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Archives of Orthopaedic and Trauma Surgery

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01.05.2011 | Orthopaedic Surgery

High medium-term survivorship and durability of Zweymüller-Plus total hip arthroplasty

verfasst von: Panagiotis Korovessis, Thomas Repantis, Andreas Zafiropoulos

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 5/2011

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Abstract

Background and purpose

The Zweymüller-Plus system (SL-Plus stem, Bicon-Plus threaded cup) for primary total hip arthroplasty (THA) was introduced in 1993, as a successor of the Alloclassic THA with a few modifications in the conical stem shape and a new biconical threaded cup with a spherical shape. The medium-term performance of this system is not well established. To better understand the potential impact these design changes have had on (1) survivorship, (2) implant stability and (3) periprosthetic osteolysis, we studied patients who underwent THA using the SL-Plus stem and Bicon-Plus.

Methods

We retrospectively reviewed the cases of 148 patients (153 hips) who underwent Zweymüller-Plus primary THA after an average of 11 years.

Results

With revision for aseptic failure of biological fixation as the endpoint, survivorship was 98% for the stem and 100% for the cup. Focal osteolysis was observed in 6.6% of cups and 29% of stems. Four hips (2.6%) were revised because of aseptic failure of the biologic fixation and three hips (1.95%) for deep infection. As much as 146 stems and 149 cups were evaluated to be stable.

Conclusion

Zweymüller-Plus THA resulted in high survivorship and durability at 11 years, although the rate of osteolysis around the stem indicated polyethylene wear.

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Titel: High medium-term survivorship and durability of Zweymüller-Plus total hip arthroplasty
verfasst von: Panagiotis Korovessis
Thomas Repantis
Andreas Zafiropoulos
Publikationsdatum: 01.05.2011
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 5/2011
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1176-2

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