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European Orthopaedics and Traumatology

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01.05.2010 | Original Article

Performance of the Zweymüller total hip arthroplasty system: a literature review including arthroplasty register data

verfasst von: Wolfgang Janda, Michael Hübl, Bernd Stöckl, Martin Thaler, Gerold Labek

Erschienen in: European Orthopaedics and Traumatology | Ausgabe 1/2010

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Abstract

Materials and methods

A structured literature review was performed using a standardised methodology to determine the outcome of Zweymüller implants, check the quality of the basic data and identify potential bias factors. Apart from a comprehensive meta-analysis of clinical literature, worldwide register results were also taken into account. The main indicator was the revision rate.

Results

Overall, the comparison yielded good results for Zweymüller hip arthroplasties. However, the datasets from clinical studies show a wide range of variation, particularly as regards follow-up examinations over longer periods of time. The comparative evaluations have not revealed any inexplicable deviations or bias factors in the datasets, except for the Bicon and SL-Plus implant combination, which exhibits a relevant proportion of publications dealing with the problems of a historical low-carbide metal–metal pairing. The conclusions drawn are not uniform. Scientific publications do not provide a sufficient basis to retrospectively deduce the actual problem or the decision-making process.

Discussion

For the Zweymüller prosthesis, a sufficient number of publications are available that allow for robust statements regarding the outcome also in comparison with other implant systems. The results of this implant can be rated as good. Nevertheless, the data review has shown several weaknesses in the details that can be considerably reduced through the use of register results. Employed as a benchmark, register data are able to provide valuable additional information for the assessment of clinical studies.

Zenz P, Pospisil Chr, Fertschak W, Schwägerl W (1995) 10 Jahre zementfreie Implantation von Hüfttotalendoprothesen unter Verwendung des Zweymüller-Schaftes. Z Orthop 133:558–561, GermanCrossRefPubMed

Delaunay C, Kapandji A (1997) Acetabular screw rings and surface treatment. Clin Orthop Relat Res 340:130–141CrossRefPubMed

Aigner C (1998) 10-Jahresergebnisse mit dem korundgestrahlten Reintitanschraubring nach Zweymüller. Z Orthop 136:110–114, GermanCrossRefPubMed

Delaunay C, Kapandji A (1996) Primary total hip arthroplasty with the Zweymüller first-generation cementless prosthesis. A 5- to 9-year retrospective study. J Arthroplast 11:643–652CrossRef

Garcia-Cimbrelo E, Cruz-Pardos A, Madero R, Ortega-Andreu M (2003) Total hip arthroplasty with use of the cementless Zweymüller alloclassic system. A ten to thirteen-year follow-up study. J Bone Jt Surg (Am) 85-A:296–303

Delaunay C, Cazeau KA (1998) Cementless primary total hip replacement. Four to eight year results with the Zweymueller-Alloclassic prosthesis. Int Orthop 22:1–5CrossRefPubMed

Pieringer H, Auersperg V, Böhler N (2006) Long-term results of the cementless Alloclassic hip arthroplasty system using a 28-mm ceramic head. J Arthroplast 21:967–974CrossRef

Zwartele R, Brouwers J, Olsthoorn P, Brand R, Doets C (2008) Long-term results of cementless primary total hip arthroplasty with a threaded cup and a tapered, rectangular titanium stem in rheumatoid arthritis and osteoarthritis. Int Orthop 32:581–587CrossRefPubMed

Grübl A, Chiari C, Gruber M, Kaider A, Gottsauner-Wolf F (2002) Cementless total hip Arthroplasty with a tapered, rectangular titanium stem and a threaded cup. A minimum ten-year follow-up. J Bone Jt Surg (Am) 84-A:425–431

10.

Grübl A, Csepan R, Delaunay C, Görders W, Kaider A, Parzer R, Zenz P, Gottsauner F (2003) 6-10-Jahres-Ergebnisse des zementfreien Alloclassic-Hüftsystems: Eine multizentrische Survival-Studie. Z Orthop 141:303–308CrossRefPubMed

11.

Effenberger H, Ramsauer T, Dorn U, Imhof M (2004) Factors influencing the revision rate of Zweymueller acetabular cup. Int Orthop 28:155–158CrossRefPubMed

12.

Pieringer H, Labek G, Auersperg V, Böhler N (2003) Cementless total hip arthroplasty in patients older than 80 years of age. J Bone Jt Surg (Br) 85-B:641–645

13.

Grübl A (2006) Ergebnisse zementfreier Hüftendoprothetik. Radiologe 46:779–784, GermanCrossRefPubMed

14.

