study. Int Orthop 2009 Jul 24. [Epub ahead of print] Clarius M, Jung AW, Raiss P, Streit MR, Merle C, Aldinger PR (2009) Long-term results of the threaded Weill cup in primary total hip arthroplasty: a 15-20-year follow-up study. Int Orthop 2009 Jul 24. [Epub ahead of print]
7.
Zurück zum Zitat Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51(4):737–755PubMed Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51(4):737–755PubMed
8.
Zurück zum Zitat Gruen T, McNeice M, Amstutz H (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27PubMed Gruen T, McNeice M, Amstutz H (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27PubMed
9.
Zurück zum Zitat DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32PubMed DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32PubMed
10.
Zurück zum Zitat Brooker AF, Bowerman JW, Robinson RA, Riley LH (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 55:1629–1632PubMed Brooker AF, Bowerman JW, Robinson RA, Riley LH (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 55:1629–1632PubMed
11.
Zurück zum Zitat Altman DG (1991) Practical statistics for medical research. Chapman and Hall, London Altman DG (1991) Practical statistics for medical research. Chapman and Hall, London
12.
Zurück zum Zitat Engh CA Sr, Fenwick JA (2008) Extensively porous-coated stems: avoiding modularity. Orthopedics 31(9):911–912PubMedCrossRef Engh CA Sr, Fenwick JA (2008) Extensively porous-coated stems: avoiding modularity. Orthopedics 31(9):911–912PubMedCrossRef
13.
Zurück zum Zitat Civinini R, D’Arienzo M, Innocenti M (2008) A ten-year follow-up of the Reflection cementless acetabular component. J Bone Joint Surg Br 90(5):570–573PubMedCrossRef Civinini R, D’Arienzo M, Innocenti M (2008) A ten-year follow-up of the Reflection cementless acetabular component. J Bone Joint Surg Br 90(5):570–573PubMedCrossRef
14.
Zurück zum Zitat Gabbar A, Rajan RA, Londhe S, Hyde ID (2008) Ten- to twelve-year follow-up of the Furlong hydroxyapatite-coated femoral stem and threaded acetabular cup in patients younger than 65 years. J Arthroplasty 23(3):413–417PubMedCrossRef Gabbar A, Rajan RA, Londhe S, Hyde ID (2008) Ten- to twelve-year follow-up of the Furlong hydroxyapatite-coated femoral stem and threaded acetabular cup in patients younger than 65 years. J Arthroplasty 23(3):413–417PubMedCrossRef
15.
Zurück zum Zitat Slack R, Tindall A, Shetty A, James KD, Rand C (2006) 15-year follow-up results of the hydroxyapatite ceramic-coated femoral stem. J Orthop Surg (Hong Kong) 14(2):151–154 Slack R, Tindall A, Shetty A, James KD, Rand C (2006) 15-year follow-up results of the hydroxyapatite ceramic-coated femoral stem. J Orthop Surg (Hong Kong) 14(2):151–154
16.
Zurück zum Zitat Kim YH, Kim JS, Cho SH (1999) Primary total hip arthroplasty with the AML total hip prosthesis. Clin Orthop Relat Res 360:147–158PubMedCrossRef Kim YH, Kim JS, Cho SH (1999) Primary total hip arthroplasty with the AML total hip prosthesis. Clin Orthop Relat Res 360:147–158PubMedCrossRef
17.
Zurück zum Zitat Cruz-Pardos H, Garcia-Cimbreto E (2001) The Harris-Galante total hip arthroplasty: a minimum 8-year follow-up study. J Arthroplasty 16(5):586–597PubMedCrossRef Cruz-Pardos H, Garcia-Cimbreto E (2001) The Harris-Galante total hip arthroplasty: a minimum 8-year follow-up study. J Arthroplasty 16(5):586–597PubMedCrossRef
18.
Zurück zum Zitat Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33(4):927–932PubMedCrossRef Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33(4):927–932PubMedCrossRef
19.
