Skip to main content
Erschienen in: International Orthopaedics 6/2013

01.06.2013 | Original Article

Pooled outcome of total hip arthroplasty with the CementLess Spotorno (CLS) system: a comparative analysis of clinical studies and worldwide arthroplasty register data

verfasst von: Patrick Sadoghi, Wolfgang Janda, Mark Agreiter, Rauend Rauf, Andreas Leithner, Gerold Labek

Erschienen in: International Orthopaedics | Ausgabe 6/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Our aim was to elucidate the pooled outcome of the CementLess Spotorno (CLS) system in total hip arthroplasty (THA).

Methods

We compared the outcome of clinical inventor studies, independent clinical studies, and worldwide register data. The main endpoints for analysis were revision rates.

Results

Twenty clinical studies were evaluated and, with one exception, overall found revision rates largely in line with register data. Revision rates (revisions per 100 observed component years) range from 0.15 (inventor study) to 0.28 (independent studies) and 0.43 (register datasets).

Conclusion

Data of journal publications and register datasets using the CLS system do not differ significantly with respect to revision rates. Only the initial inventor study reports a revision rate three times lower than in pooled worldwide register datasets.
Literatur
1.
Zurück zum Zitat Labek G, on behalf of the QoLA Study Group. Quality of publications regarding the outcome of revision rate after arthroplasty—interim report of the QoLA Project presented at the EFORT Congress 2010 in Madrid. http://www.ear.efort.org/. Accessed 26 February 2013 Labek G, on behalf of the QoLA Study Group. Quality of publications regarding the outcome of revision rate after arthroplasty—interim report of the QoLA Project presented at the EFORT Congress 2010 in Madrid. http://​www.​ear.​efort.​org/​. Accessed 26 February 2013
3.
Zurück zum Zitat Labek G, Frischhhut S, Schlichtherle R, Williams A, Thaler M (2011) Outcome of the cementless Taperloc stem: a comprehensive literature review including arthroplasty register data. Acta Orthop 82(2):143–148PubMedCrossRef Labek G, Frischhhut S, Schlichtherle R, Williams A, Thaler M (2011) Outcome of the cementless Taperloc stem: a comprehensive literature review including arthroplasty register data. Acta Orthop 82(2):143–148PubMedCrossRef
4.
Zurück zum Zitat Labek G, Sekyra K, Pawelka W, Janda W, Stöckl B (2011) Outcome and reproducibility of data concerning the Oxford unicompartmental knee arthroplasty: a structured literature review including arthroplasty register data. Acta Orthop 82(2):131–135PubMedCrossRef Labek G, Sekyra K, Pawelka W, Janda W, Stöckl B (2011) Outcome and reproducibility of data concerning the Oxford unicompartmental knee arthroplasty: a structured literature review including arthroplasty register data. Acta Orthop 82(2):131–135PubMedCrossRef
5.
Zurück zum Zitat Bläsius K, Cotta H, Schneider U, Thomsen M (1993) CLS multicenter study—8-year results. Z Orthop Ihre Grenzgeb 131(6):547–552PubMedCrossRef Bläsius K, Cotta H, Schneider U, Thomsen M (1993) CLS multicenter study—8-year results. Z Orthop Ihre Grenzgeb 131(6):547–552PubMedCrossRef
6.
Zurück zum Zitat Spotorno L, Romagnoli S, Ivaldo N, Grappiolo G, Bibbiani E, Blaha DJ, Guen TA (1993) The CLS-system theoretical concept and results. Acta Orthop Belg 59(Suppl 1):144–148PubMed Spotorno L, Romagnoli S, Ivaldo N, Grappiolo G, Bibbiani E, Blaha DJ, Guen TA (1993) The CLS-system theoretical concept and results. Acta Orthop Belg 59(Suppl 1):144–148PubMed
7.
Zurück zum Zitat Robinson RP, Lovell TP, Green TM (1994) Hip arthroplasty using the cementless CLS stem. A 2–4 year experience. J Arthroplasty 9(2):177–192PubMedCrossRef Robinson RP, Lovell TP, Green TM (1994) Hip arthroplasty using the cementless CLS stem. A 2–4 year experience. J Arthroplasty 9(2):177–192PubMedCrossRef
8.
Zurück zum Zitat Bülow 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 Bülow 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
9.