Traulsen F, Hassenpflug J, Hahne H (2001) Langzeitergebnisse zementfreier Hüftvollprothesen (Zweymüller). Z Orthop 139:206–211CrossRefPubMed

15.

Delaunay C, Kapandji AI (2001) Survival analysis of cementless grit-blasted titanium total hip arthroplasties. J Bone Jt Surg (Br) 83-B:408–413CrossRef

16.

Perka C, Fischer U, Taylor W, Matziolis G (2004) Developmental hip dysplasia treated with total hip arthroplasty with a straight stem and a threaded cup. J Bone Jt Surg (Am) 86-A:312–319

17.

Müller U, Gautier E, Roeder C, Busato A (2003) The relationship between cup design and the radiological signs of aseptic loosening in total hip arthroplasty. J Bone Jt Surg (Br) 83-B:31–36CrossRef

18.

Effenberger H, Heiland A, Ramsauer T, Plitz W, Dorn U (2001) A model for assessing the rotational stability of uncemented femoral implants. Arch Orthop Trauma Surg 121:60–64CrossRefPubMed

19.

Pieringer H, Auersperg V, Grießler W, Böhler N (2003) Long-term results with the cementless Alloclassic brand hip arthroplasty system. J Arthroplast 18:321–328CrossRef

20.

Ritterbeck T, Keysser P, Blencke B (1999) Ergebnisse des Hüft-TEP-Wechsels unter Verwendung des Zweymüller-Schaftes. Orthopädische Praxis 35(10):658–660

21.

Vervest TMJS, Kenters M, Klomp I. (2002) A historical cohort study of 754 Zweymüller cementless stems of two designs and the threaded titanium cup. In: 20 Years of Zweymüller Hip Endoprotheses 4th Vienna Symposium. Verlag Hans Huber, Bern, pp 49–62

22.

Vervest TMJS, Anderson P, van Hout F, Wapstra F, Louwerse R, Koetsier J (2005) Ten to twelve-year results with the Zweymüller cementless total hip prosthesis. J Arthroplast 20:362–368CrossRef

23.

Zweymüller K, Schwarzinger U, Steindl M (2006) Radiolucent lines and osteolysis along tapered straight cementless titanium hip stems. A comparison of 6-year and 10-year follow-up results in 95 patients. Acta Orthop 77:871–876CrossRefPubMed

24.

Milosev I, Trebse R, Kovac S, Cör A, Pisot V (2006) Survivorship and retrieval analysis of Sikomet metal-on-metal total hip replacement at a mean of seven years. J Bone Jt Surg (Am) 88:1173–1182CrossRef

25.

Korovessis P, Petsinis G, Repanti M, Repantis T (2006) Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine-year follow-up. J Bone Jt Surg (Am) 88:1183–1191CrossRef

26.

Korovessis P, Petsinis G, Repanti M (2003) Zweymueller with metal-on-metal articulation: clinical, radiological and histological analysis of short-term results. Arch Orthop Trauma Surg 123:5–11PubMed

27.

Zweymüller K, Steindl M, Schwarzinger U (2007) Good stability and minimal osteolysis with a biconical threaded cup at 10 years. Clin Orthop Relat Res 463:128–137PubMed

28.

Havelin L, Espehaug B, Vollset S, Engesaeter L (1995) Early aseptic loosening of uncemented femoral components in primary total hip replacement. J Bone Jt Surg (Br) 77-B:11–17

29.

Swedish Hip Arthroplasty Register, Annual Report 2007. Available at: http://www.jru.orthop.gu.se/. Accessed on: 31 Aug 2009

30.

Australian Orthopaedic Association National Joint Replacement Registry. Annual Report 2008. Available at: http://www.dmac.adelaide.edu.au/aoanjrr/index.jsp. Accessed on: 16 Aug 2009

31.

Danish Hip Arthroplasty Register. Annual Report 2006. Available at: http://www.dhr.dk/annual_report.htm. Accessed on: 31 Aug 2009

32.

Labek G, Stoica C, Böhler N (2008) Comparison of the information in arthroplasty registers from different countries. J Bone Jt Surg 90-B:288–291CrossRef

Titel: Performance of the Zweymüller total hip arthroplasty system: a literature review including arthroplasty register data
verfasst von: Wolfgang Janda
Michael Hübl
Bernd Stöckl
Martin Thaler
Gerold Labek
Publikationsdatum: 01.05.2010
Verlag: Springer-Verlag
Erschienen in: European Orthopaedics and Traumatology / Ausgabe 1/2010
Print ISSN: 1867-4569
Elektronische ISSN: 1867-4577
DOI: https://doi.org/10.1007/s12570-010-0004-z

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