Zurück zum Zitat Parvizi J, Keisu KS, Hozack WJ, Sharkey PF, Rothman RH (2004) Primary total hip arthroplasty with an uncemented femoral component: a long-term study of the Taperloc stem. J Arthroplasty 19(2):151–156PubMedCrossRef Parvizi J, Keisu KS, Hozack WJ, Sharkey PF, Rothman RH (2004) Primary total hip arthroplasty with an uncemented femoral component: a long-term study of the Taperloc stem. J Arthroplasty 19(2):151–156PubMedCrossRef
20.
Zurück zum Zitat Bulow JU, Scheller G, Arnold P, Synatschke M, Jani L (1996) Follow-up (6-9 years) results of the uncemented CLS Spotorno stem. Arch Orthop Trauma Surg 115(3–4):190–194PubMedCrossRef Bulow JU, Scheller G, Arnold P, Synatschke M, Jani L (1996) Follow-up (6-9 years) results of the uncemented CLS Spotorno stem. Arch Orthop Trauma Surg 115(3–4):190–194PubMedCrossRef
21.
Zurück zum Zitat Tonino AJ, van der Wal BC, Heyligers IC, Grimm B (2009) Bone remodeling and hydroxyapatite resorption in coated primary hip prostheses. Clin Orthop Relat Res 467(2):478–484PubMedCrossRef Tonino AJ, van der Wal BC, Heyligers IC, Grimm B (2009) Bone remodeling and hydroxyapatite resorption in coated primary hip prostheses. Clin Orthop Relat Res 467(2):478–484PubMedCrossRef
22.
Zurück zum Zitat Lettich T, Tierney MG, Parvizi J, Sharkey PF, Rothman RH (2007) Primary total hip arthroplasty with an uncemented femoral component: two- to seven-year results. J Arthroplasty 22(7 Suppl 3):43–46PubMedCrossRef Lettich T, Tierney MG, Parvizi J, Sharkey PF, Rothman RH (2007) Primary total hip arthroplasty with an uncemented femoral component: two- to seven-year results. J Arthroplasty 22(7 Suppl 3):43–46PubMedCrossRef
23.
Zurück zum Zitat Thorey F, Lerch M, Kiel H, von Lewinski G, Stukenborg-Colsman C, Windhagen H (2007) The uncemented primary Bicontact stem in revision total hip arthroplasty in young patients. Z Orthop Unfall 145(Suppl 1):S40–S43PubMedCrossRef Thorey F, Lerch M, Kiel H, von Lewinski G, Stukenborg-Colsman C, Windhagen H (2007) The uncemented primary Bicontact stem in revision total hip arthroplasty in young patients. Z Orthop Unfall 145(Suppl 1):S40–S43PubMedCrossRef
24.
Zurück zum Zitat Nercessian OA, Wu WH, Sarkissian H (2001) Clinical and radiographic results of cementless AML total hip arthroplasty in young patients. J Arthroplasty 16(3):312–316PubMedCrossRef Nercessian OA, Wu WH, Sarkissian H (2001) Clinical and radiographic results of cementless AML total hip arthroplasty in young patients. J Arthroplasty 16(3):312–316PubMedCrossRef
25.
Zurück zum Zitat Kim WY, Muddu BN (2006) Eleven-year results of the ABG I hip replacement. Int Orthop 30(3):182–184PubMedCrossRef Kim WY, Muddu BN (2006) Eleven-year results of the ABG I hip replacement. Int Orthop 30(3):182–184PubMedCrossRef
26.
Zurück zum Zitat Hallan G, Lie SA, Furnes O et al (2007) Medium- and long-term performance of 11,516 uncemented primary femoral stems from the Norwegian arthroplasty register. J Bone Joint Surg Br 89:1574–1580PubMedCrossRef Hallan G, Lie SA, Furnes O et al (2007) Medium- and long-term performance of 11,516 uncemented primary femoral stems from the Norwegian arthroplasty register. J Bone Joint Surg Br 89:1574–1580PubMedCrossRef
Metadaten
Titel
The Bicontact cementless primary total hip arthroplasty: long-term results
verfasst von
Girish Swamy
Alistair Pace
Conal Quah
Peter Howard
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 5/2012
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1123-4

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