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Long-Term Effectiveness of Total Hip Replacement with the Collum Femoris Preserving Prosthesis

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Abstract

The objective of this study was to follow-up long term (5–12 years) patients with total hip arthroplasty with the collum femoris preserving prosthesis to evaluate clinical outcome and potential complications. Forty-six of 152 patients who underwent this procedure between September 2000 and September 2012 were followed up. The average follow-up time was 7.6 years, and assessed were radiographs, Harris score, limb length, hip function, and complications. Six patients had perioperative complications including five cases of femoral shaft fracture and one case of dislocation 1 week after the operation. No infections of the surgical site, no deep venous thrombosis or pulmonary embolism were observed. The last recorded Harris hip score improved from a preoperative average of 41.2 (range 17–60) to an average of 82.3 (74–96), with the score >80 in 38 patients, 70–80 in six patients, and <70 in two patients. Radiolucent lines were found on radiographs in two patients with acetabular prosthesis and one patient with femoral prosthesis. The remainder of patients had satisfactory positions of acetabular and femoral stem prostheses with no loosening or subsidence, and a good condition of femoral neck. Total hip arthroplasty with the collum femoris preserving prosthesis is a good option for younger patients who need prosthesis revision. This arthroplasty achieves satisfactory long-term effectiveness.

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Abbreviations

THA:

Total hip arthroplasty

CFP:

The collum femoris preserving prosthesis

References

  1. Li, H., Wei, W., & Yuan, Y. (2011). Clinical and radiographic results of primary total hip arthroplasty: An over-six-year follow-up. Chinese Journal of Joint Surgery, 5, 555–560. in Chinese.

    Google Scholar 

  2. Hungerford, M. W., Mont, M. A., Scott, R., Fiore, C., Hungerford, D. S., & Krackow, K. A. (1998). Surface replacement hemiarthroplasty for the treatment of osteonecrosis of the femoral head. Journal of Bone and Joint Surgery American Volume, 80, 1656–1664.

    CAS  Google Scholar 

  3. Martell, J. M., Pierson, R. H, I. I. I., Jacobs, J. J., Rosenberg, A. G., Maley, M., & Galante, J. O. (1993). Primary total hip reconstruction with a titanium fiber-coated prosthesis inserted without cement. Journal of Bone and Joint Surgery American Volume, 75, 554–571.

    CAS  Google Scholar 

  4. Devane, P. A., & Horne, J. G. (1999). Assessment of polyethylene wear in total hip replacement. Clinical Orthopaedics and Related Research, 1999, 59–72.

    Article  Google Scholar 

  5. Makela, K. T., Eskelinen, A., Pulkkinen, P., Paavolainen, P., & Remes, V. (2011). Results of 3,668 primary total hip replacements for primary osteoarthritis in patients under the age of 55 years. Acta Orthopaedica, 82, 521–529.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Biggi, F., Franchin, F., & Lovato, R. (2004). DEXA evaluation of total hip arthroplasty with neck-preserving technique: 4-year follow-up. Journal of Orthopaedics and Traumatology, 2004, 156–159.

    Article  Google Scholar 

  7. Callary, S. A., Campbell, D. G., Mercer, G. E., Nilsson, K. G., & Field, J. R. (2012). The 6-year migration characteristics of a hydroxyapatite-coated femoral stem: A radiostereometric analysis study. Journal of Arthroplasty, 27, 1344–1348.

    Article  PubMed  Google Scholar 

  8. Back, D. L., Dalziel, R., Young, D., & Shimmin, A. (2005). Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. Journal of Bone and Joint Surgery British Volume, 87, 324–329.

    Article  CAS  Google Scholar 

  9. Hooper, G. J., Rothwell, A. G., Stringer, M., & Frampton, C. (2009). Revision following cemented and uncemented primary total hip replacement: A seven-year analysis from the New Zealand Joint Registry. Journal of Bone and Joint Surgery British Volume, 91, 451–458.

    Article  CAS  Google Scholar 

  10. Zhao, F., & Li, Z. (2009). Prevention of dislocation after total hip replacement. Orthopedic Journal of China, 17, 674–676. in Chinese.

    Google Scholar 

  11. Huang, Y., Kong, R., & Fang, S. (2009). Analysis and prevention of dislocation after total hip replacement. Orthopedic Journal of China, 17, 333–335. in Chinese.

    Google Scholar 

  12. Thomsen, M. N., Jakubowitz, E., Seeger, J. B., Lee, C., Kretzer, J. P., & Clarius, M. (2008). Fracture load for periprosthetic femoral fractures in cemented versus uncemented hip stems: An experimental in vitro study. Orthopedics, 31, 653.

    PubMed  Google Scholar 

  13. Woolson, S. T. (1990). Leg length equalization during total hip replacement. Orthopedics, 1990(13), 17–21.

    Google Scholar 

  14. Turula, K. B., Friberg, O., Lindholm, T. S., Tallroth, K., & Vankka, E. (1986). Leg length inequality after total hip arthroplasty. Clinical Orthopaedics and Related Research, 1986, 163–168.

    Google Scholar 

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Correspondence to Rui-jin You.

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You, Rj., Zheng, Wz., Chen, K. et al. Long-Term Effectiveness of Total Hip Replacement with the Collum Femoris Preserving Prosthesis. Cell Biochem Biophys 72, 43–47 (2015). https://doi.org/10.1007/s12013-014-0401-y

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  • DOI: https://doi.org/10.1007/s12013-014-0401-y

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