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Archives of Orthopaedic and Trauma Surgery
Erschienen in: Archives of Orthopaedic and Trauma Surgery 7/2010

01.07.2010 | Orthopaedic Outcome Assessment

Bone remodeling in proximal HA-coated versus uncoated cementless SL-Plus® femoral components: a 5-year follow-up study

verfasst von: W. Steens, A. G. Schneeberger, R. Skripitz, P. Fennema, C. Goetze

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 7/2010

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Abstract

Background and purpose

Bone resorption at the femoral stem due to stress shielding has been particularly observed secondary to cementless hip replacement. This prospective study of 126 total-hip replacements was performed to examine clinical outcomes and changes in peri-prosthetic bone density after implantation of a double-tapered cementless femoral component manufactured with versus without hydroxyapatite (HA) coating.

Methods

Sixty-seven femoral components with and 59 femoral components without proximal HA coating were implanted and examined after a mean follow-up of 5.8 (SD 1.1, 2.8–7.8) years. The Harris hip score (HHS) and plain radiographs were used for clinical and radiological follow-up evaluations. Possible changes in peri-prosthetic bone mineral density (BMD) were measured by dual-energy X-ray absorptiometry (DEXA).

Results

Clinical outcome, measured by HHS, was similar in both groups. On plain radiographs, significantly less radiolucent lines were observed for the coated implants. DEXA revealed a significant increase in BMD at the proximal zones, along the medial side, and at the stem tips in the coated compared with the non-coated implants.

Interpretation

Hydroxyapatite-coated implants yield favorable radiographic characteristics, but no greater clinical benefit after 5 years’ implantation.
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Metadaten
Titel
Bone remodeling in proximal HA-coated versus uncoated cementless SL-Plus® femoral components: a 5-year follow-up study
verfasst von
W. Steens
A. G. Schneeberger
R. Skripitz
P. Fennema
C. Goetze
Publikationsdatum
01.07.2010
Verlag
Springer-Verlag
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 7/2010
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-009-1040-4

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