Zurück zum Zitat Ludwig FJ, Melzer C, Backofen D (1996) Criteria for radiologic evaluation of cement-free hip endoprotheses exemplified by the Spotorno shaft. Unfallchirurg 99(1):750–757PubMedCrossRef Ludwig FJ, Melzer C, Backofen D (1996) Criteria for radiologic evaluation of cement-free hip endoprotheses exemplified by the Spotorno shaft. Unfallchirurg 99(1):750–757PubMedCrossRef
10.
Zurück zum Zitat Tauber C, Kidron A (2000) Total hip arthroplasty revision using the press-fit CLS Spotorno cementless stem. Twenty-four hips followed between 1987 and 1998. Arch Orthop Trauma Surg 120(3–4):209–211PubMedCrossRef Tauber C, Kidron A (2000) Total hip arthroplasty revision using the press-fit CLS Spotorno cementless stem. Twenty-four hips followed between 1987 and 1998. Arch Orthop Trauma Surg 120(3–4):209–211PubMedCrossRef
11.
Zurück zum Zitat Schramm M, Keck F, Hohmann D, Pitto RP (2000) Total hip arthroplasty using an uncemented femoral component with taper design: outcome at 10-year follow-up. Arch Orthop Trauma Surg 120(7–8):407–412PubMedCrossRef Schramm M, Keck F, Hohmann D, Pitto RP (2000) Total hip arthroplasty using an uncemented femoral component with taper design: outcome at 10-year follow-up. Arch Orthop Trauma Surg 120(7–8):407–412PubMedCrossRef
12.
Zurück zum Zitat Siebold R, Scheller G, Schreiner U, Jani L (2001) Long-term results with the cement-free Spotorno CLS shaft. Orthopade 30(5):317–322PubMedCrossRef Siebold R, Scheller G, Schreiner U, Jani L (2001) Long-term results with the cement-free Spotorno CLS shaft. Orthopade 30(5):317–322PubMedCrossRef
13.
Zurück zum Zitat Romagnoli S (2002) Press-fit hip arthroplasty: a European alternative. J Arthroplasty 17(4 Suppl 1):108–112PubMedCrossRef Romagnoli S (2002) Press-fit hip arthroplasty: a European alternative. J Arthroplasty 17(4 Suppl 1):108–112PubMedCrossRef
14.
Zurück zum Zitat Stafilas K, Kitsoulis P, Zaharis K, Xenakis T (2003) Total hip arthroplasty with uncemented CLS Spotorno Stem for dysplastic or congenitally dislocated hips in adults. A long-term follow-up study. J Bone Joint Surg 85-B(SUPP III):225 Stafilas K, Kitsoulis P, Zaharis K, Xenakis T (2003) Total hip arthroplasty with uncemented CLS Spotorno Stem for dysplastic or congenitally dislocated hips in adults. A long-term follow-up study. J Bone Joint Surg 85-B(SUPP III):225
15.
Zurück zum Zitat Schneider U, Breusch SJ, Thomsen M, Wirtz DC, Lukoschek M (2002) Influence of implant position of a hip prosthesis on alignment exemplified by the CLS shaft. Unfallchirurg 105(1):31–35PubMedCrossRef Schneider U, Breusch SJ, Thomsen M, Wirtz DC, Lukoschek M (2002) Influence of implant position of a hip prosthesis on alignment exemplified by the CLS shaft. Unfallchirurg 105(1):31–35PubMedCrossRef
16.
Zurück zum Zitat Mallory TH, Lombardi AV, Leith JR, Fujita H, Hartman JF, Capps SG, Kefauver CA, Adams JB, Christian G (2002) Why a taper? J Bone Joint Surg Am 84-A(Suppl 2):81–89PubMed Mallory TH, Lombardi AV, Leith JR, Fujita H, Hartman JF, Capps SG, Kefauver CA, Adams JB, Christian G (2002) Why a taper? J Bone Joint Surg Am 84-A(Suppl 2):81–89PubMed
17.
Zurück zum Zitat Aldinger PR, Breusch SJ, Lukoschek M, Mau H, Ewerbeck V, Thomsen M (2003) A ten- to 15-year follow-up of the cementless spotorno stem. J Bone Joint Surg Br 85(2):209–214PubMedCrossRef Aldinger PR, Breusch SJ, Lukoschek M, Mau H, Ewerbeck V, Thomsen M (2003) A ten- to 15-year follow-up of the cementless spotorno stem. J Bone Joint Surg Br 85(2):209–214PubMedCrossRef
18.
Zurück zum Zitat Güther D, Pap G, Bamert P, Eggli S (2003) Long-term results with the cementless CLS stem in hip replacement. Z Orthop Ihre Grenzgeb 141(3):309–315PubMedCrossRef Güther D, Pap G, Bamert P, Eggli S (2003) Long-term results with the cementless CLS stem in hip replacement. Z Orthop Ihre Grenzgeb 141(3):309–315PubMedCrossRef
19.
