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Archives of Orthopaedic and Trauma Surgery

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01.05.2015 | Hip Arthroplasty

No difference in clinical outcome, bone density and polyethylene wear 5–7 years after standard navigated vs. conventional cementfree total hip arthroplasty

verfasst von: Armin Keshmiri, Christoph Schröter, Markus Weber, Benjamin Craiovan, Joachim Grifka, Tobias Renkawitz

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 5/2015

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Abstract

Introduction

The purpose of this investigation was to compare clinical outcome, component loosening, polyethylene cup wear and periprosthetic bone mineral density between “cup first” navigated and conventional cementless total hip arthroplasty (THA) 5–7 years after surgery.

Materials and methods

Fifty patients who received THA with (n = 25) or without (n = 25) the use of an image-free navigation system by a single surgeon were investigated after a mean follow-up of 6.4 (4.8–7.4) years. The Hip Osteoarthritis Outcome Score (HOOS) and the Harris Hip Score (HHS) were obtained; range-of-motion (ROM) was evaluated by a blinded examiner. Radiographic cup inclination, signs of radiographic loosening and polyethylene wear were analysed with the help of digital analysis software on anterio-posterior radiographs by a blinded examiner. Acetabular and femoral periprosthetic bone density was evaluated with the help of dual-energy X-ray absorptiometry.

Results

We were unable to find any statistical significant or clinically relevant difference for the HOOS, HHS, ROM and polyethylene wear between the navigated and the conventional THA group 5–7 years after surgery. Cup inclination was more precise in the navigated THA group in relation to the target value of 45°.

Conclusions

Standard “cup first” THA navigation does not improve mid-term functional outcome, bony ingrowth and/or polyethylene wear. New concepts in computer-assisted THA, considering cup and stem as coupled biomechanical partners are needed to justify the effort of navigation in routine operations.

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Titel: No difference in clinical outcome, bone density and polyethylene wear 5–7 years after standard navigated vs. conventional cementfree total hip arthroplasty
verfasst von: Armin Keshmiri
Christoph Schröter
Markus Weber
Benjamin Craiovan
Joachim Grifka
Tobias Renkawitz
Publikationsdatum: 01.05.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 5/2015
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-015-2201-2

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Springer Medizin

No difference in clinical outcome, bone density and polyethylene wear 5–7 years after standard navigated vs. conventional cementfree total hip arthroplasty

Abstract

Introduction

Materials and methods

Results

Conclusions

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