Zurück zum Zitat Aldinger PR, Thomsen M, Mau H, Ewerbeck V, Breusch SJ (2003) Cementless Spotorno tapered titanium stems: excellent 10–15-year survival in 141 young patients. Acta Orthop Scand 74(3):253–258PubMedCrossRef Aldinger PR, Thomsen M, Mau H, Ewerbeck V, Breusch SJ (2003) Cementless Spotorno tapered titanium stems: excellent 10–15-year survival in 141 young patients. Acta Orthop Scand 74(3):253–258PubMedCrossRef
20.
Zurück zum Zitat Zerahn B, Lausten GS, Kanstrup IL (2004) Prospective comparison of differences in bone mineral density adjacent to two biomechanically different types of cementless femoral stems. Int Orthop 28(3):146–150PubMedCrossRef Zerahn B, Lausten GS, Kanstrup IL (2004) Prospective comparison of differences in bone mineral density adjacent to two biomechanically different types of cementless femoral stems. Int Orthop 28(3):146–150PubMedCrossRef
21.
Zurück zum Zitat MacDonald A, Mutimer J, Ross A (2004) 10-years results of cementless total hip arthroplasty in young patients using the CLS Spotorno stem and Morscher cup. J Bone Joint Surg Br 86-B(SUPP III) MacDonald A, Mutimer J, Ross A (2004) 10-years results of cementless total hip arthroplasty in young patients using the CLS Spotorno stem and Morscher cup. J Bone Joint Surg Br 86-B(SUPP III)
22.
Zurück zum Zitat Kim SY, Kyung HS, Ihn JC, Cho MR, Koo KH, Kim CY (2004) Cementless Metasul metal-on-metal total hip arthroplasty in patients less than fifty years old. J Bone Joint Surg Am 86-A(11):2475–2481PubMed Kim SY, Kyung HS, Ihn JC, Cho MR, Koo KH, Kim CY (2004) Cementless Metasul metal-on-metal total hip arthroplasty in patients less than fifty years old. J Bone Joint Surg Am 86-A(11):2475–2481PubMed
23.
Zurück zum Zitat Roth A, Richartz G, Sander K, Sachse A, Fuhrmann R, Wagner A, Venbrocks RA (2005) Periprosthetic bone loss after total hip endoproshesis. Dependence on the type of prosthesis and preoperative bone configuration. Orthopade 34(4):334–344PubMedCrossRef Roth A, Richartz G, Sander K, Sachse A, Fuhrmann R, Wagner A, Venbrocks RA (2005) Periprosthetic bone loss after total hip endoproshesis. Dependence on the type of prosthesis and preoperative bone configuration. Orthopade 34(4):334–344PubMedCrossRef
24.
Zurück zum Zitat Parsch D, Jung AW, Thomsen M, Ewerbeck V, Aldinger PR (2008) Good survival of uncemented tapered stems for failed intertrochanteric osteotomy: a mean 16 year follow-up study in 45 patients. Arch Orthop Trauma Surg 128(10):1081–1085PubMedCrossRef Parsch D, Jung AW, Thomsen M, Ewerbeck V, Aldinger PR (2008) Good survival of uncemented tapered stems for failed intertrochanteric osteotomy: a mean 16 year follow-up study in 45 patients. Arch Orthop Trauma Surg 128(10):1081–1085PubMedCrossRef
27.
Zurück zum Zitat Labek G, Thaler M, Janda W, Agreiter M, Stöckl B (2011) Revision rates after total joint replacements: cumulative results from worldwide joint register datasets. J Bone Joint Surg Br 93(3):293–297PubMed Labek G, Thaler M, Janda W, Agreiter M, Stöckl B (2011) Revision rates after total joint replacements: cumulative results from worldwide joint register datasets. J Bone Joint Surg Br 93(3):293–297PubMed
28.
Zurück zum Zitat Sadoghi P, Schröder C, Fottner A, Steinbrück A, Betz O, Müller PE, Jansson V, Hölzer A (2012) Application and survival curve of total hip arthroplasties: a systematic comparative analysis using worldwide hip arthroplasty registers. Int Orthop 36(11):2197–2203PubMedCrossRef Sadoghi P, Schröder C, Fottner A, Steinbrück A, Betz O, Müller PE, Jansson V, Hölzer A (2012) Application and survival curve of total hip arthroplasties: a systematic comparative analysis using worldwide hip arthroplasty registers. Int Orthop 36(11):2197–2203PubMedCrossRef
Metadaten
Titel
Pooled outcome of total hip arthroplasty with the CementLess Spotorno (CLS) system: a comparative analysis of clinical studies and worldwide arthroplasty register data
verfasst von
Patrick Sadoghi
Wolfgang Janda
Mark Agreiter
Rauend Rauf
Andreas Leithner
Gerold Labek
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 6/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-1867-8

Weitere Artikel der Ausgabe 6/2013

International Orthopaedics 6/2013 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.